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1-presentation/videos Flashcards

1
Q

Upper respitaroty system

composed of

considered

A

Composed of:
nose,
sinuses,
pharnyx,
larynx,
trachea

Considered the Air movement passage way

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2
Q

lower respiratory system

composed of

largest component
pulm art/veins

A

Composed of:
lungs
,bornhi,
brochioles

Largest component- Lungs

pulmonary arteries-deliver deox blood to lungs

pulmonary veins -delvier ox blood to heart

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3
Q

why are lungs subdivide into lobes

alveoli are responsible for

A

lungs subdivided in lobes- right-3, left -2 ,so that if one is damges lungs cans till work

Alveoili are responsible for air supply.the air sacs fill up and passes through alveolar walls for co2 and o2 gas exchange

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4
Q

art of reparation

A

c02 travels from blood into alveolar cells and then exhaled

02 travels from alveolar cells into blood and is circulated into tissues

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5
Q

factors affecting respirations

A

Volume & Capacity-

Air Pressure –

O2, Carbon Dioxide & Hydrogen Ion Concentrations –

Surfactant-

Airway Resistance, lung compliance & elasticity-

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6
Q

volume and capacity are affected by

A

gender
age
weight
health

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7
Q

why is air pressure necessary

A

necessary to maintain expanded lungs

Inhalation- airflow into lungs -diaphragm contracts downwards

Exhalation- airflow out of lungs-diaphragm relaxes upward and intercostal spaces relax, reduces space forces air out

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8
Q

how does 02,co2 and hydrogen ion work

A

rate and depth is controlled by respiratory centers, brain detects changes in co2 and alters breathing accordingly

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9
Q

how does surfactant work

A

reduces surface tension in lung fields, helps expands lungs by keeping alveoli open

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10
Q

how does airway resistance

lung compliance

elsacticty

A

as resistance increases, gas flow decreases.

Compliance is the distenbiality and is reliant in the lungs .

Decrease elasticity impairs respirations (emphysema)

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11
Q

assessing repsitaroy function

A

ABG’s
Biopsy of Lung & Bronchoscopy
Chest X ray
CT/MRI
Pulse Oximetry
Sputum Studies
Thoracentesis
VQ Scan

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12
Q

Patient Assessment: Subjective

history
p and fh
d h
o/s f
current

A

History - respiratory changes with aging,genetic considerations,smoking history,mediacation usage,allergies,

Personal and Family History -

Diet History

Occupational/Soci-economic factors

Current Health Problems cough, chest pain, sputum production, charstictics of sputum. Dyspnea with rest or excerptions

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13
Q

Patient Assessment: Objective

physical assess
I and p
aus
perc
l v
v s
p o

A

Physical Assessment

Inspection & Palpate –bulgings or retrations

Auscultation –all fields listgen to anteriot and posterior, clear, diminished, rub,wheezes

Percussion –dullness could mean pneumonia,atalecasis
hypernemisis- emphanima or asthma/pnemothorax

Lab values low rbc= decreased tissue oxygenation-could be confused

Vital Signs

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14
Q

vital signs

what is spo2 measuring

A

Spo2 is measuring amont of hemoglobin that is carrying oxygen in the blood

Pulse ox measures using light sensors by measure how much blood is carrying o2

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15
Q

Viral Upper Respiratory Infections

known
peaks

A

Knowns as URIs or common cold-highly contagious-

peaks during sep to jan

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16
Q

viral uri
Patho

over__
spreds
contagious
inflammation
mucus

A

over 200 strains,

droplet spreads through sneezing coughing or direct contact. spreads when hands and fingers pick It up

Contagous prior to and after symptom devlopemnt.

Inflammation is when the body is trying to trap the organism and kill off-

mucus secretions trap invading organism by being hyperactive

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17
Q

viral uri manifesations

A

nasal mucus passway swells

, sneezing,

coughing-loose,wet or non productive,

sweating

fever,

sore throuat-initial symtpom

. Nasal mebranes red and swollen,

clear secretions leading to coryza(nasal inflammation and discharge)

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18
Q

viral uri diagnosis
self care

A

Diagnosis H&P, presentation of symptoms, wbc count, cultures of purulent discharge.

Self care is appropriate. Trearmetn is required when sinitus or ottitus media devlop

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19
Q

how to manage uri

nursing interventions

A

adequate Rest,

maintain high fluid intake ,

pain/fever meds

,cough managmaent, covering when coughing and sneezing

hygiene,

avoiding crowds,

washing hands,masks.

Nursing Interventions C&DB-prevents pneumonia-know of effective by listening to lung sounds, monitor pulse ox, assess repirory rate
Auscultate lung sounds, monitoring pulse ox, assessing respiratory rate

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20
Q

medications uri

other therapies

A

Decongestants, antihistamines, nasal sprays

Complementary Therapies

Herbal tea,
,essential oils,
vitamin c,
zinc
accumputure,
garlic,,

essential oils such as basil, cedarwood, eucalyptus, frankincense, lavender, marjoram, peppermint, or rosemary can reduce congestion and promote comfort and recovery.

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21
Q

health promotion and continuity of care uri

promotes-breathing,airways clearance,reduce infections

A

Avoid Crowds, rest, hand hygiene, stress

promots effective breathing-monitor rr , pace activies for rest,elevate hob,//

promote aireay clearance, cough and seceretions, hydration and increase humidity and inspired air,teach cough tehcniques//sleep qlait-sleep patters//

reduce risk of infection—standarg precatiuiins, control secretions by mainating distance,, droplet precations,mask and priv room

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22
Q

decongestants

A

Phenylephrine (Neo-synephrine),

pseudoephedrine (Sudafed),

oxymetazoline (Afrin)

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23
Q

decongestants
vasoconstriction

A

reducing inflammation and edema within head and relieves congestion. Habit forming and can cause rebound congestion. Can lead to chroninc congestion and inflammtion

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24
Q

what need to know as rn
decongestants

pt education

A

Cardiac contraindications asses for hypertion and heart disease. Will increase hr and bp

Medication interactions maoi inhibitors and antihypertensive drugs

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25
Q

pt education decongestants

A

safe dose,

cardiac history,

nasal spray–not to use for more then 5 days, can cause jittery and hyper and can cause insomnia/sleeplnesness

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26
Q

antihistamines

A

Diphenhydramine (Benadryl),

Cetirizine (Zyrtec),

Loratadine (Claritin)

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27
Q

antihistamines
what do

A

OTC allergy and cold medications

Relieve histamine dry secretions up.

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28
Q

what need to know as rn and pt education antihistamines

A

Assess for asthma or lower respiratory disease

Effects drying. Sedative some are more then others.

Activity tolerance and safety and sleepiness

Patient Education no alcohol due to sedation

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29
Q

respiratory syncytial virus

primary cause
who gets

A

Primary cause of respiratory illness In Young children and infants

Older children and adults more likely to present

Elderly and immunocompromised more susceptable

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30
Q

trasnmissopn of rsv

A

similar to ur. Can get through

droplet

object,

coughing and sneezing

via contaminated hands or objects

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31
Q

manifestations RSV

A

rhinorrhea,
common cold
,and cough

children can progres to pneumonia or brovnciolitis

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32
Q

treatment of rsv

A

supportive care, similar to ur.

Intubation only necessary when in lower lungs and hypoxia

develops hydration and mobilizing secreations.

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33
Q

diagnosis/meds for rsv

A

Diagnosis is
history/clinical findings,

wbc count

Meds-ribravian in older adults

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34
Q

nursing care rsv

promote effective breathing, airway,sleep,infections

A

promote effective breathing-monitor rr/ pace activities for rest/ elevate hob

promotes airway clearance –monitor cough and ability to remove secretions/ maintain hydration/ increase humidity in air/teach cough techniques

assess sleep quality,w/sleep patters..

Reduce risk of infection-standerd precautions/instruct patients to maintain distance of 3 feet/ droplet precautions/priv room and masks

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35
Q

influenza

transmission
strains
incubation period
high risk

A

Transmission-droplet and direct contact-masks

Three major strains
A  most infections and large outbreaks
B less extensive and severe
C mild and unnoticed

18-72 hr incubation period

high risk in super young/old and chronic illness

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36
Q

manifestations influenza
resp
system

A

respiratory symtoms
coryza
dry cough
substernal during
sore throat

systemic symtoms
fever
malaise
muscle aches
fatigue

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37
Q

influenza

complications

A

Respiratory failure, increased risk of pneumonia –higher pevleance in chronic heart failure-exacerbation of copd,brinchtid,or asthma

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38
Q

prevention influenza

A

Prevention
Immunization

85% affective, eldergly served first

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39
Q

diagnosis influenza

A

history and physical,

nasal swab,

long term may need xray and chest work

WBC

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40
Q

medications influnza
anti
tam
otc
immunize

A

antiviral,before/within 48 hours of exposure-ends in ine.

tamiflue is given to reduce duration and severity if needed.

Otc is given to relieve fever/pain yearly

immunization –don’t igve to pts with egg allerg,, antitsuuives may decrease cough

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41
Q

health promotion/education for influenza

A

Vaccination, hygiene, handwashing, masks- patient & visitors and staff

Rest, encourage fluids
Care-protect vulnerable populatons

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42
Q

nursing care influenza
breathing
airway
sleep
infection

A

-promote effective breathing-monitor rr pace actvites for rest elevate hob

promotes airway cleanrce- monitor cough and ability to remove secretions, maintain hydration, increase humidity if air, teach cough techniques

assess sleep quality,w/sleep patterns..provide medications before bed

Reduce risk of infection-standerd precaution-instruct patients to maintain distance of 3 feet, droplet precautions, priv room and masks

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43
Q

sinitus

what is
any process
follows

A

inflammation of mucus membranes-develops when swell

Any process that impairs drainage from the sinuses may precipitate sinusitis. Examples include nasal polyps, deviated septum, rhinitis, tooth abscess, and swimming or diving trauma

Follows an URI, influenza-seceations collect in cavities. Draws serum and loekoctyes and causes increases swelling and pressure

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44
Q

manifestations and complications of sinitus

A

manifestions
Pain/Tenderness across infected sinus
Heachache
Fever
malaise
Pain in leaning forward and up teeth
Nasal congestion, discharge/bad breath

complications
menengitis,
brain abcess
Discomfort in neck may mean spreading issues
Periorbital Abcess,cellulitis,sepsis or intracranial pain

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45
Q

how diagnose sinitus

A

Presentation of symptoms h and p

Imaging x ray- normally translucent, cloudy and pink

Ct and mri may be needed to rule out chroninc sisues

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46
Q

how is sinitus treated

A

antibiotic therapy-10-14 days w/ amxocillan or ciroflaxon

steroids/decogestants-dry secretions, not as effective

saline-promotes drainage

no response = surgery

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47
Q

nursing care sinitus

A

manage pain scale, ice pack, elevate hob//

nutrition
clear liquid diet
I and o
elevate hob//

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48
Q

tonsillitis

what is
who at risk
diagnoes

A

Inflammation of tonsils-strep infections-spread by droplet-symptoms last 3-10 days

–risk factors immunocompromised,

Diagnosed w/ throwat swab,cbc

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49
Q

tonsillitis how present

A

Tonsils brigh red

white exudate

uvula swollen/red

lymph nodes swollen tender

sore throat

Difficulty swallwong

  • Fever worse in adults
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50
Q

treatment of tonsillitis

A

antipyretics/pain releif-ibuprofen

Antibiotocs for 10 days-after 24 hrs-noncontagous

tonsilectamy

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51
Q

tonsillectomy nursing care

pt airway position

complications

A

Patent airway position allow secretion drainage –semi fowlers with head turned to side to allow drainage from mouth

Complications?
Excessive bleeding /hemorrage
Notify MD immediately

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52
Q

pain/swelling interventions

caution in children
‘

tonsillectomy

A

Ice collar, cool fluids, ice chips, warm saline, liquid diet/semi liquid,assess pain, adnminster analgesucs

Take caution with asprin in children. Don’t eat acidic or citrus foods/drinks. No forcful gagling. Can cause blleding—can only do gentle saline gargles

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53
Q

Laryngeal Infection: Epiglottitis

What does the larynx do?
includes
inflammation=

A

Located between upper airway and lungs and protects lower repertory tract from inhaled subatacnes and allows speach

Includes the epiglottis

Inflammation of these structures = epiglottis or laryngitis

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54
Q

epiglottitis

type of infection
presentation

A

H. influenzae infection

P- swelling and edema can threaten airway. Fever sore throat, painful swallowing, drooling and strider

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55
Q

diagnosis of epiglottis

never use

A

Epiglottis visualized with optic scope

never use a toungue bla dor tongur cultire due to laryngeal spasm and airway pbstruviotn

56
Q

treatment of epiglottis

A

Antibiotics- Ceftriaxone cefuroxime (), or ampicillin/sulbactam

corticosteroids to decrease swelling/ inflammation

57
Q

nursing care focus for epiglottis

monitor for
keep at bedside

A

airway management.
monitor spo2
monitor breathing difficulties
restlesses,
stridor,

keep airway supplies at bedside

58
Q

laryngitis
what is

caused by

A

Inflammation of larynx –can occur with uri

caused by
uri,
changes in temp,
excessive usage of voice,
exposure to dusts//pollutants

59
Q

manifestations of laryngitis

A

change in voice, hoarseness or loss of voice

60
Q

how to treat laryngitis

A

No specific treatments,

elimination is key, voice rest and soothing measures like throat sprays

Try to identify potential irratants like fumes or checmicals

61
Q

diphtheria

pathogen
uncommon
spread

A

Aerobic pathogen called Corynebacterium Diphtheriae

Uncommon is US due to immunization -tdap

Spread through droplet and contamination of objects – spreads in poor contaminated areas, lomted acces too heathcare and crosded areas

62
Q

manifesaations of diphtheria

A

thoickgray exudate or membrane over laync- interferes w. eating drnkinf breathing

fever sore throat and bad breaht

63
Q

immunization for diphtheria

A

TdAP- tetanus, diphtheria, & pertussis

64
Q

treatment for diphtheria
complications
confirmedhow
care-monitor/promote/assess/precatuions

A

Treat infection, prevent spread, support respiratory status

10% die w treatment, 50 % die wout-

complications –airway occlusion,pulmonary infection that can led to resp falure, myocarditis, polyneuropathy

Confirmed w/ throat culture

Care- montor cough,maintain hydration, increase humidity/

prmote effective breathing, montor rr, pacae activies, elvate hob,//

assess sleep quality/

/use droplet precations –ISOLATION prequations, hugeine, masl, privater room

all visitors are screened and immunized -given antibiotics

65
Q

pertussis

A

highly contagious-adults are resovoirs- starts as runny nose/snnezing, can lead to coughing fits, lad to brok ribs and pnemnia

66
Q

patho pertussis

A

toxins damage mucosa and paralzye cilia

67
Q

preventions for pertussis

A

immunization

68
Q

diagnosis
////
treatment

pertussis

A

swabbing of nasal secretions , blood tests

erythromycin

69
Q

manifestations and complications

pertussis

A

burst of rapid coughing, followed by whoop, whoop is les frequent in adults. 7-10 days of coryza,sneezing, low fever and mild cough, after 1 wek cough becomes frequent manifestions/

/ complications– hopsiaptazied die to hypoxia dns nireoglcan affects of not enough 02

70
Q

nursing care for pertussis

bresthing
airway clearnance
sleep
infection

A

promote effective breathing,-montor rr ,periods of restr, elvate hob

/prmote airway cleanrece momnitor cough, maintain hydration, increase humiidty, teach cough techniqes/

/assess sleep waloty

/ reduce risk of incetion, standard precation, instruct pateints to maintain a distance of 3 feet, droplet preations

71
Q

epistaxis

causes and goal

A

AKA nosebleeds-rich supply of blod
Causes  trauma, dry nasal membanes, subrance abuse, irraition
Goal identify cause and stop it

May be indicative of a fracture

72
Q

anterior bleeds epistaxis
how to help

A

pressure, lean forward, ice causing vasoconstriction

Topical vasoconstriction medication

73
Q

posterior bleeds vasoconstriction

A

Nasal packing –w/ gauze left in place for 2-5 days –in pts woth cardio disease, hypertension,dysthrmia, acute mi and can cause toxic shock syndrome. Rubber gauze foes into nose w guazwe attached

Cautery

74
Q

nursing priority for epistaxis

A

Respiratory status, risk for aspiration , anxiety

75
Q

what to avoid w epistaxis

A

Avoid strnous exercise, don’t blow nose, , don’t pick nose

use petrolluem jelly, use humidifier

76
Q

sleep apnea

linked w/

A

Intermittent absence of airflow through the mouth and nose during sleep-leading cause od daytime sleepiness

Linked w/ hypertension,heart failure

77
Q

obstructive sleep apnea

A

 common, reps drive remains intact, occlusion is causing hinderence of airpflw

78
Q

central sleep apnea

A

rare nerloguic disosider that involves imaoriemnt of drive of msucles

79
Q

patio for sleep apnea

A

airflow obstruction

po2,o2,ph fall

pco2 rises

brief arousal to restore airways

80
Q

manifestations sleep apnea

A

Snoring
Daytime sleepiness
Headache, irritability
Period of apnea
Gasping
Contributes to daytime sleeptimess , memory loss and personality changes

81
Q

risk factor for sleep apnea

A

Obesity, large neck circumference, alcohol and CNS depressants

82
Q

diagnosis sleep apnea

A

Overnight sleep study

83
Q

treatment sleep apnea

A

Losing weight,
CPAP (Continuous positive airway pressure),
surgery
no alchhol.
Avoiding supine position for sleep

Cpap Prevents collapse of small air sacs and airway obstruction

84
Q

bronchitis

A

Inflammation of the bronchi –acute or chronic

Virus or bacteria that damage respiratory mucosa

85
Q

risk for bronchitis

A

exposure,

no immunization,

exposure to smoke fumes or pollution

86
Q

manifestations for bronchitis

A

nonproductive cough that becomes productive, aggravated by varying air.

chest pain/moderate fever/malagia

87
Q

diagnosis for bronchitis

A

Chest X ray, H&P

88
Q

how is bronchitis treated

A

Broad spectrum antibiotic –penicillin or erythromycin

Fluids, rest, fever relief

Secretions encourage fluids and cough/deep breath

89
Q

pneumonia

A

Inflammation of bronchioles & alveoli

Hindrance to the gas exchange process

can be infectious or non

90
Q

risk factors are pneumonia

whis at risk

A

underlying respiratory conditions,

smoking,

malnutrition ,

very young/old

91
Q

manifestations pneumonia

A

chills-rigors

fever

cough w/ rust colored sputum

chest ache

plural friction rub

92
Q

how to diagnose pneumonia

A

x ray

sputum

cbc/wbc

pulse ox

abg

93
Q

nursing priority and nursinmg considerations for pneumonia

A

oxygen

increase fluids to help release sputum

use incentive spirometer

o2 therapy

chest physiotherapy

94
Q

complications pneumonia

A

hypoxemia

oxygen

confusion dr hypoxema

respiratory failure

95
Q

tb

A

Chronic-recurrent infectious disease affecting the lungs

Caused by mycobacterium tuberculosis

96
Q

transmission of tb

A

airborne, breathing in infected air, remain suspended in air for several hours

97
Q

manifestations of tb

A

Initial- few symptoms

Nonspecific; fatigue, weight loss, anorexia, night sweats ,dry cough that turns productive

98
Q

who’s at risk for tb

A

imagrants,

pts with hiv,

disavataged population,

drug/alcohol absue

overcrowded area,

exposure

, drug usage

99
Q

medical and treatment goals for tb

A

Make the disease non-communicable to others

reduce sympons of disease

Effect a cure in the shortest possible time

use of Antibacterial medications and Antitubercular drugs

100
Q

diagnosis for tb

A

H&P,

Chest X ray,

sputum culture (definitive test)

, skin test (PPD Test-activates hypersencitvy response,does not mean ccitve disease is present 5mm or greater is opsitive)

,sputum smear, sputum culture,

senstuvty testing

101
Q

ethambutol side effects/nursing considerations

A

Optic nuratis,

Color discitmatitoin and

visual acuity,

102
Q

isoniazid side effects/nursing considerations

A

Nuerpathy and hepatitis, monitor liver function and sensation

103
Q

rifampin side effects/nursing considerations

A

Urine can be yellow or orange, flu like sympotpms, monitor labs educations

104
Q

pyrazinamide
side effects/nursing considerations

A

hepatotoxic , monitor liver functions

105
Q

what diagnostic tests are utilized to evaluate effectiveness of medication therapy??

A

Chest x rays and sputium

106
Q

tuberculosis preventaiton

A

Public health education

Best prevention: Early diagnosis and appropriate treatment to achieve cure

airborne precations, family screening , medications, follow up sputum testing, nutritional needs

107
Q

vaccines tb

A

BCG Vaccine- infants where TB in prevalent

108
Q

asthma

characteristic by

A

Reactive disorder; chronic inflammatory disorder of airway

wheezing, breathlessness , chest tightness and coughing

109
Q

patio asthma

A

Airways are in constant state of inflammation; triggers worsen inflammatory state

110
Q

triggers asthma

A

allergens

repository infections

excercise

emotional upsets

inhaled irratents

111
Q

disgnosis asthma

A

Pulmonary Function Test (PFT):evaluate degree of airway obstructions

Skin Testing: specific allergens

ABGs: oxygenations

Challenge Testing: determain asthma by seeing airays hypersentivities

112
Q

disease monitoring asthma and risk factors

A

Peak Flow Meter/Rate: Used for newly diagnosed, monitoring medication response

Recording daily, can help identify early changes treatment, seek medical attention

allergies/genetics

113
Q

manifestations asthma

complicaitons

A

chest tightness, cough, dyspnea, wheezing, tachypnea, tachycardia, anxiety, and apprehension—

w.out treatment, resp failure, hypoxmia, hypercapnia and acidosis

114
Q

asthma preventive measures

A

avoid triggers,

early treatment

115
Q

long term asthma meds

A

Long-acting bronchodilators

Anti-inflammatory agents

Leukotriene Modifiers

116
Q

quick relief meds asthma

A

Rapid
acting bronchodilators

Anticholinergic drugs

Methylxanthines

117
Q

Nursing Diagnosis & Priorities in Care
asthma

A

Airway

Ineffective breathing
pattern

Anxiety

Education of therapeutic regimenheart racing and jittery, mouth rnising

117
Q

inhaler

A

w/soacer—,check dose coutner, prime new inhaler by shaking 10 times and spray 2-4 times, shake inhaler ,tap cp off , clean spacer and puit in inhaler to sopacer, remove cap. Brethe out. Hold inhgaler and tilt head back, breath in while spraying meciation. Keep lips closed on spacer, hold breth for 10 seconds-rins mputh and spit out,store in cool dry space

118
Q

copd

A

Narrow airways, resistance to airflow increased, expiration difficult

Smoking greatest risk factor

Emphysema & Chronic Bronchitis fall into this category

118
Q

copd manifestations

A

Airway limitations

Dyspnea

Barrel chest- air trapping; hyperinflation; @ risk for high Co2 levels

Clubbing of fingers and toes- chronic hypoxemia

Tripod position for most effective breathing
Pursed lip breathing

119
Q

copd diagnosis

A

PFTs,
ventilation/perfusion scan,

ABG’s

pulse ox

chest ray

120
Q

treatment/goals copd

A

Immunization

Smoking cessation

Oxygen- fyi at risk for increased carbon dioxide levels

Clearing secretions fluids & C&DB activities/exercises

Pulmonary rehab- lifestyle modification

121
Q

meds copd

A

Bronchodilators (albuterol); will help decrease constriction and improve SpO2; followed by steroid inhaler-reduce air trapping,promote air flow

Aminophylline- CNS Simulant; produce bronchodilation
must watch for toxicity increased resletness and agitation

Plan for medication administration for most benefit –before eat

Ling term oxygen thereapy,potential tranplatation

122
Q

copd nursing care

resp stauts/nutrution/coping/smoking

A

Asses resp status every 1-2 hrs,report chages in 02 satuarion,mintor labs,weigh daily,high fluids, fowelrs position, coughing and db every 2 hours, provide tiisues and bag for sputuim, rep therapist, suctioning, provide supplemental oxygen /

/promote blanced nutrition,observing stauts,monitor labs,cosult diatition,oserve intake,place in high fowlers for meals,mouth acer prior ro meals,//

/family coping//

smoking cessation

123
Q

copd priotires

A

Support of physical & psychologic responses
Ineffective airway
Nutrition

124
Q

cystic fibrosis

A

Excessive gland secretion

Excessive mucous production

impared ability to clear secretions

pancreatin enxyme disease to impair digestion

Impaired digestion

High levels of sodium and chloride in sweat

125
Q

cystic fibrosis manifestations

A

club fingers and toes dt hypoxemia,

increased fluid volume and abdomen distention,

distended neck veins,

edema

ab pain

and excess fat in stool

126
Q

diagnosis cystic fibrosis

A

analysis of chloride level in sweat, overall shorter lifespan

127
Q

Cystic Fibrosis Medications & Treatment

A

Immunization

Bronchodilators

Lung transplant- only definitive treatment

128
Q

CF nursing cares

A

Difficulty clearing secretions; Promote airway clearance –asses rest status, assess cough, montor results, place in fowler postion, assist coughing, fluid intake pf 2000-2500//

promote healthy greif responses//

Chest Physiotherapy- aids in drainage, comleted on empty sdtomach

Percussion & postural drainage- completed on empty stomach

129
Q

Atelectasis

A

Condition associated with many respiratory disorders

Partial or total lung collapse and airlessness –xray shows no air in lungs

results from trauma,acute or chrnic lung diseases, poor lung use,

130
Q

atelectasis therapy

and assessments

A

prevention,
copd,smoking, prolonged bedrest//

assess repsitary status,including rate,breths ounds, spiromaty readinig

131
Q

atelectasis manifestatioons

A

Diminished breath sounds, X ray- airless component of lungs

132
Q

atelectasis nursing care

A

airway clearance, C&DB, increase fluids, pulmonary hygiene and exercise

133
Q

Working as a TEAM with Respiratory Patients

A

Registered Nurse must complete primary and initial education, primary assessment

Licensed practical nurse (LPN) medication administration under their scope, reinforce education

Unlicensed personal able to assist with tasks and take vitals

d-health promotion(former alteration) (10 decks)

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