« previous next »

Author Question: A patient with pulmonary fibrosis comes to the emergency department with an SpO2 of 87 and a ... (Read 23 times)

809779

  • Hero Member
  • *****
  • Posts: 579
on: Jul 16, 2018
A patient with pulmonary fibrosis comes to the emergency department with an SpO2 of 87 and a respiratory rate of 28 breaths/min. The patient is unsure whether her transtracheal catheter is working properly; what is your first action?
 
  a. Intubate her. c. Place a nasal can-nula on her.
  b. Examine her for a mucus plug. d. Place a lavage cath-eter.

Question 2

The benefits of a transtracheal catheter include which of the following?
 
  1. Lower flows are needed to obtain higher SpO2
  2. The ability for the patient to eventually wean off of O2.
  3. Improved self-image of the patient.
  4. Oxygen cost savings of up to 60.
  a. 2 and 4 c. 1, 3, and 4
  b. 1 and 3 d. 1, 2, 3, and 4


Silverbeard98

  • Sr. Member
  • ****
  • Posts: 355
Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C
The therapist should think to place the patient on O2 to maintain her oxygenation status. Once the oxygen is running and the patient is breathing well, the therapist can examine the catheter for ob-structions.

Answer to Question 2

ANS: C
The guiding principle for transtracheal oxygen is that the oxygen is delivered directly into the trachea, which provides the patient with adequate oxygen while reducing the amount of oxygen used. This reduces dilution with room air on inspiration. Consequently, lower oxygen flows from the source gas are required to achieve the desired arterial oxygen saturation (SaO2) with a cost savings of up to 60.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

Alcohol acts as a diuretic. Eight ounces of water is needed to metabolize just 1 ounce of alcohol.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As
New employees should be shown all exits in case of an emergency. New employees should be shown all exits in case of an emergency.
Systemic and pulmonary circulation. Systemic and pulmonary circulation.
Common patient positions. Common patient positions.
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ... Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
Video: Multiple Sclerosis Animation

For a complete list of videos, visit our video library