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what are the four life functions?
What are their priority order?
1.Ventilation: moving air in and out of the lungs.
2.Oxygenation: getting oxygen in to the blood.
3.Circulation: moving the blood through the body.
4.Perfusion: getting oxygen into the tissues
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how do you measure ventilation?
- RR (12-20bpm)
- Tidal volume
- Chest movement
- Breath sound
- Paco2
- Etco2
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How would you measure oxygenation?
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How would you measure Circulation?
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How would you measure Perfusion?
- BP
- sensorium
- Temp
- Urine Output
- HEMODYNAMICS
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What is part of Admission Notes?
- admitting dx
- history of present illness
- chief complain
- past medical history
- current medication
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Tobacco use?
- a. Pack Years: # of packs/day X # of years smoked.
- b. type of tobacco use: pipe, cigar, chewing, etc.
- c. Always recommend Nicotine replacement therapy
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Patient chart review consist of ?
- admission notes
- s/s
- occupation, employment hx, hobbies
- allergies
- surgical hx, illness or injury
- Physical examination
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Respiratory Care Orders consist of?
- type of tx
- frequency
- medication dosage and route of administration
- physician signature
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Intake Output
- 1. Normal Urine output is 40 ml/ hr
- 2. Sensible water loss- urine, vomiting
- 3. Insensible water loss- lungs and skin.
- 4. if intake exceeds output this could result in:
- a. weight gain
- b. electrolyte imbalance
- c. increased hemodynamic pressure
- d. decrease lung compliance
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Fluid balance: Changes in CVP can indicate changes in fluid balance
what is normal cvp?
decrease CVP tx?
increased CVP tx?
- Normal CVP: 2-6 mm HG
- Decreased CVP: hypovolemia= Fluid Therapy
- Increased CVP: hypervolemia= Diuretics
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LOC:Alert and responsive
Normal
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LOC: Lethargic/ somnolent/sleepy
may be due to sleep apnea or excessive 0s therapy in patient with COPD.
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LOC: Stuporous/ Confused
- Responds inappropriately, may be due to:
- drug overdose
- intoxication
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LOC: semicomatose
responds only to painful stimuli
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LOC: Obtunded
- Drowsy state
- MAY HAVE A DECREASED COUGH OR GAG REFLEX
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LOC: Coma
Does not respond to a painful stimuli.
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