Gas Exchange Flashcards

(55 cards)

1
Q

This is the process by which oxygen is transported to cells and carbon dioxide is transported from cells

A

gas exchange

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2
Q

what are the 3 causes of impaired gas exchange?

A

poor ventilation
reduced gas transportation (low hgb, rbc)
poor perfusion

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3
Q

what are lab test used to evaluate gas exchange?

A

ABG
CBC
Chest x-ray

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4
Q

do you want to stop or promote a productive cough?

A

promote
removes secretions

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5
Q

what age should you not give cough and cold products to and why?

A

less than 2 years
not as effective

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6
Q

This drug blocks the effects of histamine at the H-1 receptor sites

A

cetirizine

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7
Q

What are the side effects of Cetirizine?

A

anticholinergic effects (dry nose, mouth, and throat)
drowsiness

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8
Q

what are the precautions of Cetirizine?

A

impaired kidney or liver function
do not use if breast feeding

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9
Q

what are the nursing interventions for Cetirizine?

A

water
hard candy
avoid driving
drowsiness

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10
Q

this drug is a decongestant, that activates the alpha-1 receptors, causing vasoconstriction of blood vessels, opening nasal passages

A

phenylephrine

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11
Q

this drug is used to reduce nasal congestion

A

phenylephrine

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12
Q

the side effects of the drugs is that it is a CNS stimulant&raquo_space; vasoconstriction&raquo_space; HTN, tachycardia

A

phenylephrine

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13
Q

what is the med admin for phenylephrine

A

PRN
don’t use more than 3-5 days, to prevent rebound congestion

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14
Q

this drug is an antitussive, stops a nonproductive cough

A

dextromethorphan

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15
Q

the side effects of this medication are CNS depression, GI distress (N&V)

A

dextromethorphan

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16
Q

uncontrolled heart disease, HTN, dysrhythmias, and precautions for what drug?

A

phenylephrine

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17
Q

emphysema/asthma are precautions for what drug?

A

dextromethorphan

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18
Q

this drug may increase the analgesic effects of opioids

A

dextromethorphan

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19
Q

this drug is for short-term use only and increased fluid intake is encouraged

A

dextromethorphan

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20
Q

this drug is an expectorant by enhancing the output of respiratory tract fluids by reducing the adhesiveness & surface tension of fluids/secretions

A

guaifenesin

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21
Q

the complications of this drug are dizziness, drowsiness, GI upset

A

guaifenesin

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22
Q

this drug increases the risk of hemorrhage with heparin or warfarin

A

guaifenesin

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23
Q

When taking guaifenesin what is necessary?

A

increase fluid
take PRN

24
Q

should you drive when taking guaifenesin and why?

A

no
causes dizziness

25
If a patient is having issues with gas exchange, perfusion and respiration, what is the priority ranking?
1st
26
what system is ventilation controlled by?
CNS
27
What cells secret mucous to entrap particles?
goblet cells
28
what are the 3 factors that contribute to asthma?
inflammation constriction mucous production
29
this type of asthma has no identifiable cause but can be associated with exercise and emotional stress
intrinsic asthma
30
this type of asthma is caused by an allergic allergic, allergic asthma
extrinsic asthma
31
what are triggers to asthma
allergen inhaled irritants cold, dry air
32
what are the clinical manifestations of asthma?
cough accessory muscle use hypoxemia tachypnea
33
asthma symptoms that occur on and off, is classified as?
mild intermittent
34
asthma symptoms that occur a few times a week, is classified as?
mild persistent
35
asthma symptoms that occur daily, is classified as?
moderate persistent
36
asthma symptoms that occur continually throughout the day, is classified as?
severe persistent
37
what are some interventions for asthma?
humidified O2 VS ABGs
38
this condition is when the lungs hyperinflate, air get traped into lungs, bronchioles, collapse, barrel chest look
COPD
39
what disease results in pulmonary hypertension and heart disease
COPD
40
this drug is a beta 2 adrenergic agonist, promotes bronchodilation
albuterol
41
this drug treat asthma exacerbation
albuterol
42
the side effects of this drug are tachycardia, heart palpitations?
albuterol
43
be caution when giving this drug to those with angina, HTN
albuterol
44
do not take this medication with beta-blocker (reduces effectiveness) and antidepressant (increase cardiac side effects)
albuterol
45
it is important to rinse mouth out when taking this drug because it may cause thrush
albuterol
46
caffeine should be avoided with the medication, and report tremors that interfere with ADLs
albuterol
47
this drug prevents the release of inflammation, decreasing edema of airways
prednisone
48
this drugs is only for short term post symptoms?
prednisone
49
this drug is an oral glucocorticoid
prednisone
50
this drug may cause hyperglycemia and osteoporosis, infections, PUD
prednisone
51
avoid taking NSAIDs with the drug, increases risk of GI bleeding
prednisone
52
this drug should not be stop abruptly, tapper off, short term use
prednisone
53
what are the nursing interventions for prednisone?
monitor blood sugar signs of infection take with food
54
when taking prednisone what should you increase intake of?
calcium and vitamin D
55
this drugs cause polyphagia (hunger), polydipsia (thirst), polyuria (urine)
prednisone