They took along fried chicken frc functional residual

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They took along Fried Chicken (FRC – Functional Residual Capacity) and Ice Cream (IC – Inspiratory Capacity). Their kids IRV (Inspiratory Reserve Volume) and ERV (Expiratory Reserve Volume) watched TV (Tidal Volume) in the RV while they traveled. 80. Unilateral Lung Disease – put the GOOD LUNG DOWN ! – we want to match the good ventilation in the good lung, with the good perfusion (blood supply) which is determined by gravity. 81. Bronchiectasis – Pseudomonas infection common, foul odor and green sputum! 82. Eupnea – just means “good” normal breathing. 83. Lateral Fowlers Position – helpful for seriously obese patients 84. Abnormal Lung Sounds – collectively they are called “adventitious sounds ” and they include crackles, wheezes and rubs. 85. “Vesicular” Lung Sounds – these are just normal lung sounds
86. HFOV – High Frequency Oscillatory Ventilation – increase amplitude until the “chest wiggle” is seen. 87. Thoracentesis – Transudate versus Exudate: - Transudate is clear, often in CHF, and it is also called serous fluid - Exudate is cloudy or opaque, often in pneumonia or cancer, the pH is less than 7.30 88. High Troponin Level – probably means heart attack, Myocardial Infarction (MI) so go with O-MAN! - Oxygen, Morphine, Aspirin and Nitroglycerin 89. Sleep Apnea: - Obstructive – OSA - you see respiratory efforts (measured by strain gauge) but NO air movement (measured by nasal thermistor) – so treat with CPAP - Central – you see NO respiratory efforts, and NO air movement – treat with BiPAP, NPPV, or ventilator 90. What if you patient has significant weight loss and chronic dry cough, straw colored sputum ? – recommend bronchoscopy , this could be lung cancer. 91. To clean and disinfect the bronchoscope – Gluteraldhyde 2% (Cidex) 92. Lateral Decubitus Film CXR – this is done to detect and measure pleural effusion, lay the patient on the effected side and see the fluid run. 93. COPD Patient with unstable respiratory pattern, irregular, very rapid, RR 35 – use Venturi Mask, Air-Entrainment Mask 94. Mask should be used for Heliox Therapy? – Nonrebreather Mask 95. Sinus Bradycardia, heart rate less than 60 – treatment is Atropine and Oxygen Sinus Tachycardia, heart rate greater than 100 – treatment, treat the cause, sometimes hypoxemia is the cause! Can treat beta blockers
96. VERY IMPORTANT – CORRECTING ABG’S 97. Colorimetric detector does not change color after multiple ventilations – tube in the wrong place, esophagus, remove it and reintubate. “Gold is Good” – the color change from purple to gold (yellow) is what we want to see! 98. Sterilization by autoclave – this is steam under pressure at 121 degrees C, 250 degrees F 99. ET Tube Size – key point – you will never be able to successfully wean a patient if the ET tube is too small, so change to a properly sized tube and then begin weaning. 100. Dry Powder Inhaler (DPI) patient is instructed to breathe out fully and inhale forcefully
101. Mixed Venous Blood – this is blood taken from the pulmonary artery, distal tip of the balloon tipped flow directed pulmonary artery catheter (Swan-Ganz). 102. Chest Tube Placement: Pneumothorax – air – 2 nd

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