Term
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Definition
S/S= sharp pain, dyspnea, tracheal shift (in tension)
Tx= O2, High Fowler's, chest tube |
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Term
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Definition
S/S= fluid in pleural space (pus, blood, exudate)
Tx= Drain (thoracentesis) |
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Term
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Definition
1. Kink= no fluctuation in H2O seal on inspir.
2. Insufficient Suction= no bubbling in suction center
3. Air leak= continuous bubbling in waterseal |
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Term
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Definition
S/S= fever, chills, dull percussion, low O2 sat, tachypnea
Tx= O2, ABX, chest physiotherapy, high Fowler's, ambulation |
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Term
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Definition
S/S= airway hyperactivity, mucous plugs
Tx= Albuterol, PFT's, Meds: Steroids, Albuterol, Atrovent, Aminophylline gtt, Epi (in Status) |
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Term
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Definition
| S/S= Sputum/cough, chronic hypoxemia |
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Term
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Definition
| S/S= increased work of breathing, prolonged expiration, barrel chest |
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Term
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Definition
Tx=
Long-Acting Bronchodilators
Anticholinergics (Atrovent)
Methylxanthines (thophylline)
Corticosteroids
Mucolytics
Hydration/vaccinations
Diet high in protein
O2 w/caution |
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Term
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Definition
S/S= cough, fatigue, weight loss, night sweats*
Tx= Isolation- neg. pressure room; particulate respirator, Meds: INH, Rifampin, Streptomycin |
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Term
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Definition
S/S= dyspnea, anxiety, cough, chest pain, hemoptysis, tachypnea
Test= CT w/angiography (watch for dye allergy*)
Tx= O2, EKG, D-Dimer, elevate HOB*, Surgery (embolectomy), Meds: Heparin/LMWH, Coumadin, thrombolytics |
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Term
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Definition
Early S/S= cough/hoarseness
Late S/S= chest pain, weight loss, hemoptysis, dyspnea
Tx= pneumonectomy, radiation/chemo (vincristine, vinblastine, ciplatin, mitomycin); good lung down** |
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Term
| ARDS (Acute Resp. Distress Syndrome) Risks |
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Definition
| Risks= sepsis, shock, OD, post lung trx, cardiopulmonary bypass, long bone fx's, aspiration, |
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Term
|
Definition
S/S= atelectasis, non-cardiogenic pulmonary edema
Tx=Mechanical ventilation**, prone position, LMWH, careful fluid replacement, tx infection, inhaled Nitric Oxide/Surfactant therapy, **watch urine output** |
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Term
| "Minimal Leak Technique" for Endotracheal Tubes |
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Definition
| Inflate cuff, listen to pt neck w/stetho, should hear tiny bit of air on exhalation |
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Term
| How do you suction a tracheostomy? |
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Definition
-Give pt 100% O2 before
-Don't suction for more than 10 sec's
-Allow rest for 3-5 breaths between suctioning |
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Term
What do you do if a trach comes out?
What type of procedure is suctioning a tracheostomy?
How often do we do trach care? |
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Definition
-Hyper-extend pt's neck
-Sterile
-Qshift |
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Term
| What is the difference between hypoxia and hypoxemia? |
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Definition
Hypoxia= O2 not met in tissue
Hypoxemia= O2 not met in blood |
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Term
Respiratory compensation through ___?___
Metabolic compensation through __?__ |
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Definition
Respiratory --> CO2
Metabolic --> Renal HCO3 |
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