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which arterial blood gas value are normal?
- NORMAL VALUE (memorize)
- PH: 7.35 - 7.45
- PaO2: 80-100
- PaCO2: 35-45
- HCO3: 22-26
- SaO2: 95% - 100%
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What is the normal value for PH?
7.35-7.45
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What is the normal value for PaO2?
80-100
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What is the normal value for PaCO2?
35-45
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What is the normal value for HCO3?
22-26
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What is the normal value for SaO2?
95% - 100%
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which is incorrect about the TB skin test? SATA
- draw 0.1 ml of PPD
- hold syringe bevel up, almost parallel to the forearm
- read the test site 48-72 hours after injection by palpating the site for induration
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pulmonary angiography (pg.242) - pt going through pulmonary angiography, what are ur nx consideration to think about?
determining if allergic to contrast dye, iodine, and shellfish
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sputum studies (pg.241- nursing guidelines 19-2) - when is the best time to take a sputum specimen?
collect sputum early in the morning in a sterile container
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post-bronchoscopy, pt c/o thirst, which observation allows you to give fluids to pt? (pg.242)
after gag reflex returns
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what medication is used for allergic reaction in the laryngeal? (pg. 252/slide 88)
epinephrine or corticosteroids
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why should u have a tracheostomy cuff? (pg.260) SATA
2 answers
- provide a snug fit
- prevents aspiration of liquids or escape of air when a mechanical ventilator is used
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how long should you suction with a pt with a tracheostomy?
do not suction for no more than 10 seconds at a time
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NUMBERING IN ORDER - 8 steps
providing tracheostomy care (pg. 261)
- 1. open trach kit w/o contaminating contents
- 2. pour hydrogen peroxide and NS into containers
- 3. unlock inner canula..remove it and place in hydrogen peroxide. clean inside and out of the cannula with pipe cleaner
- 4. rinse the clean cannula with NS. tap and wipe extra solution with sterile gauze
- 5. replace inner cannula and turn clockwise within the outer cannula
- 6. clean around stoma w/ moist applicator with NS
- 7. place sterile dressing around the trach tube
- 8. change the trach ties by placing the new ones on first
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TRUE/FALSE
the pressure inside the lungs is above the atmospheric pressure
false
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_______ is a life threatening condition that results from the progressive deterioration and worsening simple pneumothorax
tension pneumothorax
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how do u know the chest tube is no longer needed in a pt with pneumothorax?
no fluctuation in the water-seal chamber. ceases when lungs re-expand..
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what nursing intervention to prevent clot formation for a pt who just has knee surgery?
obtaining order for elastic sockings
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encouraging pt to continuously move (legs) to prevent..
pulmonary embolism
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FILL-IN
_________ is a surgical opening into the treachea.
tracheotomy
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trach suctioning..which is incorrect?
suction while inserting
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position for pt who is in respiratory distress
semi-fowlers
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when can u tell a trache needs to be suctioned?
noisy
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pt has abnormal lung sounds due to asthma-exacerbation. what do u hear?
weezes
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when do u know when a pt has a positive mantoux test?
pt has been exposed to tb
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which pulse oximitry reading is normal?
95-100%
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pulmonary function. what tells u he understood the procedure?
pt has to breath into a inspirameter
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how will u tell if pt O2 stat is compromise?
pt starts to get restlessness
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______ is the movement of air in and out
ventilation
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maxillary sinuses is located...
cheek
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u are a nurse working at call center...chocking pt..u ask...
can the pt cough
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FILL-IN
_______ is the removal a of a lung
segmentectomy (piece)
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steps of mantoux test - mycobacterium TB
draw 0.1ml; hold syringe bevel up-parallel to forearm; record name, date, time, n lot #; check 48-72 hrs
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a largynoscopy will happen for a singer..which statement states that she understands?
"i have to have this test b/c my voice hoarse and it's to test for cancer"
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CALCULATION
IV 1000cc NS over a 12hr period
what is ml/hr?
80ml/hr
1000/12 = 83.3
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CALCULATION
wt: 47.2kg convert to lbs
103.84lbs
47.2 x 2.2 = 103.84lbs
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CALCULATION
morphine
D= 6mg
A= 4mg/1ml
1.5ml
6/4 x 1= 1.5
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