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Respiratory System 2
Respiratory System 2
50
Nursing
Undergraduate 2
03/13/2012

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Cards

Term
Present amount of 02 delivered with each ventilator breath?
Definition
Tidal Volume
Term
Total number of breaths each minute?
Definition
Respiratory Rate
Term
O2 concentration, measured in %
Definition
Fi02, vent (21-100%)
Term
What is normal 02 in room air?
Definition
21%
Term
Pressure in our lungs is keep greater then the outside?
Definition
PEEP
Term
Where should the HOB be in a pt on a ventilator?
Definition
30%
Term
A nasal cannula can be set on how many L and delivers what percent of 02?
Definition
.1-6 L and 24-40%
Term
A simple mask can be set on how many L and delivers what percent of 02?
Definition
6-10 L and 35-55%
Term
A nonrebreather mask delivers what percent of 02?
Definition
70-100%
Term
Complications of 02 therapy?
Definition
- Hypoventilation: COPD
- 02 toxicity
- Atelectasis: alveoli collapse
Term
S/S of O2 toxicity?
Definition
- loss of hearing
- blurred vision
- fatigue
- muscle twitching
- confusion
- seizures
Term
Any surgical opening make in the chest wall?
Definition
Thoracotomy
Term
Pt who has a thoracotomy are at risk for what?
Definition
collapse lung
Term
If a chest tube is located in the upper chest what is it there for?
Definition
Remove air
Term
If a chest tube is located in the lower chest what is it there for?
Definition
Remove fluid
Term
Removal of a lobe in the lung?
Definition
Lobectomy
Term
Removal of part of the lung?
Definition
Segmental Resection
Term
Removal of entire lung?
Definition
Pheumonectomy
Term
Pre-op for Thoracotomy?
Definition
- will test other lung
- will test everything
Term
Post-op for Thoracomty?
Definition
- frequent VS
- tach kit by bed
Term
Pneumothorax?
Definition
collapsed lung
Term
Important interventions with chest tubes?
Definition
- keep container below bed
- do not clamp
- monitor out by marking container
Term
If pt has SOB with a chest tube what should you do?
Definition
- check for kinks in the tubing
- make sure bandage has no leakage or air bubbles
Term
An infection in the lungs caused by microorganism bacterial or viral. These enter the lungs causing inflammation and increased fluids?
Definition
Pneumonia
Term
What are the 3 reasons someone gets pneumonia?
Definition
1. inadequate pulmonary ventilation
2. aspiration
3. complication of a disease
Term
What is it called when WBC's are destroying an infection?
Definition
Phagocytosis
Term
S/S of bacterial pneumonia?
Definition
- sudden onset
- temp for a long period of time
- affects specific lope area
Term
The pneumonia vaccine is protecting what type of pneumonia?
Definition
bacterial
Term
S/S of viral pneumonia?
Definition
- slower onset
- patchy distribution through out the lungs
- temp fluctuates

* recovery within 2-4 hours
Term
What kind of room should a pt with pneumonia have?
Definition
A private room or a room with a pt with the same type of pneumonia.
Term
Where should the HOB be for a pt with pneumonia?
Definition
30 degrees
Term
What should you do before giving a pt with pneumonia antibodics?
Definition
get a sputum culture
Term
Inflammation of any part of pleura?
Definition
Pleurisy
Term
S/S of pleurisy?
Definition
- knife like pain
- cough
- dyspnea
- high temp
Term
What position should a pt with pleurisy be in?
Definition
lay on the affected side
Term
What is the treatment for pleurisy?
Definition
treat pain
Term
Air fills pleural space between lung and chest and lung collapses?
Definition
Pneumothroax
Term
Spontaneous pneumothroax is seen in most who?
Definition
adolescent boys
Term
A pneumothroax can be caused by what?
Definition
- rupture on lung surface
- severe episodes of coughing
- chest injuries/wounds
Term
When you listen to a lung that has a pneumothroax what will you hear?
Definition
nothing
Term
S/S of a pneumothroax?
Definition
- sharp, sudden pain in chest
- dyspnea
- diaphoresis
- weak, rapid pulse
- falling BP
- lack of chest movement on affected side
- anxiety
Term
Nursing care for a pneumothroax
Definition
- bed at high fowlers
- O2
- VS
- pain meds
- prepare for chest tube insertion
- x-ray
Term
Alevoli are collapsing causing collapsed lung?
Definition
Atelectasis
Term
S/S of Atelectoasis?
Definition
- SOB
- crackles and wheezing
- pain
- tachycardia
- tachyapnea
- fever
Term
Treatment for Atelectoasis?
Definition
- chest physical therapy
- incentive spirometer
- early ambulation
Term
Embolism occurs when blood clot or foreign matter becomes lodged in a branch of pulmonary artery or arteriole?
Definition
Pulmonary Embolism/Infarct
Term
S/S of a pulmonary embolism?
Definition
- sudden pain
- rapid shallow breaths
- productive cough
- SOB
- tachycardia
- hypoxia
- fever
Term
Intervention for pulmonary embolism?
Definition
- elevate HOB
- give O2
- call the doctor
Term
What meds with a pt with a pulmonary embolism be getting?
Definition
- Heparin Drip
- Thrombolitics
Term
Prevention for a pulmonary embolism?
Definition
- filter in the inferior vena cava
- TED hose: post-op
- heparin
- leg exercises
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