T2 - Upper Respiratory (Josh) Flashcards
What is nursing priority with URIs?
promote oxygenation by ensuring a patent airway
What do we suspect if glucose is leaking from a client with broken nose?
CSF leakage from possible skull fracture (could lead to meningitis)
Rhinoplasty:
What do we teach client postop?
Avoid forecful coughing or straining
Do not sneeze with mouth closed
Avoid ASA and NSAIDs
Humidifier to prevent dry mucosa
Epistaxis:
Which type of nosebleed is an emergency?
Posterior
**may require a catheter
What is it?
Benign, grapelike clusters of mucous membranes and connective tissue that can obstruct nasal airway
Nasal Polyps
***managed with inhaled steroids
***polypectomy to remove
Nasal Polyps:
What are typical manifestations?
Obstructed nasal breathing
Increased nasal discharge
Change in voice quality
Facial Trauma:
What is the priority nursing action?
Airway Assessment!!!
Facial Fractures:
What is difference between Le Fort I, Le Fort II, and Le Fort III fractures?
Le Fort I = nasoethmoid complex fracture
Le Fort II = maxillary and nasoethmoid comlex fracture
Le Fort III = combo of I and II plus orbital-zygoma fracture (craniofacial disjunction)
Facial Fractures:
What do clients with wired shut repair need available at all times?
wire cutters
Facial Fractures:
How do we deal with nutrition?
milkshakes until healing complete
PEG tube if severe enough
Sleep Apnea:
What are the long-term effects?
HTN
Stroke
Neurocognitive defects
Weight Gain
DM
Pulmonary and CV disease
— — — is an interruption in airflow through nose, mouth, pharynx, or larynx and is a – – –
Upper Airway Obstruction
Life-threatening emergency
With neck trauma, to maintain patent airway, what are we likely to need to do?
Nasal intubation (so you don’t have to bend neck)
What type of cancer is usually found in head and neck?
squamous cell carcinoma that is slow growing
**leukoplakia and erythroplakia lesions
How does head/neck cancer typically begin?
mucous that is chronically irritated, becoming tougher and thicker
