Reference no: EM133670300

Questions:

1. What is ventilator acquired pneumonia (VAP)? Name 3 evidence based strategies with rationale about how we attempt to decrease the incidence of VAP.
2. Describe end tidal CO2 monitoring. What does it mean it the values are increasing? What does it mean if the values remain below 10 despite adequate CPR? What does it mean if you see a sudden increase in etCO2 values during a resuscitation? What are 3 things you are going to remember about etCO2?
3. What is the INR used to evaluate? What values are considered therapeutic? What orders do you anticipate if the values are too low? What orders do you anticipate if the values are too high? Name 3 S/S that would indicate anticoagulant therapy is necessary. Name 3 S/S that would concern you prior to administration of an anticoagulant. What is the diagnostic lab test for DVT/PE?
4. What are 3 early S/S of poor oxygenation? List 3 interventions for poor oxygenation in order of least invasive to most invasive. Why is it important to perform a thorough respiratory respiratory assessment on the intubated/sedated patient when restlessness is assessed?
5. List the non invasive oxygen delivery devices. How much FiO2 does each deliver? If there is overlap in devices that could deliver the same amount of FiO2, how will the nurse determine which one to use? What is the minimum oxygen flow rate that can be used with each device?
6. Where is the phlebostatic axis? What measurement do you get from PA catheter? What measurement do you get from an arterial line? What data does CVP monitoring provide?
7. Name 3 acute lung injuries that place a patient at high risk for ARDS. What are the lab value definitions for ARDS? What are the early signs of respiratory failure? What are the early signs of ARDS? What is occurring in the alveoli during ARDS? What lung sounds with those changes produce?
8. What does a low pressure alarm indicate on a ventilator? What does a high pressure alarm indicate on a ventilator? What interventions do you anticipate providing if there is a low pressure alarm? What interventions do you anticipate providing if there is a high pressure alarm? If you can't figure out what is causing the alarm, what should you do?
9. What is the PTT used to evaluate? What is the normal range for PTT? What values for PTT would be considered therapeutic?
10. When is suctioning indicated? Should you ever perform "routine" suctioning? Why is it not recommended to "routinely" instill NS prior to suctioning? Why is it recommended that you provide 100% FiO2 prior to suctioning? What are 2 indicators that you should stop suctioning? What is the maximum amount of time that you should apply suctioning while in the airway?