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Acute Interventions for the home health care patient- Ch 48
Mosby's Paramedic Textbook 3ED-R
47
Health Care
Undergraduate 1
04/18/2012

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Term
This type of ventilator delivers a constant tidal volume regardless of changes in the airway resistance or compliance of lungs
Definition
Volume ventilator
Term
What is bronchopulmonary dysplasia
Definition
it is scarring of lung tissue thickened pulmonary arterial walls and ventilation perfusion mismatch.
Term
What is the biggest cause of bronchopulmonay dysplasia
Definition
infants who have long term dependence on artificial ventilation
Term
this is a surgical opening into the large intestine
Definition
colostomy
Term
this is a surgical opening into the small intestine
Definition
ileostomy
Term
The social security act amendments is known as
Definition
medicare
Term
Who is the single largest payer of home care services in the US
Definition
Medicare
Term
palliative care
Definition
it is known as comfort care and is designed at providing pain relief for terminally ill patients
Term
What are three sources of O2 for self use by patients
Definition
compressed gas, liquid oxygen and oxygen concentrators
Term
This type of oxygen is stored in a thermos like container and uses a regulator
Definition
Liquid oxygen
Term
This oxygen device separates oxygen from the air,
Definition
Oxygen concentrator
Term
What is a BIPAP
Definition
it delivers two different levels of positive airway pressure
Term
What physical signs can you see with a patient who has obstructive apnea
Definition
pulmonary failure, chronic fatigue and cardiac abnormalities
Term
What are the different types of at home ventilators
Definition
volume ventilators, pressure ventilators, and negative pressure ventilators
Term
These types of ventilators are often used for patients with healthy lungs who have muscular inability to inhale
Definition
Negative pressure ventilators
Term
This type of ventilator creates negative pressure within the lungs
Definition
negative pressure ventilator
Term
What is the standard inital ventilator setting
Definition
FIO2 100%

Tidal volume 10-15 ml per kg

respiratory rate 10-15 breaths per min
Term
How should you clear secretions from any airway device?
Definition
use suctioning and sterile water
Term
What is a talking trach
Definition
Its a valve on a trach that closes during exhale to allow the patient to talk
Term
What is a common problem with VAD's
Definition
infection near the exit site
Term
If using a combination of alcohol and iodine to clean an area what is the order they must be used in
Definition
Alcohol fist then iodine second. If the iodine is used first the alcohol will be inactivated
Term
what organism is the most common cause of catheter sepsis
Definition
staphylococcus
Term
What are S&S of circulatory overload
Definition
rise in bp, distended neck veins , pulmonary congestion and dyspnea
Term
what are S&S of an embolus
Definition
hypotension, cyanosis, weak rapid pulse, and loss of consciousness
Term
What is the major source of anxiety in patients who have tracheostomies
Definition
Loss of verbal communication
Term
what organism most likely is to cause catheter sepsis
Definition
staphylococcus
Term
how do you kill staphyloccoccus bacteria
Definition
alcohol
Term
what is circulatory overload caused by
Definition
delivering too much IV fluid in a short amount of time
Term
Describe phlebitis
Definition
pain tender redness and warmth at the IV site
Term
describe IV based septicemia
Definition
Red and swollen catheter site, chills, fever
Term
what is urosepsis
Definition
it is septic poisoning caused by retention and absorption of urinary products in the tissues
Term
If a UTI is unmanaged it will eventually lead into this septic complication
Definition
Urosepsis
Term
What do you inflate a catheter balloon with
Definition
3-5 ml of NS
Term
How should a female patient be positioned for a foley catheterization
Definition
knees bent, hips flexed and feet resting 24 inches apart
Term
How far do you normally insert the foley tubing into a female
Definition
2-3 inches
Term
How far do you normally insert the foley tubing into a male
Definition
7-9 inches
Term
This is an opening into the large intestine that discharges liquid or solid feces into the bag
Definition
colostomy
Term
How should you clear the tube after a tube feeding
Definition
with 50 cc of water after each feeding without delay
Term
what colors are associated with a granular wound bed that indicates healing
Definition
red or pink
Term
what colors are associated with a granular wound bed that indicates infection
Definition
green, yellow or black
Term
A sweet smell from a wound indicates what
Definition
decay
Term
a foul odor from a wound may indicate what
Definition
infection
Term
How long of a visit in the hospital must health insurance companies cover after a uncomplicated delivery
Definition
48 hours
Term
What are causes of postpartum hemorrhage
Definition
incomplete contract of uterine muscle, retained pieces of placenta or membraines in the uterus, vaginal or cervical tears during delivery
Term
Why do babies get jaundice sometimes
Definition
its because of immaturity of bilirubin metabolism
Term
What is infantile apnea caused by
Definition
immature respiratory control centers in infants
Term
Why is failure to thrive babies such a serious issue
Definition
it often results in permanent and irreversible retardation of physical, mental or social development
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