OCCUPATIONAL LUNG DISEASE, LUNG CANCER Flashcards Preview

Medsurg 2.0: Exam 2 πŸ’ͺ🏼 > OCCUPATIONAL LUNG DISEASE, LUNG CANCER > Flashcards

Flashcards in OCCUPATIONAL LUNG DISEASE, LUNG CANCER Deck (18)
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1
Q

INTERSTITIAL LUNG DISEASE

SARCOIDOSIS

A

can effect any organ but the lungs are the primary target

2
Q

SARCOIDOSIS PATHOPHYSIOLOGY

A
  • Hypersensitivity response to one or more exogenous agents
  • connective tissue disorder
  • Granuloma infiltration (build up of cells) and fibrosis may occur
    β€” low lung compliance (Pts cant get deep breath)
    β€” Impaired diffusing capacity
    β€” Reduced lung volumes
3
Q

SARCOIDOSIS CLINICAL MANIFESTATIONS

A
  • Dyspnea
  • Cough
  • Hemoptysis
  • Congestion
4
Q

SARCOIDOSIS ASSESSMENT AND DIAGNOSTIC FINDINGS

A

Chest x-ray
CT scan
Mediastinoscopy or transbronchial biopsy
Pulmonary function tests

5
Q

SARCOIDOSIS MEDICAL MANAGEMENT

A

Oral corticosteroids/ for inflammation

6
Q

OCCUPATIONAL LUNG DISEASE
PNEUMOCONIOSES

A
  • Occupational lung disease and includes asbestosis, silicosis, and coal workers’ pneumoconiosis (aka β€œBlack Lung Disease”)
  • Refers to a non-neoplastic (non cancerous) alteration of the lung resulting from inhalation of mineral or inorganic dust
  • Preventable, not treatable
  • Reduce exposure, protective gear/devices
  • Role of nurse is to be the employee advocate and provide health education on preventive measures to reduce lung injury
  • Refer to Table 23-5, page 620
7
Q

LUNG CANCER

A
  • Leading cause of death in the United States
  • > 85% caused by cigarette smoke (non small cell)
  • Classification: 15% SCLC and 85% NSCLC tumors
8
Q

LUNG CANCER Treatment

A
  • Surgery, refer to Chart 23-13, top of page 623
  • Radiation
  • Chemotherapy
9
Q

LUNG CANCER RISK FACTORS

A
  • Environmental factors
  • Genetic predisposition
  • Dietary deficits
  • Respiratory disease ie. COPD and TB
  • Familial predisposition
10
Q

LUNG CANCER CLINICAL MANIFESTATIONS

A
  • Change in cough or chronic cough
  • Dyspnea
  • Hemoptysis
  • Chest or shoulder pain
  • Recurring low grade fever
11
Q

LUNG CANCER ASSESSMENT AND DIAGNOSTIC FINDINGS

A
  • Chest x-ray
  • CT scan
  • Fiberoptic bronchoscopy
  • Transthoracic fine-needle aspiration
12
Q

LUNG CANCER MEDICAL MANAGEMENT

A

Treatment:
- Surgery: small cell only in one lung w/ no metastasis
β€” do medialstienoscopy, then do fluoroscopy, then do surgery:
β€”- lobectopy/ wedge resection, pnumonectomy (1 whole lung),
- Radiation
- Chemotherapy

13
Q

NURSING CARE OF THE PATIENT WITH CANCER

A
  • Airway clearance
  • Dyspnea
  • Fatigue
  • Pain
  • Psychological support
14
Q

THORACIC SURGERY

A

Procedures to relieve conditions:
- Lung abscesses
- Lung cancer
- Cysts
- Benign tumors
- Emphysema

15
Q

Lung cancer PREOPERATIVE MANAGEMENT

A
  • Assessment and diagnosis
  • Improving airway clearance
  • Educating the patient: splint: hug pillow when coughing, may have chest tube
  • Relieving anxiety
16
Q

Lung cancer POSTOPERATIVE MANAGEMENT

A
  • Vital signs checked frequently
  • Oxygen
  • Careful positioning: chest tubes hurt (pad w/ pillow if turning on effective side)
  • Medication for pain
  • Mechanical ventilation
  • Chest drainage
17
Q

POSTOPERATIVE NURSING MANAGEMENT- THORACIC SURGERY

A
  • Monitoring respiratory and cardiovascular status (circulation)
  • Improving gas exchange and breathing
  • Improving airway clearance
  • Relieving pain and discomfort
  • Promoting mobility and shoulder exercises
  • Maintaining fluid volume and nutrition
  • Monitoring and managing potential complications
    β€” anticoagulant after first day
    β€” SCD
    β€” early ambulation
    β€”
18
Q

Cancer chemo precautions:

A
  • PPE: mask, 2x gloved, splash guard (in case chemo splashes up)
    Nutrapenic (WBC low)
  • reverse isolation
    β€” no fresh fruits, flowers, yogurt, shit like that