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Med Surg 2 > Pulmonary Disorders > Flashcards

Pulmonary Disorders Flashcards

(65 cards)

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1
Q

cheyne stokes

A

periods of apnea
dying and neuro pateints

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2
Q

sign of pulmonary disorder in finger

A

clubbing

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3
Q

carboxyhemoglobin

A

number of carbon on hemoglobin

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4
Q

normal caroxhemoglobin

A

2 or less
- smokers 5-10

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5
Q

how to treat carbon monoxide posioning

A

high flow o2

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6
Q

DVT
- virchows triad

A

hypercoaguability
vessel trauma
venous statis

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7
Q

how can we get a PE

A

DVT breaks off

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8
Q

s/s of DVT

A

pain
swelling
warm
redness
doppler diagnosis

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9
Q

s/s of PE

A

shortness of breath

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10
Q

diagnosis of DVT

A

doppler

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11
Q

classification of PE

A

massive
submassive
low risk

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12
Q

massive PE

A

hypotension

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13
Q

submissive PE

A

right ventricular dysfunction or myocardial necrosis

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14
Q

low risk PE

A

no hypotension or right ventricle issues

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15
Q

why might PE have right ventricular failure

A

right ventricle has to work harder

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16
Q

how might CXR look in PE

A

normal

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17
Q

best way to diagnose a PE

A

CT

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18
Q

ABG of PE

A

hypoxemia with r alk

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19
Q

how to treat a PE

A

fibrinolytic therapy

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20
Q

right sided HF also might be caused by

A

pulmonary hypertension

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21
Q

atelectasis

A

collapse of the alveloi

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22
Q

how to treat atelectasis

A

incentive spirometer
deep breathing (in)
intunate

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23
Q

if we intubate atelectasis, what do we want increased

A

PEEP

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24
Q

s/s of atelectasis

A

tachypena
tachycardia
dyspnea
hypoxemia
decreased breath soundsc

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25
crackles
fluid
26
emphysema blebs
air trapped pockets
27
caused of tension pneumothorax
truama chest tube displacement central line pleural effusion
28
how will a tension pneumothorax look clinically
NO LUNG SOUNDS TRACHEAL DEVIATION TO UNAFFECTED SIDE!!!!!!
29
what might we palpate for with pulmonary issues
subq emphysema
30
asthma is caused by
bronchoconstriction
31
what happens with mucus with asthma
increase
32
asthma V/Q mismatch
ventilation and circulation mismatch no oxygenation but we have perfusion
33
S/S of asthma
wheezing non productive cough tachycardia tachypena accessory muscle use
34
why are we cautious of Co2 elevation in asthma
client chest not moving in or out impending death r acid
35
know how to use inhaler
deep breath while pushing hold breath spacer
36
why do lungs failure to collapse in status asthmaticus
mucus plugs
37
why use peak flow
ensure meds are working
38
acute respiratory failure ABG
pao2 less than 60 pco2 greater than 50
39
what happens after placing ET tube
check lung sounds CXR
40
what happens in right stem intubation
decreased L lung sounds withdraw
41
where should the ET tube be at on the carina
4cm
42
intubated patient how often oral care
Q2
43
ET tube inflated to
20-25
44
why do we not want ET inflated higher than 20-25
necrosis
45
what to due with a GSC under 8
INTUBATE
46
tidal volume settings
6-8cc/kg (450-650) rate 8-14 Fio2 lowest to prevent hypoxemia
47
when do we consider nutriton needs for an intubated patient
3rd day nourished 24 h malnourished
48
complications of intubation
VTE GI bleeding cardiac pulmonary
49
what type of prohypatic for intubated patients
DVT and GI - heparin and PPI
50
crepitus
subq emphysema
51
what do we need to monitor "psychiatric" for intubated patients
delerium
52
do all intubated patients need restraints
no - ex: fully sedated, or decreased GCS
53
if there is increased intratoracici pressure what happens to CO
decreased
54
cardiac dysrythmais occur because of
sucioning meds hypoxemia
55
maintain HOB at
30
56
spontaneous breathing test
turn down mech ventilation every morning to see if pt can breath on own
57
twinkle in eye
look infuse that they are ready to be extubated
58
weaning intolerance
VITAL SIGNS - SBP increase/decreased 20 - DBP greater than 100 -HR increase by 20 - RR over 30 or less than 10 - spo2 less than 90%
59
CXR with ARDS
completely normal
60
ARDS - refractory hypoxemia
increase O2 but it stays low
61
ARDS tidal volume
lower
62
proning
promote lung expansion and then increase oxygenation
63
oscillation (fluctuation/swing) unexpected cessation
indicate blocked or kinked
64
air leak
intermittent bubbling
65

Med Surg 2 (29 decks)

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