27 Questions
What may interfere with pulse oximeter readings?
Nails
What is the gold standard for checking blood oxygen?
PaO2 through blood sampling of the artery (ABG's)
What is the best way to listen to the lungs according to the text?
Posterior
Why should COPD patients not be given too much oxygen?
Increases hypoxic drive
What should be done if a patient is breathing more than 35 bpm?
Get them intubated
Which medication is known for fast action and the risk of oversedation in ICU settings?
Propofol (Diprivan)
What is the maximum duration an endotracheal tube should remain in place for a patient?
2-3 weeks, beyond that a tracheostomy will be necessary
What condition can develop after lung injury and if left untreated can lead to multiorgan system dysfunction?
Acute Respiratory Distress Syndrome (ARDS)
What does ARDS resemble on an X-ray?
Severe pulmonary edema
How can the differentiation between Cardiac induced pulmonary edema and ARDS pulmonary edema be checked?
BNP marker - high BNP indicates ARDS
If a patient on a ventilator takes the PAFIO2 test and the result is below 100, what does it indicate?
High probability of ARDS
What characterizes the acute exudative phase of ARDS?
Pulmonary flooding and nullification of surfactant
What are the usual provider's orders for patients with ARDS?
High PEEP and low tidal volumes
Which of the following is NOT associated with the development of ARDS?
Acute respiratory distress syndrome (ARDS)
What is the first phase of ARDS characterized by?
Rapid onset dyspnea within 72 hours of primary injury
In what situation is ECMO (Extracorporeal Membrane Oxygenation) used?
ARDS
What lab testing is required while a patient is on propofol?
Liver Function Tests (LFT) and Triglycerides
How often should the IV tubing with propofol be changed?
Every 12 hours
Which drug is preferred by the provider due to its fast turnaround and decreased chances for delirium?
Precedex (Dexmedetomidine)
What is a typical use of Valium (Diazepam)?
Alcohol detox
What can a mucus plug cause in terms of ventilation and perfusion?
Shunt (Perfusion without ventilation)
Why do we avoid splinting individuals with blunt chest trauma?
To allow lung expansion
"What can the 5 H's and 5 T's cause?"
Pulseless electrical activity (cardiac arrest)
What can subcutaneous emphysema lead to if it's pressing on the trachea?
Airway compromise
When is bubbling considered okay for a chest tube?
Intermittent bubbling
Which diagnostic should be done for a patient with chest trauma?
Chest X-ray
What nursing intervention is recommended for a patient with a pneumothorax?
Chest tube insertion
Test your knowledge about pulmonary embolism, which obstructs the pulmonary artery or its branches by a blood clot, and venous thromboembolism (VTE) which includes deep vein thrombosis (DVT). Learn about the risk factors, associated conditions, and symptoms of these life-threatening conditions.
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