Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
COD N2 Respiratory
COD N2 Respiratory EXAM!
| Question | Answer |
|---|---|
| What are the kinds of pneumonia? | viral, mycoplasma pneumonia, opportunistic, pneumocystitis carinii(HIV), chemical Aspiration |
| what is TB? | chronic infection for the lung |
| what is the cause of TB | mycobacterium |
| Coccidiomycosis | "Valley Fever" ... pulmonary infection caused by the mold spore Coccidioides immitis, |
| Bronchiolectasis | acquired congenital disorder of large bronchi in which chronic dilation of bronchioles occurs over time, resulting in increased mucus formation & difficulty breathing |
| What are the 3 types of Bronchiolectasis | cylindrical, varicose, cystic |
| what is right sided heart failure called? | Cor pulmonale |
| What is pH? | potential hydrogen |
| what are the respiratory causes of Acidosis? | Pulmonary disorder, pulmonary edema, oversedation from anesthesia, and neuromuscular disease. |
| what are some metabolic causes of Acidosis? | Renal disease, DKA Shock, pancreatitisis , drug overdose, cardiac arrest, diarrhea. |
| What might falsify SpO2 results | peripheral vascular disease, anemia & dehydration |
| What is the first priority for nursing management of pneumonia | Prevention of pneumonia first priority good oral hygiene prevents spread of infection |
| What is restrictive lung disorder | Any disease that affects outside the lung fields & includes any abnormality of the chest wall, pleura & respiratory muscles |
| antibiotics commonly used to treat pneumonia | azithromycin, doxycycline, moxifloxacin |
| What is a more accurate indication of actual oxygen saturation than pulse | ABG’s |
| Independent interventions for a patient with pneumonia | Ambulate, turn patient, Incentive spirometer, HOB up, humified air, Cough and deep breath, rest |
| Dependent interventions for a patient with pneumonia | IV, Postural Drainage, O2, Phisotherapy, medications, C&S, induced sputum culture |
| What are factors in alkalosis? | Increased pH, decreased H+ion concentration, increased HCo3 in metabloic alkalosis |
| give the parameters of pH, PaCo2, HCo3, and Po2 | pH 7.35-7.45 PaCo2-35-45 HCo3 22-26 Po2 80-100 |
| What are S/S of bronchitis? | Digital clubbing, cardiac enlargement, cough, cyanotic, hypoxia, hypercapnia, acidosis, edematous, increased RR, dyspnea. |
| What is the etiology of emphysema? | Inflammatory process, smoking, polution, inherited deficiency of enzyme. Emphysema is destruction of the alveolar-capillary membrane |
| What are the S/S of emphysema? | Non productive cough, wheezing, barrel chest, anxious, use of accessory muscles to breath, no cyanosis!!!!, increased CO2 retention. Right sided heart failure |
| What is pursed-lip breathing, and what is the purpose of it? | Breath in slowly thru nose, hold breath for 3 seconds, purse lips and exhale slowly. Used for Dyspnea, reduces panic and promotes relaxation |
| What is the etiology of asthma? | Triggers cause the presence of inflammatory mediators from bronchial mast cells, macrophages and epithelial cells leads to wheezing, coughing and chest tightness. |
| What are the precipitating factors for asthma? | Allergies, NSAIDS, Family history, drugs,smoke exposure, seasonal changes, emotions/tensions, pets, mold, mildew, dust mites, air pollution, infections, exercise, Atopy |
| What is hypercapnia | carbon dioxide accumlates in the blood |
| what is the treatment for respiratory acidosis | ambulation after surgery, pain medications if surgical pain is the cause, bronchodialtors |
| What is the s/s of T.B.? | progressive fatigue, malaise, anorexia, wt loss, chest pain, chronic prod cough, low grade fever,night sweats, hemopytsis. |
| what are the meds used for T.B. | isoniazid(INH) rifampin (RIF) ethambutol (EMB) pyrazinamide (PZA). |
| How should you teach a COPD pt to breathe | pursed lip breathing |
| what is pursed lip breathing | Improves ventilation, Releases trapped air in the lungs, Keeps the airways open longer & decreases the wrk of breth, Prolongs exhalation to slow the breathing rate, Improves breathing patterns by moving old air out of the lungs |
| what are a couple of physical characteristics of COPD | barrel chest and clubbed digits |
| what is the name given to emphysema pts and why | pink puffer, b/c of the Co2 retention |
| when the lung destruction involves the distal airway structures and alveolar sacs, the thin-walled larger airspaces are called? | Blebs |
| what are some tests used to determine COPD? | pulse, spirometry, CXR, CT scan, ECG, ABG's. |
| What meds are given for COPD? | beta adrenergic agonists, anticholinergics, corticosteroids, and methylxanthines. |
| what are the 2 diseases that encompass COPD? | emphysema and chronic bronchitis |
| what are the causes of metabloic alkalosis? | overuse of antacids, loss of gastric juices thru suctioning, K+ wasting diuretics (Loop) |
| what are the s/s of hypoxia | restlessness, tachycardia, diaphoresis, retractions altered LOC, and later ( cyanosis) |
| What are s/s of asthma | wheezing, SOB, cough, increased mucous prod, retractions, and prolonged expirations. |
| what is hypoxia? | insdequate amt of O2 avail. for celular metabolism |
| Late manifestations of hypoxia? | increased restlessness, somnolence, stupor, dyspnea, decreased respiration, breadycardia, cyanosis |
| early manifestations of hypoxia? | restlessness, tachycardia, dyspnea, increased agitation, diaphoresis, retractions, ALOC |
| Chronic Bronchitis "AKA Blue Bloater" | Color Dusky to Cyanotic, Recurrent Cough & increased sputum, hypoxia, Hypercapnia, inc. Hgb, inc. resp. rate, exertional dyspnea, inc. incidence in smokers, digital clubbing, cardiac enlargement, |
| Oxygen L/min for a NC | 1/2 L up to 6 L |
| Simple Mask L/min | 5-8 L/min |
| What should you do if your patient is on a simple mask at 5 L/min and 100% sp02 | move him to a NC, because he will be inhaling his own CO2 |
| Venturi mask delivers how much oxygen? | 24% to 55% oxygen depending on the device |
| NRB L/min | 15 L/min Hi flow O2 |
| do you need order for humidified air or to humidify the oxygen that is already ordered? | No |
| Room Air = | 21% |
| 1 Liter of O2 via NC = | 24% |
| every liter of oxygen after 1 L/min = | 4% |
| what must you have in the room when caring for a Trache patient? | A new trache the one the same size or smaller |
| what is an obduator | the piece that helps guide the trache when putting it in place |
| MDI = | metered dose inhalers |
| Air moves in and out of the ______ | lungs |
| movement of air through the lungs is called | ventilation |
| movement between the blood and the tissue | profusion |
| wheeses are signs of what condition | Asthma |
| Rales are associated with | CHF or pneumonia |
| subcutaneous emphysema | occurs when gas or air is present in the subcutaneous layer of the skin. Subcutaneous emphysema has a characteristic crackling feel to the touch, a sensation that has been described as similar to touching Rice Krispies |
| what is cystic fibrosis | is an autosomal recessive genetic disorder affecting most critically the lungs, and also the pancreas, liver, and intestine |
| cystic fibrosis is characterized by | abnormal transport of chloride and sodium across an epithelium, leading to thick, viscous secretions |
| S/S of cystic fibrosis | Chronic or recurrent productive cough w/sputum, wheezing, dyspnea, recurrentinfections, bronchiectasis, infiltrates and scarring on CXR. Also acute and chronic bronchitis, pneumonia, atelectasis and peribronchial and perenchymal scarring |
| S/S Empyema | •Chest pain, which worsens when you breathe in deeply (pleurisy) •Dry cough •Excessive sweating, especially night sweats •Fever and chills •General discomfort, uneasiness, or ill feeling (malaise) •Shortness of breath •Weight loss (unintentional) |
| What is Empyema | A collection of pus in the space between the lung and the inner surface of the chest wall |
| Hemoptysis | coughing up of blood or bloody sputum from the lungs or airway. It may be either self-limiting or recurrent. |
| Lung Absess | necrosis of the pulmonary tissue and formation of cavities containing necrotic debris or fluid caused by microbial infection |
| what is a restrictive lung disease | Any disease that affects outside the lung fields & includes any abnormality of the chest wall, pleura & respiratory muscles |
| plural effusion | fluid in the plural space |
| S/S lung absess | foul smelling sputum, pain, cough, low grade fever |
| what if a chest is not semectrical? | could be a sign of effusion on one side |
| what kind of position would a patient be in for a Thoracentesis | bent over side table, remind patient not to cough during procedure |
| what test should you order after a Thoracentesis | CXR S/P Thoracentesis |
| what kind of medication is given for a PE | Heparin |
| Cause of Histoplasmosis | Infection caused by soil borne fungus from bird droppings prevalent in Ohio/Mississippi River |
| what to assess after patient with PE is starting Heparin Therapy | Lung, mental status, DVT, V/S, cardio vascular, |
| What do we need to do if a patient wants to talk and they have a phenitsrative treache? | cuff deflated, put finger over treache |
| pilot ballon must be filled by | respiratory |
| is the inner canula of a trache disposable | only if it made of plastic |
Created by:
jaymee4647
Popular Nursing sets