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Med-surg ch13
Upper Respiratory Disorders ch 13
| Question | Answer |
|---|---|
| Crepitation | inspection for physical defomity that feels like small-diameter bubble wrap. |
| Endotracheal Intubation | inserting a ET tube into the trachea or nose or mouth |
| Epistaxis | Nose bleed, are common in pubescence boys |
| Follicular Pharyngitis | Strep throat,caused by beta-hemolytic streptococcal infection. |
| Laryngitis | inflammation of th larynx with < voice or hoarseness. occurs when infection moves into the larynx. |
| Obturator | this is the insertion guide for trachea double cannula tube and it protects the trachea from being scraped. |
| Pharyngitis | inflammation of the Pharynx, sore throat( caused by virus, bacteria, or fungus. |
| Rhinitis | common cold, inflamation on the nose and upper respiratory tract, most prevalent infection among people |
| Rhinoplasty | surgical reconstruction of the nose. |
| Stoma | an opening |
| Tracheostomy | surgical opening in the trachea for the purpose of inserting a tube through which the patient can breath. |
| Allergic Rhinitis | has same symptoms as a cold but without the fever. its symptomatic. treated with antihistamines, steroids. and sprays to stabalize mucous cell membranes. |
| These are used to treat the first signs of a cold? | Zinc Losengens |
| These are effective alternatives to treat the common cold | 400 mg Cimertidine+acetaminophen; echinacea, goldenseal & AA |
| When these are used for more than 3 days they can produce a rebound effect and leave the nose stiffer than before their use. | Decongestants |
| These don't cure the common cold because they are a viral infection. | Antiobiotics |
| If a cold last longer than how many days , should the patient then seek medical treatment? | longer than a week to 10 days |
| Which patient's should not recieve aspirin because of they stand the chance of developing Reye's Syndrome and why? | Children <18, because they may develope brain inflammation and maybe death. |
| What is Sinusitis? | its a inflammation of the mucosal lining of th sinuses. comes from the spread of a infection from the nasal passages to the sinuses. |
| Name the infecting agent tha causes Sinusitis? | Pneumococci, Streptococci, or Haemphilus Influenza |
| what are some signs of Sinusitis? | headache,drainage, nonproductive cough,painful upper teeth. |
| Why should acut/chronic sinus infection not be ignored? | because they can lead to Septicemia(infection of the blood), Menigitis, or a Brain Abscess. |
| How can Epistaxis be slowed down? | sit foward and hold nose for 10-15min. apply cold compress and have person suck on ice. If this doesn't work seek help |
| What causes Fungal Pharyngitis? | caused by long term use of antibiotics or inhaled corticosteroids, or with patients that are immunosupressed. |
| Epiglottitus | occurs in children 2-7, occurs when infections/inflammation spread from the Larynx. If swelling of the eppiglotis dosen't < pt may need a tracheostmy to maintain respriations. |
| Dysphagia | diffuclty in swallowing. |
| Symptoms of Pharyngitis | headache, malaise, scratchy back of throat, Dysphagia |
| Tonsillitis | an infection with inflammationof the tonsils. |
| What is acute tonsilitis treated with? | Penicillin and warm saline gargles. throat cultures are usually done to see if it is caused by Streptococcus. |
| What can happen if causitive agent is Streptococcus and it goes untreated? | Rheumatic fever and Glomerulonephritis developes. |
| If surgery to remove tonsils or adnoids is needed, what sighn should the nurse look for? | frequent swalling indicated that bleeding may be in the throat. Also watch for restlessness. |
| Untreated sleep Apena can cause what if it goes untreated? | MI(miocardial infraction)or stroke, and causes constant fatigue |
| What device is used to treat Apena? | CPAP-continious positive airway pressure |
| What population is most affected by throat cancer? | men 60-80, those that smoke, drink excessive alcohol use,those infected with HPV and familiar history. |
| What is the most common malignant tumor of the larynx? | squamous cell carcinoma |
| This type of laryngectomy does not prmanently eliminate voice sounds? | partial laryngectomy |
| This surgery has higher cure rates when removing vocal cord polyps and carcinomas that has not spread. | Microlaryngoscopy w/laser treatment. |
| These are used for short term respiratory support? | ET tubed-Endotracheal tubes |
| These types of tracheostomy tubes conform easily to the shape of the trachea? | single-cannula tubes |
| These tracheostomy tubes have a outer cannula that act as a sleeve for the inner cannula? | double-cannula tubes |
| These trachea tubes have a small opening in them to prepare the patient for later removal of the trach | Fenestrated tubes |
| Cuffed tracheostomy tube | these have a small ballon encircling its tracheal end. the ballon prevents the escape of air around the tube, reduces the chance of aspiration of muscus and fluid by patients. |
| What technique is used to clean a tracheostomy? | Sterile technique |
| This device assists a tracheostomy Patient with a way to talk? | Passy-Muir tracheostomy valve |
| What are the 7 steps nurses teach a Tracheostomy patient when preparing to eat? | 1. take a deep breath and bear down to close the vocal cords 2. place small bite of food in mouth 3. tip chin toward the chest and swallow 4. cough to rid throat of any food 5. swallow 6. cough 7. then breath normally |
| Esophageal Speech is what? | This technique allows patient to talk by swallowing deep breaths of air in then forcing it out. |
Created by:
VRoberts
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