Flashcards in Respiratory 2 Deck (220)
What are the five top priorities of a patient with a broken nose?
Airway, halo test, vision test, facial xray, and crepitus
Why are fractured noses so dangerous?
The airway could be obstructed and it can be a potential source of infection
Which type of epistaxis is more serious?
Which patient populations are more likely to develop epistaxis?
Patients with hypertension, leukemia, and those who snort cocaine
Why are sinus infections so painful?
Sinus infections are accompanied by pressure because they are very small spaces to begin with
What is battle's sign?
A bruise behind the ear
Benign, grapelike clusters of mucous membranes and connective tissue
How is CSF identified?
Glucose and halo tests
After a rhinoplasty, how often should vitals be taken?
Every 4 hours
What is the treatment of choice for nasal polyps?
What is the nursing priority for patients with non-infectious URI?
Promote oxygenation by ensuring a patent airway
What would a posterior epistaxis look like?
Frank blood emesis
What interventions should be done for a patient with a broken nose?
Closed reduction, rhinoplasty, and nasosetoplasty
If giving two units of blood, what should also be administered?
What does CSF dripping from a broken nose indicate?
A skull fracture
What are carcinogens for nose and sinus cancer?
Wood dust, textiles, leather, flour, nickel, chromium, mustard gas and radium
What is dangerous about large nasal polyps?
They may obstruct the patient's airway
What can a bruise behand the ear signify?
A fractured skull
What are cancers of the nose and sinuses so rare?
Because their cells are very fast growing
After a rhinoplasty, what should be observed?
Edema and bleeding
How are cancers of the nose and sinuses usually diagnosed?
Local lymph node enlargement on the side of the tumor often alerts doctors to the problem
What is done for a patient with epitaxis?
Pack the nose and possible cauterization of the affected capillaries
What is the priority action for a patient with facial trauma?
What are cancers of the sinuses and nose so hard to diagnose?
Because they have a slow onset and their manifestations resemble sinusitis
How much fluid should a patient who has just had a rhinoplasy drink?
If giving blood rapidly, what extra step must be taken?
Warm the blood
What are the priority nursing intervention for patients with epistaxis?
Make sure the airway is patent, assess for respiratory distress and tolerance of packing or tubes, humidification, oxygen, bedrest, antibiotics, and pain medication
What are the clinical manifestations of nasal polyps?
Obstructed nasal breathing, increased nasal discharge, and a change in voice quality
How should a patient who has had a rhinoplasty be positioned?
WIth the head elevated