exam 1 in class stuff Flashcards

(51 cards)

1
Q

When to call doctor COPD

A

stage 4- very severe

severe airflow limitaiton

impaired QOL

sp02 less then 80

cyanosis

dyspnea

tachypenia

increase hr/bp

worsening lung sounds

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2
Q

pulmonary hygiene -copd

A

SMOKING CESSATION

cough +DB

postural drainage

avoiding allergy+ pollutants

min dairy + salt intake

avoid cough suppreseants

mouth care before meals

Increase cal intake and nutrient dense foods

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3
Q

meds copd

A

Bronchodialters

corticosteroids

02 therapy

inluenxsa, pneumococcal, covid vaccine

Antibiotics

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4
Q

what is cf

A

automosal recessive disorder.

leads to excessive exocrine gland secretion

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5
Q

life expectancy of CF

A

41 is median

kids born after 2018 ar expected to live past 50

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6
Q

treatment for CF

A

flu vaccine + pertussis/measles booster

bronchodilator

antibiotics

dornase alfa

chest physiotherapy

huff cough

Increase ntruitoin -protien and fat soluble vitamins

02 therapy

lung tranplant is only definitive treatment

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7
Q

TB sputum

A

3 early morning treatments

collect specific in ultra violet room

wear n95 mask

step outside

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8
Q

meds tb

A

isoniazid

rimpafmpin

pyazinimde

ethambutol

streptomycin

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9
Q

se + adverse affects of tb meds

A

hearing loss

vision loss
hepatitis

body fluids orange/red

neuropathy-feet/hadns

ototoxicty-hearing

hepato/nephro toxicity –kidney and liver

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10
Q

what is tonsillectomy

A

surgical removal of tonsils

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11
Q

what to do w/ tonsillectomy

A

apply cold packs to neck

encourage intake of cold beverages

assess for pain

semi fowlers w/ head turned to side

warm saline mouth washes

semi/liquid diet

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12
Q

complications of tonsillectomy

A

hemorrhage

tissue swelling

spread of infection

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13
Q

teaching for tonsillectomy

A

complete full course of antibiotics

warm saline gargles

s/s of complciations

monitor temp

dispose tissues

0 aspirin for 2 weeks

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14
Q

what iS asthma

A

chronic inflammation of airway

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15
Q

side effects od asthma

A

wheezing

dyspnea

sob

chest tightness

coughing

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16
Q

meds for asthma

A

adrenergic stimulants

methylanine

antichilinergics

corticosteroids

mast cell stabilzers

loekotrine modifiers

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17
Q

peal flow asthma

A

80-100%- all good

50-80%- caution

0-50%- use bronchodilator immediately

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18
Q

assessment of asthma

A

lung sounds

spo2

respirations

subjective data

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19
Q

inhalers when

A

acute- when needed for rapid relief

prevention- everyday-ling term

use brinchodialter first, then other inhaler

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20
Q

how to use inhaler

A

shake fot 3-5 inhaler

hold mouthpiecee near mouth

press down and inhale completely

hold for 10 seconds

rinse mouth

wait 1-2 mins between puts

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21
Q

s/e of inhaler

A

tachycardia

jittery

thrush

cough

headache

22
Q

abg purpose

ph
pc02
pa02

A

ssess alterations in acid–base balance caused by a respiratory disorder, a metabolic disorder, or both.

PH 7.35=7.45

pco2-35-35

pa-02-75-100

23
Q

abg nursing interventions

A

notify if taking antiocagualtns/aspirin

indicate oxygen intake

apply pressure to puncture site

don’t collect blood from same arm used for iv

24
Q

biopsy/brinchoscopy what is it

A

A biopsy of the lung is done to obtain tissue to differentiate benign from malignant tumors of the lungs

A bronchoscopy is the direct visualization of the larynx, trachea, and bronchi through a bronchoscope

25
biopsy/brinchoscopy nursing interventions
assess for pregnancy, hypersensitivity to antibiotics, iodine or dyes do not eat/drink fluids 8-12 hrs before remove all stuff assess for complications monitor for respiratory difficulty don't smoke for 6-8 hrs before
26
chest x ray- what is it
identify abnormalities in chest structure and lung tissue, for diagnosis of diseases and injuries
27
chest x ray nursing interventio s
no preparation
28
ct/mri- what is it
CT of the thorax may be performed when x-rays do not show some areas well, such as the pleura and mediastinum. An MRI of the thorax is used to diagnose alterations in lung tissue that are more difficult to visualize
29
ct/mri nursing interventions
lay still assess for metallic implants remove transdermal medication pathcess don't do if pregnant don't eat 4 hrs before assess for allergies to shellfish/iodone
30
pulse ox what is it
his noninvasive test is used to evaluate or monitor oxygen saturation of the blood.
31
pulse ox nursing interventions
Assess for factors that may alter findings, including faulty placement, movement, dark skin color, and acrylic nails. Light
32
sputum what os it
ulture and sensitivity of a single sputum specimen is done to diagnose bacterial infections, identify the most effective antibiotic, and evaluate treatment.
33
sputum nursing interventions
collect early in morning 2-3 deep breaths then cough if unstable get sputum during brinchocspy
34
thoracentesis what is it
A large-bore needle is inserted through the chest wall and into the pleural space done to obtain a specimen of pleural fluid for diagnosis
35
thoracentesis nursing interventions
verify conset admisnter a cough suppresant position upright pressure may be felt
36
pulmonary ventilation scan what is it
his test is performed with two nuclear scans to measure breathing (ventilation) and circulation (perfusion) A ventilation scan is performed by scanning the lungs as the patient inhales radioactive gas. A perfusion scan is performed by injecting radioactive albumin into a vein and scanning the lungs.
37
pulmonary ventilation nursing interventions
Tell the patient to remove all jewelry from the neck and chest.
38
acute bacterial pneumonia
acute- rapid onset, most common acute shaking chills, fever, rust collored sputum localized chest pain that increases with breathing resolves uneventfully
39
legionnaires
caused by bacteria found in water, warm standing dry cough, general fever-dyspnea, malaise, chills, fever headaches confusion
40
primary atypical
not typical presentation, more similar to bronchitis. known as walking pneumonia fever, headache, myalgias, and arthralgias , dry non prudctuve cough
41
viral pneumonia
complication of influenza Flulike symptoms of headache, fever, fatigue, malaise, and muscle aches are common, along with a dry cough.
42
pneumocystis pnempnia
parasitic, immunoocomprimised are at risk patch lungs, filled with thickened alveoli brupt onset with fever, tachypnea and shortness of breath, and a dry, nonproductive cough.
43
aspiration pneumonia
content entering lungs risk factors are depressed cough/gag reflexes, impaired swallowing Common complications of aspiration pneumonia include abscesses, bronchiectasis (chronic dilation of the bronchi and bronchioles), and gangrene of pulmonary tissue
44
nursing diagnosis/ proirteis of care pnemonia
respiratory support oxygen is priority promote airway clearence promote efective breathing reduce energy demands
45
complementary therapy/health promotion pneumonia
echinacea- treat uri goldenseal-treat bacteria/fungal
46
diagnosis pneumonia
chest x ray sputum gram stain sputum culture CBC/WBC pulse ox abg
47
immuncaition pneumonia
2 rypes of vaccine Pneumococcal conjugate vaccine 13 (PCV13, Prevnar-protects against 13- used in children 12-15 months and 2-6 evens pneumococcal polysaccharide vaccine (PPSV23, Pneumovax-protects against 23- used in adults
48
meds pneumonia
antibiotics to eradicate the infection bronchodilators to reduce bronchospasm and improve ventilation.
49
treatments/interventions pnemonia
increase fluid intake to 2500-3000 incentive spirometry oxygen therapy chest physiotherapy
50
complications pneumonia
,hypoxemia ,oxygen is proirty, confused d/t not getting enough o2, respiratoy failure
51
nursing priories of care pneumonia
assess rest status assess cough/sputum place in fowlers assis to cough and db fluid of 2500-300 incentive spirometry, postural drainage, percussion, vibration provide rest periods administer oxygen slow breathing relaxation techniques assist with activities schedule rest periods