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Final (Respiratory)
Final (Respiratory)
35
Nursing
Undergraduate 2
05/01/2012

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Term
A chronic disorder that causes inflammation in the bronchiole and alveoli. Alveoli eventually rupture and scar causing thickening and decreased elasticity. Bad diffusion.
Definition
Emphysema
Term
S/S of Emphysema?
Definition
- barrel shaped chest
- clubbing
- and respiratory symptoms
Term
Emphysema patients are at risk for?
Definition
pneumonia
Term
An abnormal increase of mucous secretion cells? Cilia production is impaired and unable to move secretions upward to be coughed causing mucous plug formation.
Definition
Chronic Bronchitis
Term
Treatment for Chronic Bronchitis?
Definition
- antibiotics
- corticosteriods
Term
Bronchospasm results in bronchoconstriction. Difficult breathing results in hyperventilation.
Definition
Asthma
Term
Treatment for Asthma?
Definition
- bronchodilators
- antihistamines
- epinephrine
- encourage fluids
- humidification
Term
When should you get a sputum culture?
Definition
- in the morning
- with pneumonia
Term
Any surgical opening made in the chest wall?
Definition
Thoractomy
Term
Thoractomy pt's are at risk for?
Definition
long collapse
Term
What will a pt with a Thoractomy have after surgery?
Definition
chest tube to stabilize pressure
Term
Remove lobe of the lung?
Definition
Lobectomy
Term
Remove part of the lung?
Definition
Segmental Resection
Term
Removal of the entire lung?
Definition
Pneumonectomy
Term
What will be done before a Thoracotomy?
Definition
- lots of tests to show function of other lung
-
Term
Post-op for Thoracotomy?
Definition
- trach kit near bedside
- frequent VS
Term
Nursing interventions for chest tubes?
Definition
- drain fluid
- <100 ml in 24hrs it can be removed
- container always below waste
Term
If a pt with a chest tube has SOB what do you do?
Definition
- make sure tubing isn't kinked
- make sure there is no leaking around dressing
Term
Incision into trachea to create an artificial airway?
Definition
Tracheostomy
Term
Indications for a Trach?
Definition
- respiratory obstruction
- respiratory failure
- long term mechanical ventilation
Term
How much O2 can you give on a simple mask?
Definition
6-10 L/min or 35-55%
Term
How much O2 can you give on a nonrebreathing mask?
Definition
70-100%
Term
How much O2 can be given on a nasal cannula?
Definition
2-6L/min 24-40%
Term
Complications of O2 therapy?
Definition
- hypoventilation
- toxicity
- atelectasis: aveoli collapse O2 replaces nitrogen which effects ventilation
- ocular damage
Term
S/S of O2 toxicity?
Definition
- loss of hearing
- blurred vision
- fatigue
- muscle twitching
- confusion
- seizures
Term
Lack of O2 in the body tissues?
Definition
Hypoxia
Term
Early signs of hypoxia?
Definition
- SOB
- fatigue
- start of cyanosis
Term
Late sings of hypoxia?
Definition
- confusion
- seizures
- memory loss
- weakness
- death
Term
Air fills pleural space between lung and chest and lung collapses?
Definition
Pneumothroax
Term
S/S of Pneumothroax?
Definition
- sharp, sudden pain in chest
- dyspnea
- diaphoresis
- weak, rapid pulse
- falling BP
- lack of chest movement onaffected side
- anxiety
Term
A Pneumothroax can be caused by?
Definition
- rupture on lung surface
- severe episode of coughing
- chest injuries/wounds
Term
Nursing interventions for a Pneumothroax?
Definition
- high fowlers position
- encourage deep breathing
- repair for chest tube insertion
- chest x-ray
- O2
- pain meds
- VS
Term
Embolism occurs when blood clot or foreign matter become lodged in a branch of pulmonary artery or arteriole?
Definition
Pulmonary Embolism
Term
S/S of a Pulmonary Embolism?
Definition
- sudden chest pain
- rapid shallow breathing
- increased pulse
- decreased O2 sats
- decrease BP
- fever
- SOB
Term
Interventions for a Pulmonary Embolism?
Definition
- O2, HOB, MD
- Heparin drip
- VQ scan or pulmonary angiogram to determine PE
- thrombolitics
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