Welcome to Mrs' Singers Class

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Welcome to Mrs. Singers Class
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Jeopardy
Respiratory Care
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Equipment
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Speciality
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Adult
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Procedures
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Neonatal
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Ventilators
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Jeopardy
Equipment
Speciality
Adult
Procedures
Neonatal
Ventilators
100
100
100
100
100
100
200
200
200
200
200
200
300
300
300
300
300
300
400
400
400
400
400
400
500
500
500
500
500
500
Final Jeopardy
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100 Question Equipment

• What type of oxygen device is
• used to provide 3LPM for a patient with low flow
  demands

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100 Answer Equipment

• Nasal Cannula

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200 Question Equipment

• An E tank has 800 psig available for
• a patient wearing a 3l nasal cannula.
• the patient having a procedure in xray that
• will last 1 hour and 30 minutes how long
• Will this tank last?

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200 Answer Equipment

• 800 x 3.14 2512
• 2512/3 837.33
• 837.33/60 13.95
• .95 x 60 57
• Answer is 13 hours 57 min

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300 Question Equipment

• What can a therapist change on the bird mark 7
  to make the breathing effort easier for the
  patient during an IPPB treament?

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300 Answer Equipment

• Sensitivity

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400 Question Equipment

• How does a therapist verify the correct set up
  for a nonrebreathing mask?

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400 Answer Equipment

• The liter flow will be enough for the resevior
  bag to remain inflated during inspiration.

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500 Question Equipment

• A heated disposable nebulizer is being used by a
  patient, how often is the nebulzer changed?

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500 Answer Equipment

• 0, This equipment is DISPOSABLE

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100 Question Speciality

• What catheter is utilized in the ICUs to provide
  information about the patients hemodynamic
  condition?

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100 Answer Speciality

• The Swan Ganz Catheter

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200 Question Speciality

• The commonly used blades during an intubation
  procedure are ______and _____.

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200 Answer Speciality

• Miller
• Macintyre

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300 Question Speciality

• What device can be used for a patient on a
  ventilator to talk, and what very important step
  the respiratory practitioner must do?

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300 Answer Speciality

• Passy Muir valve. The practitioner must deflate
  the pilot balloon. The deflation allows the
  patient to breathe around the cuff.

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400 Question Speciality

• A neontal patient is on a Drager ventilator,
  settings A/C 40, PiP 20, iT .30, fio2 40. The
  infants ABG values are pH 7.31, PaCo2 52,Pao2
  65, Hco3 28. What should the practitioner do at
  this time?

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400 Answer Speciality

• Increase the PiP, to decrease Paco2

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500 Question Speciality

• What are the steps to accurately assess a
  successful intubation?

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500 Answer Speciality

• Look for equal chest rise
• Bilateral Breath sounds
• Chest Xray

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100 Question Adult

• The most appropriate site to obtain a blood gas
  sample from an adult is and why?

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100 Answer Adult

• Radial
• This site allows for collateral blood flow

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200 Question Adult

• How does a practitioner drain and percuss the
  left middle lobe?

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200 Answer Adult

• There is no procedure for the left middle lobe.

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300 Question Adult

• What indications must a practitioner observe to
  stop a bronchodilator aerosol breathing treatment?

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300 Answer Adult

• Increased heart rate of more than 20 above the
  patients heart rate
• Increased work of breathing
• Adverse reactions to the medications

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400 Question Adult

• A patient is having increased heart rate and
  tremors with the albuteral sulfate aerosol
  treatment. The patient likes and responds to the
  therapy. What medication could the practitioner
  suggest to the physician?

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400 Answer Adult

• Xopenex, this medication has the same properties
  as albuteral, minus one isotope that affects the
  cardiac system.

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500 Question Adult

• What important parameters must be taken by the
  practitioner from the patient who has a
  neuromuscular disease such as Guillian Barre and
  why?

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500 Answer Adult

• Maximum Negative Inspiratory Force(MNIF). This
  parameter is very useful to describe the diaphram
  strength. The value should be over -20.
• Tidal Volume. This value is important, because
  this is the patients normal breathing.
• Respiratory Rate. Normal 8-12 easy, and non
  labored
• Forced Vital Capacity (FVC) This parameter must
  be11/2 times larger than the tidal volume

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100 Question Procedures

• What is the proper suctioning pressure for adults?

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100 Answer Procedures

• 100 - 120

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200 Question Procedures

• While reviewing the patients chart before an
  arterial puncture, the practitioner has become
  aware the patient is on heparin. What must the
  practitioner do to prevent a hematoma?

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200 Answer Procedures

• Hold the puncture site for 5 minutes, or until
  the site is not bleeding.

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300 Question Procedures

• How does a practitioner drain and percuss the
  left middle lobe?

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300 Answer Procedures

• Nothing. The heart is in that area.

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400 Question Procedures

• Please explain the theory and practice of BiPaP.

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400 Answer Procedures

• BiPaP is a therapy that has 2 pressures, IPAP and
  EPAP. These pressures help the patient eliminate
  Paco2 and help maintain or increase Pao2.

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500 Question Procedures

• While a practitioner is covering the cardiac
  floor, the patient seen 4 hours prior to the
  bronchodilator treatment, has now suddenly become
  short of breath, diaphoretic, and breath sounds
  have changed to crackles throughout the lung
  fields. What should the practitioner do next?

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500 Answer Procedures

• Notify the nurse
• Suggest diaretics
• Provide the bronchodilator therapy
• Provide oxygen for the patient
• Possible bipap or cpap therapy

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100 Question Neonatal

• What type of ventilator is most frequently used
  in the neonatal unit?

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100 Answer Neonatal

• Pressure ventilator is most commonly used.

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200 Question Neonatal

• What are some techniques to stimulate an infant
  after birth?

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200 Answer Neonatal

• Rubbing the back
• Flicking the feet
• Drying the infant after birth with the towel

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300 Question Neonatal

• While in the delivery room, the patients
  membranes where ruptured and a foul smelling,
  greenish brown discharge was noted. What should
  the practitioners steps be when the infant is
  presented to the staff?

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300 Answer Neonatal

• The infant should be suctioned FIRST!!!
• The infant is not to be stimulated until the
  suctioning is complete.

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Daily Double
Daily Double
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Daily Double Question

• Why would an oscillator be utilized in the
  neonatal intensive care unit?

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Daily Double Answer

• Minimize pressure changes in the thorax
• Increase alveolar recruitment
• Decrease oxygen requirements

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500 Question Neonatal

• What are the findings with an infant diagnosed
  with Tetrology of Fallot?

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500 Answer Neonatal

• Overriding aorta
• Right ventricular hypertrophy
• Venticular septal defect
• Narrowed pulmonary artery

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100 Question Ventilators

• What invasive procedure is completed to confirm
  the ventilator settings that are the most
  theraputic for the patient.

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100 Answer Ventilators

• An Arterial puncture.

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200 Question Ventilators

• What weaning parameters are needed to monitor
  the patients readiness for extubation?

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200 Answer Ventilators

• Forced Vital Capacity
• Spontaneous Tidal Volume
• Maximum negative Inspiratory Force
• Minute Volume

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300 Question Ventilators

• What can be done by the practitioner to assure
  proper function of the ventilator before using on
  the patient?

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300 Answer Ventilators

• Perform the pre test, or self test of the
  ventilator.

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400 Question Ventilators

• A patient was involved in a motor vehicle
  accident with significant head trauma. What could
  the practitioner do to minimize head swelling?

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400 Answer Ventilators

• By decreasing Paco2.
• Keeping the respiratory rate higher or tidal
  volume lower

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500 Question Ventilators

• A patient has severe ARDS, and the patients PAP
  is 45cmH2O and the MAP is 25.The patient weighs
  100 lbs, and the Vt set is 500ml. What could the
  practitioner suggest?

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500 Answer Ventilators

• Pressure Control Ventilation (PCV)
• Airway Pressure Release Ventilation (APRV)

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Final Jeopardy Topic

• Artificial Surfactant

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Final Jeopardy Question

• What steps are followed by a practitioner to
  administer surfactant?

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Final Jeopardy Answer

• Know what brand of artificial surfactant is
  ordered by the physician .
• Know the dosage requirement for the weight of the
  infant
• Do not shake the surfactant and warm the
  container of the product by gently rolling in the
  practitioners hands.
• Draw up the proper dosage
• Administer down the endo tracheal tube, 1/2 the
  dose and turn the infant to one side
• Roll the infant back to supine position, and
  continue with the remaining dose and turn the
  opposite side
• Return to supine position, and avoid suctioning.

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Thank You for Playing!
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