Special procedures- ACCS
Terms in this set (53)
If pt is traveling 80-150 miles then they need to go by
Avoid ???? during transport to help protect lung
(psig x factor) / flow in L
E cylinder tank factor
H cyclinder factor ( 10x longer)
Minimal leak technique should NOT be used, instead use?
If 2 or more findings of VAP are present then you may obtain a ???
minibal or psb
A endobronchoalveolar lavage (BAL) requires a ??? Carlens ETT
Catheter with sealed plug is inserted down bronchoscope, plug is removed, and sample is obtained describes?
Small catheter inserted into trachea, fluid is instilled and then suctioned for sample describes?
SBT should last
To reduce condensation use a
heated wire circuit
What has the highest energy yield?
what is the reasonable target intake?
Wt in lb/ht in inches X 703
Defined as IV delivery of nutrients
With prolonged IV antibiotic tx you should consider?
TPN is located in the
superior vena cava
A method of calculating ??? by measuring the whole body Vo2 and VCo2? (Indirect calorimetry)
Treat tachypnea or dyspnea with ?? and ?? for terminal wean
benzos and barbs
To treat alveolar proteinosis use a ?
for diagnostic lavage use a ??? bronchoscop
What should be used to obtain distal lung specimen for VAP diagnosis?
Absolute contraindication for mini-bal is?
low platelet count
Combicath Kit (13 Fr.), sterile and non-sterile gloves, suction is the equipment for ?
What kind of brochoscope is used for therapeutic indications?
What kind of bronchoscope is used for diagnostic indications?
A flexible bronchoscope has an OUTER diameter of ??
A rigid bronchoscope should be performed in
Minimum ETT size for a flexible bronchoscopy is
Patient prep. for a brochoscopy would be to administer ?
anestetics end with
sedatives end with
For patients receiving ventilation use a ??? adapter
An acute hemmorrhage can be treated by instillling ??? through ETT during bronch
ice saline or epi
TO treat severe hemoptysis during bronch ???
insert double lumen
Immerse scope in ??? to disinfect
Flatness to percussion, diminished breath sounds, and tracheal shift away from the site would be ??
Thoracentesis needle is inserted where
7 or 8th intercostal
How much pleural fluid is aspirated for diagnositic purposes with a 50 mL syringe
The needle is inserted ??? to avoid nerves and vessels
above the rib
clear fluid that has a light straw color aka serous fluid
what kind of pt has transudate fluid
cloudy or opaque fluid is called
If the tube is to drain fluid from the pleural space, it is placed between the ??? intercostal space in the ??? line
If the tube is to drain AIR from the pleural space, it is placed in the ??? intercostal space in the ???? line
When removing a chest tube it should be clamped for ??? hrs to assume normal pressures
Before removing the tube, instruct the patient to take a deep breath and do the
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