part 5 Flashcards
(12 cards)
1
Q
What are the S&S of TB?
A
- haemoptysis (bloody cough)
- weight loss
- night sweats
2
Q
What do we need to teach pt’s with TB?
A
- hand washing
- med routine
- 2 weeks post treatment they are non-infx, but they need negative cultures before they are declared non-infx
- monitor sputum
- cover mouth cough sneeze
- need to wear surgical mask if they leave the hospital room
3
Q
-blockage of > or equal to 1 pulmonary artery
A
PE
4
Q
Where do PE’s most commonly come from?
A
DVT of the legs
5
Q
What are the risk factors of PE?
A
immobility surgery (within last 3 months) history of VTE cancer obesity BC hormone therapy air travel HF pregnancy
6
Q
What do the clinical manifestations of PE depend on?
A
- type and size
- sudden or gradual
7
Q
What are the clinical manifestations of PE?
A
- most common dyspnea
- hypoxemia
- impending doom
- tachypnea
- cough
- chest pain
- hemoptysis
8
Q
What are the complications associated with PE?
A
- pulmonary infarction (death of tissue)
- pulmonary HTN
- pleural effusion
9
Q
What are the diagnostics associated with PE?
A
- D-dimer (not specific)
- spiral CT/CTA (angiogram)
- V/Q scan alternate method if contrast is too hard on kidneys
10
Q
What is the gold standard for diagnosing PE?
A
spiral CT or CTA
11
Q
How do we prevent PE?
A
SCD
ambulation
medication
12
Q
What are the labs for warfarin and heparin drip?
A
- warfarin: INR
- heparin drip: Xa or aPTT
