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Block 2 Exam 3 > Treatment > Flashcards

Treatment Flashcards

1
Q

Atelectasis

A

Turning
Ambulation
Breathing and coughing
ICOUGH
CPT, postural drainage
Thoracentesis
Intubation and ventilation
O2 therapy

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2
Q

Influenza prevention

A

Quit smoking
Stay home
Vaccines: LSIV and TIV
Hand washing
Don’t touch face
Avoid close contact with infected person

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3
Q

PNA

A

Prompt abx
O2, analgesics, antipyretics
Rest and activity
Humidifier, hydration

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4
Q

Cor pulmonale

A

BP meds
Diuretics
O2

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5
Q

COPD exacerbation

A

Short acting bronchodilators
Oral systemic steroids
Abx
O2

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6
Q

Goal of O2 therapy for COPD

A

Keep sat above 90
PaO2 over 60
Improves activity, cognition, sleep

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7
Q

COPD non pharm tx

A

Respiratory and physical therapy- pursed lip, diaphragmatic
Effective coughing
CPT
Flutter and Acapella
Positive expiratory pressure tx (PEEP)

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8
Q

COPD surgical options

A

Lung volume reduction surgery
Bronchoscopic lung volume reduction surgery
Bullectomy
Lung transplant

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9
Q

COPD nursing (edu on activity)

A

15-20 minute exercise 2-3 times per week
Sleep

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10
Q

NSCLC surgeries

A

Pneumonectomy
Lobectomy
Segmental resection
VATS

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11
Q

SBRT procedure

A

High dose radiation to small area
Over 1-3 days

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12
Q

Palliative care for lung cancer

A

Radiation
Stent
Pain management

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13
Q

Obesity lifestyle modifications

A

Decrease calories 500 to 1000
Exercise 75 to 150 minutes/week
Whole foods
Journal
Healthy sleep habits

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14
Q

Obesity non surgical procedures

A

Vagal blocking
Intragastric balloon
Endovascular bariatric embolization

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15
Q

Nursing for obesity respiratory and CV complications

A

Low Fowler for chest expansion
Pulse ox
O2
Resp assessments
Big cuff
Monitor for DVT and pressure injuries

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16
Q

Bariatric surgical procedures

A

RYGB (bypass)
Gastric banding
Sleeve gastrectomy
Biliopancreatic diversion with duodenal switch

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17
Q

Sleeve gastrectomy

A

Restrictive
Smaller stomach

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18
Q

Bariatric surgery complications

A

Infection
Leakage
Change in bowel pattern
Hemorrhage
VTE
Bile reflux
Dumping
Hypoglycemia
Dysphagia
Obstruction

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19
Q

Pre bariatric surgery diet

A

Clear liquid 24-48 hours
NPO midnight
Maybe restrictive diet 6 months

20
Q

Post bariatric surgery diet (recovering post op)

A

Clear liquid 48 hours
Slowly progress to solid foods by week 8

21
Q

Signs of anastomic leakage from bariatric surgery

A

Fever
Abdominal pain
Tachycardia
Leukocytosis

22
Q

Post op nursing for bariatric surgery

A

Pain
Fluid volume balance
Nutrition status
Anxiety
Body image changes

23
Q

Post bariatric surgery diet (in regular life)

A

Small frequent
High protein high fiber low simple carb
Water, no calorie drink, not during eat
Semi Fowler
High nutrient foods- PB, cheese, chicken, fish, beans
Eat slow and chew a lot
Monthly B12 and iron shots

24
Q

Hep A and E prevention

A

Hand washing and hygiene

25
Q

Cataract surgery

A

ECCE to suck out old lens
IOL lens implant

26
Q

Nursing for cataract surgery

A

Dilating eye drops
Edu to call if vision changes, flashing lights, inflammation, unrelieved pain, increased / changed drainage

27
Q

Surg for detached retina

A

Sclera buckle
Vitrectomy with gas bubble, silicone oil

28
Q

Edu for retina detachment surg

A

Outpatient
Ss high IOP and infection
Prone position for gas bubble

29
Q

Cerumen removal

A

Soften with glycerin, mineral oil, 1/2 strength hydrogen peroxide
Irrigation with low pressure

30
Q

Acute otitis media

A

Abx
Myringotomy aka tympanotomy

31
Q

Chronic otitis media

A

Tympanoplasty
Ossiculoplasty
Mastoidectomy

32
Q

Tympanoplasty

A

Tympanic membrane reconstruction

33
Q

Ossiculoplasty

A

Reconstruction of middle ear bones

34
Q

Mastoidectomy

A

Removal of diseased bone or cholesteatoma

35
Q

Nursing for mastoid surgery

A

Anxiety, analgesics
Antiemetic, anti vertigo
Help ambulate
Prevent infection
Prevent water getting in there

36
Q

Pt education for mastoid surgery

A

Constant throbbing is infection
Hearing may be reduced for several weeks
No lifting over 10 pounds
No straining (stool softener?)
No nose blowing 3 weeks
Open mouth sneeze and cough

37
Q

Ménière’s disease

A

Low sodium diet 1000 to 1500
Meclizine (Antivert)
Tranquilizers (Valium)
Antiemetics (promethazine)
Diuretics
Surg: endolymphatic sac decompression, middle and inner ear profusion, vestibular nerve sectioning

38
Q

Cirrhosis nursing

A

Rest, nutrition, skin, reduce injury
IO
Small frequent
High calorie
Low sodium
Vitamins
Prevent complications: hemorrhage, encephalopathy, FVE

39
Q

Liver CA nonsurg

A

Radiation
Chemo
Percutaneous biliary drainage

40
Q

Liver CA surg

A

Lobectomy
Cryosurgery
Liver transplant

41
Q

Ascites

A

Low sodium diet / salt subs
Diuretics - spironolactone, furosemide
Bed rest but not upright
Paracentesis 5-6 L
Give albumin
TIPS shunt between portal/hepatic vessels

42
Q

Ascites nursing monitoring

A

IO
Weight
Girth
Resp
Labs for ammonia, creatinine, lytes

43
Q

Varices

A

Shock tx, O2, IVF and lytes, volume expanders, blood products
Vasopressin
Somatostatin
Octreotide
Nitro
Propranolol and nadolol
Balloon tamponade
Banding ligation

44
Q

Varices nursing

A

Safe environment to prevent injury
Deep breathe and position change

45
Q

Hepatic encephalopathy

A

Eliminate cause
Lyte imbalances
Lactulose to reduce ammonium
IV glucose to minimize protein breakdown
Reduce ammonia via suction, enema, abx
Stop downers

Block 2 Exam 3 (6 decks)

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