Shared Flashcard Set

Details

PJC ADH-II final review Part 2
Respiratory batch Cont'd
30
Medical
Not Applicable
06/22/2008

Additional Medical Flashcards

 


 

Cards

Term
pneumonia
Definition
Acute inflamation of lung tissue
Term

altered LOC

 

vomitting

 

NG/feeding tube lying less than 30 degrees

Definition

Those at risk for developing pnuemonia are those with:

Term

increased RR (tachypnea)

tachycardia

 Tactile fremitus

 

Rhonchi, wheezes, crackles

Definition
What are signs and symptoms of pnuemonia?
Term
Tactile fremitus
Definition

This is fluid in the lungs that can be heard via vibration.  The nurse gets the client to say, "ninety-nine" or phrases that wll allow the sound to be heard through fluid accumulation in the lungs...

 

..remember, sound travels faster through liquid than it does air!!

Term

Corticosteroids

 

Bronchodilators

 

Antibiotics (if bacterial)

Definition
What drugs will the nurse administer to treat pnuemonia?
Term
Tuberculosis
Definition
This disease is found predominately in the homeless and HIV/AIDS patients.
Term

low grade fever

pallor

chills

Night sweats

blood stained sputum (with or without a cough)

dyspnea

chest pain

fatigue

Definition
What are assessment findigs for tuberculosis?
Term

10mm diamter

 

48 hours

Definition

a positive TB skin test will be __mm in diameter in __hours

Term
Sputum & Culture test
Definition

normally to confirm a Tuberculosis diagnosis, the nurse expects an ______ & ______test to be performed.

 

The 1st portion can be negative, this is why it is given with part 2

Term

Prevention of spread

 

wear a mask & wash hands !!!

Definition

The priority nursing intervention for clients diagnosed or suspected tuberculosis is?

Term
6 months
Definition
Therapy for tuberculosis treatment last for __ months.
Term
2-3 weeks.
Definition
If medication compliance is followed with Tuberculosis, how long does it normally take for the client to convert from a postive to negative sputum/culture test?
Term
phemothroax
Definition
atmospheric air accumulatse in the pleural space and the interthoracic pressure rises which leads to reduced lung capacity
Term
Open pneumothorax
Definition

air is allowed to enter the pleural space, but not escape

 

a "sucking in" wound

Term
Tension pneumothrorax
Definition
due to blunt trauma or a build up of pressure in the chest cavity
Term
Hemothrorax
Definition

blood accumulates in the chest cavity, often seen with trauma

Term

keep negative pressure in plueral space

 

allows fluid and air to exit the plueral space, but does not allow any air or fluid to enter

Definition
what is the essential (and basic) purpose of a chest tube?
Term

semi-fowlers

 

 

HOB @ 20 degrees

Definition
what position does a post-pneumothrax client need to be in?
Term

on the affected side

 

(to consolidate tissue and maximize expansion and ventilation)

Definition

the client post-pneumonectomy should be positioned how?

Term
Pulmonary Embolism
Definition
A clot that has logged in the pulmonary circulaton causes a _______________?
Term

sudden dyspnea or shortness of breath

sudden sharp pain in chest or upper abdomen

 

cough

tachycardia

hypotension

elevate temp

Definition
What assessment finding by the nurse are indicative of a pulmonary embolism?
Term
VQ lung scan
Definition
What order is the most indicative of a Pulmonary embolism?
Term

assess the airway and respiratory status!

 

apply oxygen (increase the circulation we have)

Definition

What are nursing interventions for a client suffering from a Pulmonary embolism?

Term
60 degrees
Definition

The nurse should position the client with a Pulmonary embolism by elevating the HOB at ____ degrees.

Term

Narrowed airways

 

(so air is unable to escape, stay inflated with C02)

Definition
Why do COPD patients have hyper inflated alveoi?
Term

thin

barrell chest

increased respiratory rate

Definition
What are classic signs and symptos of COPD clients?
Term
  1. Beta-2-Agonists: albuterol, Servent
  2. Corticosteroids: Solu-Medrol; prednisone
  3. Methylxantines: Theophylline
    1. remember theophylline toxicity
      1. seziures & arrhytmias
Definition
What drugs are used with COPD?
Term
<50% & should seek medical care
Definition

Peak flow meter: (% of normal expired volume)

 

Red zone is ________ and client should _______.

Term

50 - 79%

 

should increase inhaler or take oral steroids

Definition

Peak flow meter: (% of normal expired volume)

 

Yellow zone is ________ and client should _______.

Term
>80% is good
Definition

Peak flow meter: (% of normal expired volume)

 

Green zone is ________.

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