ATI Unit 2 - Respiratory Disorders (Josh) Flashcards
Signs of O2 Toxicity
Hypoventilation
increased PaCO2
unconsciousness
GI complications from CF
Meconium ileus
Rectal prolapse
Distal intestinal obstruction syndrome
GERD
Should the Dry Powdered Inhaler device be shaken?
NO
- also no spacer for these
Endocrine complications from CF
diabetes mellitus
Early signs of CF:
Respiratory:
- Wheezing
- Dry, nonproductive cough
GI:
- Meconium Ileus
Why suction as needed and not routinely?
routine suctioning may cause mucosal damage, bleeding, and bronchospasm
Wait 5 mins between — and other inhaled meds for CF.
ipratroprium bromide
When taking ipratroprium for asthma, assess for –
dry mouth (anticholinergic)
- suck on hard candy (older kid)
Four Categories of Asthma
Intermittent: 2 or less per week
Mild Persistent: more than twice a week but not daily
Moderate Persistent: daily
Severe Persistent: continually, nighttime more than once a week for 0-4 yr old and nightly for 5-11 yr old; uses SABA several times a day
When should CPT be scheduled?
1 hr before or 2 hrs after meals and at bedtime
- administer bronchodilator or nebulizor prior to treatment as prescribed
Respiratory complications from CF
Resp infections
Resp colonizations
Bronchial cysts
Emphysema
Pneumothorax
Nasal polyps
— is a set of techniques that include percussion, vibration, and postural drainage.
CPT (Chest Physiotherapy)
Exhale through — w/ MDI (Metered Dose Inhaler)
Exhale through – w/ DPI (Dry Powder Inhaler)
nose
pursed lips
Using a Peak Flow Meter
Zero marker
Stand upright
Close lips tightly around the mouthpiece
Blow out as hard and as fast as possible
Read the number on meter
Repeat twice (waiting 30 secs between) and record highest number
What is the medication Dornase Alfa used for?
decreases viscosity of mucus and improves lung function w/ CF clients
