HA Exam 1.pdf
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Creighton University
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Exam 1 Review ATI Oxygen Therapy Hypoxia Signs : restless , confused , anxious , ↑HR , Y BP , 4RR, dyspnea , tripod stance accessory breathing - early...
Exam 1 Review ATI Oxygen Therapy Hypoxia Signs : restless , confused , anxious , ↑HR , Y BP , 4RR, dyspnea , tripod stance accessory breathing - early , Hypoxia late Signs : decreased activity , , ↓ HR , LBP cyanosis accessary breathing pallor - ALOC , , , >160a Hypoxia edema M-S heart failure, O Sat < 872 Chronic signs nail clubbing, peripheral : pallor - , , COPD patients are considered Safe at around 88-92 % SpOz - O2 delivery Methods - : - Dif flow > 42/min- > Sterile H20 for humidificationA ↳ replace every 24 his - Astart low and go slowly up * - A No Dr. order needed. for emergent * use - Nasal Cannula 24- * - 1-6 - * 6-111 per min who-75% 02 (good emergency = - - - can use on any pt -do not allow bag to deflate ! - Venturi Mask - Most precise - use if you need PRECISELY/ EXACTLY X Liters of O2 * - 4-101 per min ~24-50 % Of Mostly ICU use for critically ill pts - Best for COPD (exact percentages - - Face Tent * - At least 101 per min ~24-100 % Or - aerosol mask alternative -used after oral and nasal surgery - Ambu Bag - Oxygen tent and hood - CPR bag mask * - 10-151 per min ~ 50 % 02 - used to breathe for apt if respirations less than 12 - used on pediatric clients w/ respiratory usually 10-15 4/ min - problems - Trach Collar - T-piece and humidifier used constantly with a trach collar - Usually 104/ min - Nebulizer gives aerosol meds - - Incentive Spirometer suck in to exercise and helps prevent pneumonia and atelectisis lungs - 10x over the course of an hour - - Noninvasive Ventilation : alternative to mechanical Ventilation for CHF , Sleep aprea, pulmonary diseases ↳ CPAP : Set positive airway pressure sleep appea - - S-20 am of HO - BIPAP : assistance during inspiration and keeps airway open on expiration Oxygen Cylinders : - compressed O system at home - bulk O2 liquid hospital - system in - E Cylinder is most common size O leso, e mor ⑧ FlowMete a - Keep 10 It away from flames clutter-free environment - caution With elec equipment -. No electric or friction toys - - Best Practices : = semi or high-Fowlers position ATI Vital Signs - Respirations : 12-20 per min leupned ↳ Tachypnea : < 20 - Bradypnea : < 12 Cheyne-Stokes : Rapid & deep Slow & Shallow (CNS issues - > - - Kussmalls. Rapid & deep (Ketoacidosis) - Biots : Rapid , Shallow , irregular - > appea (CNS issues - Apnea : No breathing - Pulse : 60-100 BPM reg 0-4 + , or irreg , strength Le Tachycardia : (100 - Bradycardia :