Respiratory Therapy - Lindsey Jones/clinical Simulations 459 Questions With Verified Answers,100% Correct

Anectine (Succyinalcholine Chloride) {Ans: -Depolerizing paralytic -Increases K -Called Suz -Releases histamine -Not good when obese or malampatti score is low -- further relaxes tissues, increases intubation difficulty. -Contraindicated in acute brain injury}Pulmonary edema -blood/bloody fluid leaks across alveolar capillary membrane into alveoli -acutely decreases gas exchange, resulting in ventilatory failure 2 types: -cardiogenic -non-cardiogenic {Ans: Cardiogenic- -associated with advanced CHF Primary issue is left heart, but it causes right heart problems as well Left heart doesn't pump effectively, difficulty ejecting all of the blood, the right heart have to pump more blood throughout the lungs to the left heart than left heart can handle. So the overload/preload of left heart causes it to fail and the blood backs up into pulmonary artery, decreasing pulmonary efficiency. Excessive BP in PA(pul.hypertension secondary to L.heart failure) forces blood to seep across the alveolar capillary membrane, filling alveolar spaces with blood and plasma. -Blood in alveoli become aerated by ventilation. Aerated bloods may become pink and frothy. Frothy secretions can fill up bronchial tree very quickly, obstructing movement of gases in lungs. Findings: -mPAP >25 torr -low EF -venous distension -orthopnea -contributing factors: kidney failure & fluid retention Treatment: -Diuretics (Lasix)