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MedSurg Chapter 30
Care of Patients Requiring Oxygen Therapy of Tracheostomy
28
Nursing
Undergraduate 1
02/13/2010

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Term
change in nasal breathing, crepitus on palpation, bruising pain
Definition
what s/s would someone have with a fractured nose?
Term
CSF fluid will leave a halo on the filter paper, will test positive for glucose with dipstick
Definition
what would indicate a skull fracture with a fracture of the nose?
Term
b. untreated hypoxemia
Definition
what is the greater concern:
a.oxygen induced hypoventilation
b. untreated or inadequately treated hypoxemia
c. oxygen toxicity
Term
nitrogen in air
Definition
what normally helps maintain patent airways and alveoli?
Term
nasal cannula, facemasks (simple, partial rebreather mask, nonrebreather mask)
Definition
what are some low-flow delivery systems?
Term
those with chronic lung disease and those with a need for long term oxygen therapy
Definition
who is a good candidate for a nasal cannula
Term
simple facemask
Definition
these are use to deliver oxygen concentrations of 40-60% for short term oxygen therapy or emergency
Term
partial rebreather mask
Definition
these provide oxygen concetrations of 60-75% with flow rates of 6-11 L/min, has a resevoir bag but no flaps. Pt. first rebreathes with each breath one third of the exhaled tidal volume.
Term
non-rebreather mask
Definition
these provide the highest level of the low-flow systems and can deliver FiO2 of greater than 90%
Term
non-rebreather mask
Definition
if a patient has an unstable respiratory status is unstable and may require intubation, what type of mask would you give them?
Term
non-rebreather mask
Definition
this mask has a one way valve and flaps over exhalation ports for a one-way flow
Term
venturi mask, aerosol mask, face tent, tracheostomy collar and T piece
Definition
what are some high-flow systems?
Term
venturi mask
Definition
this mask delivers the most accurate oxygen concentration--works by pulling in a proportional amount of room air for each liter flow of oxygen
Term
venturi mask
Definition
this system is best for patients with chronic lung disease because it delivers a more precise O2 concentration
Term
face tent, aerosol mask, tracheostomy collar, T piece
Definition
these masks are used to provide high humidity and oxygen delivery
Term
face tent
Definition
this type of breathing mask is used for facial trauma or burns
Term
aerosol mask
Definition
this is used when high humidity is needed after extubation or upper airway surgery, or for thick secretions
Term
tracheostomy collar
Definition
this is used to deliver high humidity and the desired oxygen to patients with a tracheostomy
Term
T piece
Definition
this can deliver O2 to patietss with tracheostomy, laryngectomy, or endotracheal tube
Term
non-invasive positive pressure ventilation
Definition
Technique uses positive pressure to keep alveoli open and improve gas exchange without airway intubation
Term
BiPAP
Definition
mechanical delivery of set positive inspiratory pressure each time the patient begins to inspire; as the patient begins to exhale, the machine delivers a lower set end-expiratory pressure, together improving tidal volume.
Term
Non invasive positive pressure breathing
Definition
uses postivie pressure to keep alveoli open and improve gas exchange without the need for airway intubation
Term
BiPAP bi level positive pressure airway
Definition
A cycling machine delivers a set inspiratory positive airway pressure each time the patient begins to inspire, as the pt begins to exhale, the machine delivers a lower set end-expiratory pressure
Term
tidal volume
Definition
what does BiPAP improve?
Term
CPAP continuos positive pressure airway
Definition
this delivers a set positive airway pressure throughout each cycle of inhalation and exhalation
Term
open collapsed alveoli
Definition
what is the effect of CPAP?
Term
tidal volume
Definition
what does BiPAP improve?
Term
those with atelectasis, cardiac-induced pulmonary edema, sleep apnea
Definition
what patients would benefit from CPAP?
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