HCC Acute Resp Test
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| A. Respiratory Syncytial Virus(bronchiolitis), occurs in winter & early spring, bronchiole mucosa swells, URI/ear & eye infections, Low Resp involved(coughing, wheezing, tachypnea, retractions), severe resp distress(crackles, cyanosis, poor air exchange).B. When alternative body organs take over in an attempt to compensate. Early sign(clues) something is wrong.C. Total opposite of hypoxia, sedative effect, kills in hours. Lethargic/sleeping.D. Stim beta2-receptors cause smooth muscle of lungs to relax. Relaxes bronchospasms. Decrease airway reaction to allergens, facilitate expectoration of secretions.E. Narrower, longer, more horizontalF. Inhaled. Oral is antidote for Tylenol overdose, also protects kidneys from contrast dye. SE's Sore throat, N&V, headache, bronchospasm. DO NOT USE WITH ASTHMA.G. Wider, shorter, steeper, more verticalH. NPO, informed consent, TJC Patient Safety Goals, in OR or ICU at bedside, potential complication.I. Monitor VS's, serum levels, and for signs of toxicity such as restlessness.J. 6-12 L/min. 35-50% oxygen. May be uncomfortable due to seal and must be removed to eat and drink. Must fit snugly. At least 5 L/min flow to prevent accumulation of expired air in the mask.K. 6-10 L/min. 40-60%. Reservoir bag must be 3/4 filled.L. Pre-op teaching, post-op care, control of pain, HEMORRHAGE.M. Oxygen, drugs, thoracentesis/pleurodesis, dyspnea. Morphine is gold standard for lung cancer pain.N. Block histamine decrease allergic response, reduce secretions and itching. SE's drowsieness, sedation, dry mouth, photosensitivity. Monitor effectiveness and for SE's, encourage fluid intake.O. Leading cause of cancer deaths, majority caused by cigarette smoking.P. ALWAYS ASSESS AIRWAY! anticipate and prepare for intubation, Breathing, Circulation, control hemorrhage, watch CSF, suction equipment.Q. Tachypnea, dyspnea on exertion, dyspnea at rest, orthopnea, use of accessory muscles, retraction of interspaces on inspiration, nasal flaring, pause for breath between sentences or words.R. 60-90%. Valve prevents expired air from flowing back into bag.S. Monitor VS's, auscultate lung sounds before and after Tx. Monitor BG in diabetics, beta2 may increase BG. T. Normal pH, balanced electrolytes, oxygen, glucose for ATP formation. |
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