-
if suctioning and bradycardia appears, what happened?
stimulated the vagus nerve
-
suction pressure for adult
100-120
-
suction pressure for child
80-100
-
suction pressure for infant
60-80
-
how do you adjust the suction vacuum pressure
occlude the tubing
-
what type of suction catheter would u use if you are trying to get into the LEFT main stem bronchus
coude tip catheter
-
which catheter allows the pt to receive ventilation and o2 during suctioning
closed system or inline suction catheter
-
catheter size formula
id size/ 2 X 3
8.0 / 2 = 4.0 X 3 = 12
if they don't have 12, DO NOT go down to 10, go UP and pick 14
-
what kinda order is suctioning
PRN ONLY
-
suction catheter should be in the airway no longer than how many seconds?
15 sec
-
if there is NO sound occuring on the bubble humidifier, there is
- a leak
- cracked or loose jar
- worn missing gasket
-
if there is a whistling sound occurs w/out occlusion
- o2 flow is high
- obstruction or kinked
-
humidification sys that can heat and humidify o2 at flow rates up to 40 l/min
membrane cartridge sys VAPOTHERM
-
high flow nasal cannula, what type of humidifier can u use?
membrane carthridge sys VAPOTHERM
-
humidifier that is commonly used with infant vents and circuits
passover
-
-
wick humidifier can deliver how much body humidity
100%
-
produces particles
nebulizer
-
used to nebulize small doses of medication
SVN
-
delivers BLAND aerosols to the upper airway to DECREASE the chances of edema or humidity deficit
LVN
-
if not enough mist is coming out of the aerosol, what should u do
inc flow
-
how should u set up the blender with a LVN
- blender at desired fio2
- air entrainment port on lvn at 100%
-
small particle aerosol generator SPAG is designed to deliver ____ for treating _____ infections
- ribavirin
- RSV resp syncytial virus
-
of all nebs, this has the highest output range of aqueous solution w/out heating
USN ultrasonic neb
-
if you are using a USN on a child and is gaining weight, what does that mean
child is gaining weight
-
to increase mist on a USN, what should u adjust
inc AMPLITUDE
-
can be used to overcome coordination difficulties
-
name 4 short acting beat 2 agonists
- albuterol- ventolin/proventil
- levelbuterol-xopenex
- terbutaline-brethine/brethaire
- pirbuterol-maxair
-
long acting beta2 agonist/maintanence
- sameterol
- formoterol
- arformeterol
-
name a bronchodilator that work against the bronchoconstrictions
- atropine sulfate
- ipratropium bromide - atrovent
- tiotropium bromide-spiriva
-
which drug increases diaphragmatic contractility and stimulate the CNS in infants with ____
- theophylline
- apnea of prematurity
-
name some methylxanthine drugs that increases the amt of cAMP within smooth muscle then causes bronchodilation
- theophylline - aminophylline
- theo dur
- oxytriphylline
- theolair
- caffeine
-
anti-inflammatory, corticosteroids
- fluticasone
- beclomethasone
- budesonide
- flunisolide
- prednisone
ends with ONEEEEEEEEEE
-
mucolytics control secretions, name some
- acetylcysteine- mucomyst
- DNASE- pulmozyme
-
leukotriene modifiers is use in cases of mild to moderate persistent asthma, name some
- motelukas- singulair
- zafirlukas - accolate
- zileuton - zyflo
not to be used for tx of acute asthma attacks
-
mast cell stabilizers will help PREVENT asthmatic attack, name some
- cromolyn sodium- intal
- nedocromil sodium- tilate
-
racemic epi is a
mucosal vasoconstrictor
-
to treat CHF, increase strength of contraction, give
- digitalis- crystodigin
- digoxin- lanoxin
-
to relief pain (angina pectoris give
nitroglycerin
-
direct vasodilators
sodium nitroprusside - nipride- light sensitive
-
alpha adrenergic- will increase blood pressure
- noreepi- levophed
- dopamine
- dobutamine
-
for pulm edema, liver and kidney disease, CHF
diuretics= furosemide/ lasix
-
DEPOLARIZING neuromuscular blocking agent- cause total muscle contraction (twitching) followed by complete muscle paralysis
succinylcholine
-
nondepolarizing neuromuscular agent, longer duration, can be reversed if desired
- pancuronium
- vecuronium
- atracurium
- cisatracurium
think RIUM
-
can the pt still hear you if theyre just paralized?
yes, must sedate
-
sedatives- dec anxiety, and promote relaxation
- alprazolam- xanax
- diazepam - valium
- midazolam - versed
- lorazepam - ativan
-
leval of sedation is monitored with the
modified ramsay scale
-
what level # responds to verbal commands
3
-
reduces pts ability to perceive sensations
anesthetics- analgesia
-
iv anesthetics is use in critically ill pt, examp
propofol - diprivan
-
analgesics- reduce sensation of pain
opioids, narcotics
-
-
name 3 surfactants
- calfactant- infasurf
- beractant - survanta
- porcant alfa- curosurf
-
use to help pt quit smoking or deal with side effects
nicotine patch
-
antibiotics is used to treat pt with bacterial infection >10,000 WBC, example
- penicillins
- ampicillin
- amoxicillin
- nafcillin
think CILLIN
-
aminoglycosides is used in serious infections for gram NEGATIVE
COCCUS
vaancomycin
treat MRSA- staphylococcus aureus
-
drugs usd to bacterididal and actively kill bacteria like TB
- isoniazed- INH
- rifampin
- ethambutol
-
to treat RSV, you give
ribavirin using a spag
-
to prevent RSV, you give
vaccines----- respigam or palivizumab/synagis
|
|