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Flashcards in T2 - Upper Respiratory (Josh) Deck (17):
1

What is nursing priority with URIs?

promote oxygenation by ensuring a patent airway

2

What do we suspect if glucose is leaking from a client with broken nose?

CSF leakage from possible skull fracture (could lead to meningitis)

3

Rhinoplasty:

What do we teach client postop?

Avoid forecful coughing or straining

Do not sneeze with mouth closed

Avoid ASA and NSAIDs

Humidifier to prevent dry mucosa

4

Epistaxis:

Which type of nosebleed is an emergency?

Posterior

**may require a catheter

5

What is it?

Benign, grapelike clusters of mucous membranes and connective tissue that can obstruct nasal airway

Nasal Polyps

***managed with inhaled steroids

***polypectomy to remove

6

Nasal Polyps:

What are typical manifestations?

Obstructed nasal breathing

Increased nasal discharge

Change in voice quality

7

Facial Trauma:

What is the priority nursing action?

Airway Assessment!!!

8

Facial Fractures:

What is difference between Le Fort I, Le Fort II, and Le Fort III fractures?

Le Fort I = nasoethmoid complex fracture

Le Fort II = maxillary and nasoethmoid comlex fracture

Le Fort III = combo of I and II plus orbital-zygoma fracture (craniofacial disjunction)

9

Facial Fractures:

What do clients with wired shut repair need available at all times?

wire cutters

10

Facial Fractures:

How do we deal with nutrition?

milkshakes until healing complete

PEG tube if severe enough

11

Sleep Apnea:

What are the long-term effects?

HTN

Stroke

Neurocognitive defects

Weight Gain

DM

Pulmonary and CV disease

12

--- --- --- is an interruption in airflow through nose, mouth, pharynx, or larynx and is a -- -- --

Upper Airway Obstruction

Life-threatening emergency

13

With neck trauma, to maintain patent airway, what are we likely to need to do?

Nasal intubation (so you don't have to bend neck)

14

What type of cancer is usually found in head and neck?

squamous cell carcinoma that is slow growing

**leukoplakia and erythroplakia lesions

15

How does head/neck cancer typically begin?

mucous that is chronically irritated, becoming tougher and thicker

16

Risk factors for head/neck cancer.

Tobacco and ETOH (most common)

Voice abuse

Chronic Laryngitis

Exposure to chemicals / dust

Long term GERD

Oral infection of HPV

17

Head/Neck Cancer:

Clinical manifestations

Lumps in mouth, throat, neck

Difficulty swallowing

Color changes in mouth / tongue

Oral lesion or sore that doesn't heal in 2 wks

Persistent, unilateral ear pain

Persistent, unexplained oral bleeding

Numbness of mouth, lips, or face

Change in fit of dentures

Burning sensation when drinking citrus or hot liquids

Hoarseness

Persistent / Recurrent sore throat

SOB

Anorexia or weight loss