Rrt clin sims - Study guides, Class notes & Summaries

General Assessment : Visual Assessment (Stage I) Any assessment that you can do quickly by just glancing at the patient, a monitor, or the patient's record should be done first. Visual assessment items include: General appearance Color Medical history Heart rate (exception to the rule) General Assessment : Bedside (Patient contact) assessment (Stage II) This includes all things that relate to the respiratory status of the patient and can be done quickly and usually without cost o...

Information Gathering - Emphysema: (Abnormal condition of the alveoli resulting destruction and loss of elasticity.) - Answer - LEVEL I : Cyanosis, Barrel chest, increased A-P diameter, Accessory muscle use, Digital clubbing of the nail beds, Significant history of smoking and/or occupational exposure to smoke or other pulmonary irritant LEVEL II : Dyspnea, Wheezing breath sounds LEVEL III : Chest X-ray—flattened diaphragms, hyperlucency, diminished pulmonary vascular markings. CBC—po...

SpO2 and PaO2 CORRECT ANSWER 4,5,6 - 7,8,9 mild hypoxemia (PaO2 : 75) CORRECT ANSWER 2L Nasal cannula, recheck SpO2 atelectasis CORRECT ANSWER incentive spirometry SOB CORRECT ANSWER bronchodilator treatments CHF CORRECT ANSWER digitalis, diuretics impending hypercapnic respiratory failure CORRECT ANSWER initiate NPPV Acute Hypercapnic Respiratory Failure CORRECT ANSWER pH: 7.30, PaCO2: >50 - intubate and initiate MV COPD CORRECT ANSWER avoid high FiO2 "marked" CORRE...

SpO2 and PaO2 4,5,6 - 7,8,9 mild hypoxemia (PaO2 : 75) 2L Nasal cannula, recheck SpO2 atelectasis incentive spirometry SOB bronchodilator treatments CHF digitalis, diuretics impending hypercapnic respiratory failure initiate NPPV Acute Hypercapnic Respiratory Failure pH: 7.30, PaCO2: >50 - intubate and initiate MV COPD avoid high FiO2 "marked" severe/emergency condition, requires immediate and maximal response (usually 100% Fi...

General Assessment : Visual Assessment (Stage I) - Any assessment that you can do quickly by just glancing at the patient, a monitor, or the patient's record should be done first. Visual assessment items include: General appearance Color Medical history Heart rate (exception to the rule) General Assessment : Bedside (Patient contact) assessment (Stage II) - This includes all things that relate to the respiratory status of the patient and can be done quickly and usually without cost or ...

SpO2 and PaO2 - 4,5,6 - 7,8,9 mild hypoxemia (PaO2 : 75) - 2L Nasal cannula, recheck SpO2 atelectasis - incentive spirometry SOB - bronchodilator treatments CHF - digitalis, diuretics impending hypercapnic respiratory failure - initiate NPPV Acute Hypercapnic Respiratory Failure - pH: 7.30, PaCO2: >50 - intubate and initiate MV COPD - avoid high FiO2 "marked" - severe/emergency condition, requires immediate and maximal response (usually 100% FiO2) significant Q wave, elevated ST s...

Emphysema Weakening and enpermanent enlargement of the air spaces distal to the terminal bronchioles Etiology of Emphysema Cigarette smoking >80% of all cases Genetic predisposition Occupational exposure Atmospheric pollutants Primary Assessment of Emphysema Past medical history Shortness of breath Cough Appearance of the chest Respiratory Pattern Color Appearance of the nail beds Diagnostic chest percussion Breath sounds Secondary Assessment of Emphysema CXR Arterial Blood Ga...