PCCN Pulmonary || All Correct.
Post cardiac arrest phase, titration of inspired oxygen to lowest level to achieve O2 sat? correct
answers 94%
frail chest = multiple rib fractures correct answers = see saw chest movement
Pertussis (whooping cough) correct answers -An airborne bacterial infection that affects mostly
children younger than 6 years. Patients will be feverish and exhibit a "whoop" sound on
inspiration after a coughing attack; highly contagious through droplet infection.
-long episodes of cough until vomits
-sputum= thick and white
airway resistance correct answers pressure difference between the mouth and the alveoli in
relation to the rate of flow of inspired gas
drug of choice for Tx pertussis correct answers macrolide antibiotics = azithromycin,
clarithromycin and erythromycin
Macrolides (thromycin) MOA correct answers Inhibit protein synthesis by blocking translocation
("macroslides"); bind to the 23S rRNA of the 50S ribosomal subunit. Bacteriostatic.
Gentimicin has what serious complications: correct answers 1. ototoxicity
2. nephrotoxicity =oliguria or anuria
3. never given IV push, only drip 30-60 mins
Psudomonas aeruginosa correct answers Gram Neg, motile, capsule
Aerobic
Found in water, soil, decaying veg, skin, MM, feces,
Cause infection
Opportunistic
Tx: based on culture/sensitivity
Pulmonary artery pressure (PAP) correct answers Normal Mean PAP
Normal PAP Systolic 20 to 35
Normal PAP diastolic 5 to 15
> than is inconsistent with weaning.
- indicates pulmonary hypertension.
- Left ventricular failure.
- Fluid overload.
, Sidenafil (Viagra) correct answers phosphodiesterase inhibitor, potentiates action of nitrates b/c
they inhibit breakdown of cGMP. Should not be taken within 6 hrs of nitrate
Medication given orally to inhibit rapid rise in pulmonary artery pressure secondary to hypoxia?
correct answers sidenafil (Viagra)
Laryngeal Mask Airway (LMA) correct answers -An airway consisting of a tube and small mask
that is fitted internally over the patient's larynx.
-must have an absent gag reflex
-does not usually cause hoarseness, does not pass thru vocal cord
-cannot be inserted by RN, unless special trained
Aspirated content during cardiac arrest? correct answers -onset of symptoms is gradual
-may develop ARDS, but not always
-if pH > 2.5, very little necrosis will occur
-if pH < 2.5, may develop pulmonary edema, necrosis, bleeding, and atelctasis
aspiration pneumonitis correct answers An acute lung injury after inhalation or aspiration of
regurgitated gastric contents (reflux or emesis).
The gastric acid causes a chemical injury rather than an infection.
Pulse oximetry should never be used in? correct answers -cardiac arrest
-during CPR, blow flow varies
SpO2 vs. PaO2 correct answers are not equal
SpO2 (saturation of peripheral oxygen) correct answers abbreviation for the percentage of
hemoglobin that is saturated with oxygen in arterial blood as measured by a pulse oximeter
PaO2 (partial pressure of arterial oxygen) normal range correct answers -80-100 mm Hg
-measured by ABGs
ABGs correct answers Arterial Blood Gases
pH 7.35- 7.45
HCO3 (Bicarbonate) normal values 22-26 mEq/L
PaCO2 ( CO2 or carbon dioxide content) 35-45 mm Hg
PaO2 (oxygen saturation in arteria blood)- 80-100 mm Hg
chest tube correct answers Catheter inserted through the thorax into the chest cavity for removing
air or fluid; used after chest or heart surgery or pneumothorax.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FullyFocus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.29. You're not tied to anything after your purchase.
