Cardiac/resp Flashcards

Question

Sternal precautions

Answer 1

4-12 weeks Avoid pushing, pulling, lifting greater than 10 lbs, avoid weight into arms, don’t raise elbows above shoulder height, avoid reaching behind/twisting body

Answer 2

Smoking cessation Medications Steroids Pulmonary rehab programs Bronchodilators Inhalers Supplemental O2

Answer 3

Used to tx COPD, COVID19, emphysema, sleep apnea, asthma, bronchitis, cystic fibrosis, CHF, lung Ca, pulmonary fibrosis, pna Air is 80%nitrogen and 20% oxygen Healthy SPO2 is 95%; O2 therapy when below 88% Low O2 can damage organs

Answer 4

SOB bluish tint to skin, lips, nails Extreme fatigue Severe headaches Coughing Wheezing Fast pulse/HR Confusion

Answer 5

Large cylinder stores 100% gas under pressure with regulator to control Flow, O2 conserving device sends O2 when you inhale and stops when you exhale, eventually run out of O2

Answer 6

Thermos like container stores pure O2 as very cold liquid, when you release O2 the liquid converts to gas makes it portable outside home

Answer 7

Pulls air from room, separates and compresses O2 from air while removing nitrogen, you breathe purified air, don’t run out of O2 Delivered nasal cannula, face masks, tracheotomy tube

Answer 8

Side effects=epistaxis, headaches in AM, fatigue O2 risks=don’t smoke near tanks, 5ft from flares, secure O2 tank upright to a stand, never roll a cylinder, may crack causing compression and explosion, 8ft from heat producing devices, not use flammable materials aerosol spray, choose cotton clothes to reduce static electricity sparks, have fire a fire extinguisher bearby

Answer 9

Too much oxygen, sx include chest pain, difficulty breathing, dizziness, muscle spasms, nausea, vision problems

Answer 10

Pressurized chamber yo deliver 100% pure O2 to lungs, increase pressure helps lungs take more O2 Can help heal wounds, burns, infections Tx bends/decompression syndrome which is build up of nitrogen in blood/tissues

Answer 11

Vitals/rate of exertion pre/post activity Functional limitations PE Risk (copd increases risk of PE, asses risk factors for increase risks) Psychosocial needs of pt/caregivers (decrease QOL caring for chronic conditions) Cognition delirium s/p sx, adherence to precautions, medical mgmt Ability to follow restrictions

Answer 12

Borg rate of physical exertion Original 6-20, revised 1-10 1-10 light 12-16 somewhat hard 17-20 hard Revised 1 really easy, 2 easy, 3 moderate, 4 sort of hard, 5/6 hard, 7/8 really hard, 9 really really hard 10 maximal

Answer 13

Pt education Exercise Health management Cardiac rehab Pulmonary rehab

Answer 14

Symptom mgmt, dx, ECT, mind-body-self-care (sleephygiene, relaxation , nutrition, benefits of physical acitivty, strong support to improve sleep) Diagnosis ed (moderate support) ECT (conscious planning, balancing activity vs. rest, alternative working methods, breathing techniques),

Answer 15

Moderate support to increase ADLs, 1 hour of aerobic/resistance exercise 3x/week Address barriers to exercise

Answer 16

-Symptom mgmt -Ability to effectively manage chronic cardiac/respiratory conditions -developing health and wellness routines - self management: ability of individual to manage sx, tx, lifestyle changes, psychosocial/cultural/spiritual consequences (moderate support based in stanford model of chronic d/s self mgmt) -precaution/medical intervention-obstaining from activities which exacerbates condition, med mgmt -managing O2 during activity, self id orn needs Keep you move in the tube 4-12 weeks sternal prec

Answer 17

Supports within areas of exercise, counseling, nutritional/lifestyle education, medically supervised program, classes, smoking cessation, healthy eating plan, increase fitness level, relaxation skills 36 one hour sessions = 47% decrease risk of death, 31% decrease in risk of MI, reduces re-admission

Answer 18

Supervised program that helps improve lung function and QOL, breathe better For COPD, asthma, pulmonary htn, cystic fibrosis, scoliosis Benefits gain strength, decrease anxiety/depression sx, easier to manage routine activities, work, social activities 90% spend fewer days in hospital 85% of copd pts develop anxiety

Answer 19

SOB, cough/sputum production, caused by smoking, forced expiratory volume during 1st to forced vital capacity ratio FEVI:FVC less than .7

Answer 20

Action plan-stop light format Smoking cessation Nutrition(6-8 glasses of water, 4-6 small meals for diaphragm move more easily, limit sodium/simple Carbs) Breathing tech (PLB, diaphragmatic breathing, coordinate with activity) Airway clearance technique (coughing techniques due to mucus) ECT O2 therapy Pt advocacy and support groups

Answer 21

Green continue normal day activity/medication Yellow/bad day prn meds Red day call 911, urgent medical needa

Answer 22

Huffing- chin tilted up mouth open sitting upright take slow deep breaths, fill lung 3/4, hold 2-3seconds and forcefully but slowly exhale, moving mucus from small to larger airways follow with cough

Answer 23

Call MD with fever over 101 * Swelling redness at incision BP increases 140/90 or less than 90/60 HR less than 60 BPM or more than 100 BPM Breathing changes ADLs: wash incision/pat dry, track temp, hr, BP, incision appearance Walk 4x/day May resume sex when you feel Okay maintaining precautions/protect incision

Cardiac/resp Flashcards

(47 cards)