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Ch. 13 Monitoring and Life Support Equipment
Final Material
34
Medical
Graduate
04/27/2012

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Cards

Term
Name 5 noninvasive monitoring equipment
Definition
Electrocardiogram
Pulse Oximetry
Blood Pressure
Respiratory Rate
Level of Consciousness
Term
-Monitors HR and heart rhythm
-Graphic representation of electrical activity of the heart
-Clinician must know the reason for monitoring, baseline rhythm, be able to recognize rhythm changes
-Allows continuous surveillance of the pt
Definition
Electrocardiogram
Term
-Measurement of arterial oxygen saturation
-Expressed as a percentage of oxygen that is bound to hemoglobin
-Principles
-Threshold level - above 90%
-Reasons for inaccuracies
Definition
Pulse Oximetry
Term
-Provides digital measurement of systolic/diastolic blood pressure and mean arterial pressure
-Result of rate of flow of blood through and against the resistance of the circulatory system
-Sphygomanometer/sthethoscope - auscultate over brachial artery - Korotkoff sounds
Definition
Blood Pressure
Term
What is the normal adult respiratory rate?
Definition
12-18 bpm
Term
This will tell you if pt is in respiratory distress
Definition
Respiratory Rate
Term
This assists in monitoring sedation levels in ICU
Definition
Bispectral Index Monitor
Term
-Measures the muscular and cortical activity using a single, small, flexible sensor applied to the forehead and temporal region.
-Value- 0=no cortical electrical activity/full suppression to 100= awake, aware, no suppression
Definition
Levels of Consciousness
Term
Name 6 invasive monitoring equipment
Definition
Arterial Line
Central Line
Pulmonary Artery Catheter (Swan-Ganz)
Pulmonary Capillary Wedge Pressure
Cardiac Output
Mixed Venous Oxygen Saturation
Term
-Measurements of arterial blood pressure continuously
-Allows access for drawing blood for arterial blood gas
-Common locations is the radial or femoral artery
-MAP interpretation
-Positioning of arterial line
Definition
Arterial line
Term
-Measures central venous pressure or right atrial pressure
-Allows IV access for medication administration
-Interpretations of elevated CVP
-Interpretation of low CVP values
-Prolonged placement is termed PICC line inserted in cephalic, basilic, or brachial vein
-Risks associated during insertion and delayed risks associated with this line
Definition
Central Line
Term
-Function of the pulmonary artery catheter
-Complications of insertion and dislodgement of the PA catheter
Definition
Pulmonary Artery Catheter (Swan-Ganz catheter)
Term
Provides information regarding left atrial and ventricular end-diastolic pressures
Definition
Pulmonary Capillary Wedge Pressure
Term
-Amount of blood pumped by heart per unit of time
-Measured using thermodilution technique
-Cardiac index - cardiac output per sqaure meter of body surface area
Definition
CO
Term
What is normal CO
Definition
4-8 L/Min
Term
-Amount of oxygen returning to the heart
-Direct measure of venous oxygen reserve
Definition
Mixed Venous Oxygen Saturation
Term
Alterations of this result from neurological insults and tend to increase with exercise
Definition
ICP
Term
What is normal ICP in adults
Definition
0-10
Term
Name 4 noninvasive ventilatory devices
Definition
-Noninvasive positive-pressure ventilation
-Continuous positive airway pressure and bilevel positive airway pressure (CPAP and BiPAP)
-Manual Resuscitators
-Oxygen Delivery Devices
Term
A form of mechanical ventilation that uses a mask instead of an artificial airway. Used for short-term ventilatory support
Definition
Noninvasive Positive Pressure Ventilation
Term
Used in an emergency response situation. Need to disconnect the pt from mechanical ventilator for a prolonged period of time. Stimulate or mimic a cough and/or to augment tidal volume
Definition
Manual Resuscitators
Term
Name 6 oxygen delivery devices
Definition
Nasal Cannula
Venturi Mask
Simple Mask
Aerosol Mask
Nonrebreather Mask
Pediatric delivery devices
Term
Name 8 invasive ventilatory devices
Definition
1. Oral pharyngeal airway
2. Nasal pharyngeal airway
3. Endotracheal Tube
4. Tracheostomy
5. Mechanical Ventilation
6. Portable Ventilators
7. Innovative Ventilation system
8. Chest Tubes
Term
An artificial airway inserted into the trachea. Passy muir valve
Definition
Tracheostomy
Term
Includes:
-Negative-pressure ventilators
-Positive-pressure ventilators
-Ventilator terminology
-Assist control
-Synchronized intermittent mandatory ventilation
-Continuous positive airway pressure
-Pressure support ventilation
-Tube compensation
Definition
Mechanical ventilation
Term
This is a neurally adjusted ventilatory system
Definition
Innovative ventilation system
Term
Used to remove and prevent the reentry of air or fluid from pleural or mediastinal space, provide intrapleural pressure
Definition
Chest tubes
Term
-Mobilizing pts with temporary pacemaker
Definition
Cardiac pacemaker
Term
Name 3 invasive cardiac devices
Definition
Pacemaker
AICD (automatic implantable cardiac defibrillator)
IABP (intraaortic balloon pump)
Term
This assists with circulation of blood and reduces the oxygen consumption
Definition
IABP
Term
Exercise HR should be ___ beats below threshold rate of defibrillator
Definition
20-30
Term
-Augments the pumping capability of the heart
-Most common - left ventricular
-Indications in end-stage heart failure
-PT needed
Definition
Ventricular Assistive Device
Term
External circulatory assist device that provides direct oxygenation of the blood and assists with removal of carbon dioxide
Definition
Extracorporeal Membranous Oxygenation (ECMO)
Term
-Replaces the function of the kidneys
-If pts is hemodynamically stable then PT is appropriate
-Must monitor vitals
-Avoid using the arm with arteriorvenous fistulaa when measuring BP
Definition
Hemodialysis
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