453 Test 1: Mech Vent, Trach, VAP, ARDS

Bi-PAP

Bi-PAP Indications

Endotracheal (ET) Intubation Procedure

Following intubation - what to expect

The most potent vasodilator we make naturally

Why is it important to have fluids nearby following intubation?

AACN Recommendations for ET suctioning

Nursing Management - Artificial Airway

When to feed an intubated patient

Mechanical Ventilation

Indications for mechanical ventilation

Settings of mechanical ventilators

Positive pressure ventilation (PPV)

Positive end-expiratory pressure (PEEP)

Cardiovascular complications of PPV

Pulmonary complications of PPV

Other complications of PPV

Other complications of PPV (cont)

Guidelines to prevent VAP

More complications of PPV

Mechanical ventilation - Psychosocial needs

Psychosocial needs (cont)

Machine disconnection

What to do if machine malfunctions

Nutritional therapy (TPN vs. Enteral)

Weaning from PPV & extubation

When weaning fails

Definition of tracheostomy

Tracheostomy indications

Advantages of a tracheostomy

Tracheostomy care

Accidental dislodging of tracheostomy

Nursing Diagnoses

Techniques to promote speech

Decannulation

Acute Respiratory Distress Syndrome (ARDS)

ARDS is characterized by

ARDS etiology & pathophysiology

Direct mechanisms of ARDS

Indirect mechanisms of ARDS

Indirect mechanism of ARDS (cont)

Injury or Acute Exudative phase of ARDS

Reparative of proliferative phase of ARDS

Fibrotic or chronic/late phase

Lasting effects of ARDS

Recognizing ARDS

How do you know its ARDS

ARDS Tx options

Prone positioning in ARDS

Proning

True or False?
I should reactive alarms before leaving the room?

When should trach care be performed?

What might you expect when progressive vascular occlusion & pulmonary hypertension occurs in the fibrotic or chronic/late phase of ARDS?

What do you need to monitor to make sure your patient is hemodynamically stable?