Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

z_NUR112: MIDTERM_LAST LEG > CH 41_Oxygenation > Flashcards

CH 41_Oxygenation Flashcards

1
Q

Is Hypoventilation associated with Acidosis or Alkalosis?

A

Acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hypoventilation results in the retention of _____ and the need for _____.

A

CO2, O2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Accumulation of fluid around or in the lungs can cause…

A

CHF (Congestive Heart Failure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What other item can lead to CHF?

A

Pulmonary Edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the major characteristic of pneumonia?

A

fluid in the lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Fluid in the lungs is also called…

A

consolidation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do we assess for consolidation?

A

Auscultation and checking for fremetis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How would consoidation be indicated during auscultation?

A

crackles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Absent, weak, or altered fremetis vibrations indicate…

A

possible consolidation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name some things that can cause hypoventilation that could lead to acidosis

A
  • Opioids
  • Fluid in or around lungs
  • Pneumonia
  • Pulmonary Edema
  • Asthma/bronchiole constriction
  • COPD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Chronic bronchitis and Emphysema are two types of…

A
  • COPD
  • Chronic Obstructive Pulmonary Disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

COPD is a _____ retainer

A

CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Emphysema is an overinflation of…

A

the alveoli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

RR of < 12 can lead to…

A

acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

RR of > 20 can lead to…

A

alkalosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hyperventilation leads to loss of

A

CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How would you supply CO2 to someone who is hyperventilating?

A

Give them a mask/bag so they breathe back in the expelled CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Hyperventilation will require _____.

A

CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Hypoventilation will need _____.

A

O2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Name seven early signs of hypoxia.

  1. Restless
  2. Irritable
  3. Confusion
  4. Heart/Respiration increased
  5. Decreased LOC
  6. Tachypnea
A

Tachycardia

or RAT (early),

Restless, Anxiety, Tachycardia/Tachypnea

BED (late)

Bradypnea/Bradycardia, Extreme restlessness, Dyspnea (severe)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Name five late signs of hypoxia.

A
  • Bradypnea
  • Bradycardia
  • In/out of Conciousness
  • Sleepy
  • Cyonosis
22
Q

What are the characteristics of Stridor?

A
  • EMERGENT
  • Indicative of occlusion,
  • complete blockage of airway by the soft structures and tissues and narrow airway in children
23
Q

What does URI stand for?

A

Upper Respiratory Infection

24
Q

What does GERD stand for?

A

Gastroesophageal reflux disease

25
Q

What are four early signs of hypoxia for children?

A
  • FINES
  • Feeding difficulty
  • Inspiratory Stridor
  • Nares Flare
  • Expiratory grunting
  • Sternal retractions
26
Q

Define Hypoxia

A

Hypoxia is a condition or state in which the supply of oxygen is insufficient for normal life functions

27
Q

Define Hypoxemia

A

Hypoxemia is a condition or state where there is a low arterial oxygen supply

28
Q

What are three indicators of Hypoxemia?

A
  1. Tachycardia
  2. Tachypnea
  3. Restlessness
29
Q

What are six characteristics of Asthma?

A
  1. Productive cough
  2. SOB
  3. Wheezing/Prologned expiration
  4. CO2 retention
  5. Chest tightness
  6. Retractions
30
Q

Define Asthma

A

Asthma is a condition in which your airways narrow and swell and produce extra mucus

31
Q

What are the characteristics of Status Asthmaticus?

A
  • Status asthmaticus is more commonly known as acute severe asthma or a severe asthma exacerbation.
  • It refers to an asthma attack that doesn’t improve with traditional treatments, such as inhaled bronchodilators
  • It is EMERGENT
32
Q

If Asthma symptoms do not respond to usual treatment within 30 minutes, what is it indicative of?

A

Status Asthmaticus

33
Q

Asthma is also known as a _____ _____ _____.

A

reactive airway disease

34
Q

Those with Chronic Bronchitis are in need of…

A

O2

35
Q

What are some symptoms of Chronic Broncitis?

A
  • Darker to cyanotic color
  • Productive cough
  • Hypoxia
  • Hypercapnia
  • Respiratory acidosis
  • Inc RR
  • Inc Hbg
  • Exertional Dyspnea
  • Clubbing
36
Q

Chronic bronchitis can lead to

A
  • Cardiac enlargement
  • Use of Accessory Muscles to breathe
  • right-sided heart failure
37
Q

What are some characteristics of emphysema?

A
  • CO2 retention
  • Pursed lip breathing
  • Orthopneic
  • Barrel chest
  • Exertional dyspnea
  • Prolonged expiration
  • Speaks in bursts as breath allows
  • Anxious
  • tri-pod stance common
38
Q

What are we assessing during respiratory Inspection?

A
  • Skin and mucous membranes
  • LOC
  • Breathing patterns
  • Chest wall movement
39
Q

What are we assessing during respiratory Palpation?

A

Pulses at chest, feet, and legs.

40
Q

What are we assessing during respiratory Percussion?

A
  • Presence of abnormal fluid/air
  • Diaphragmatic excursion
41
Q

What are we assessing during respiratory Auscultation?

A

Normal and abnormal heart and lung sounds

42
Q

What are the Nursing Responsibilities for physical assessment in oxygenation issues?

A
  • Lung auscultation and breathing pattern
  • Abdominal use in breathing
  • Urine output
  • Skin and mucous membranes
  • Heart souns
  • Circulation
  • Edema
  • DVT
43
Q

What are the three oxygen delivery devices?

A
  1. Nasal cannula
  2. Simple face mask
  3. Venturi mask
44
Q

What is the volume of oxygen that can be delivered via nasal cannula?

A

1-6 Liters

45
Q

What is the volume of oxygen that can be delivered via a simple face mask?

A

5-8 Liters

(can go over 8, but O2 would stay at 60% max)

46
Q

What is the volume of oxygen that can be delivered via a venturi mask?

A

4-12 Liters

(Can go up to 15L for 100% O2)

47
Q

What are four advantages to nasal cannula?

A
  1. Safe and simple
  2. Easily tolerated
  3. Does not impede eating or talking
  4. Inexpensive and disposable
48
Q

What is an advantage of a simple face mask?

A

Provides humidified oxygen automatically due to higher delivery rate

49
Q

Advantage of the Venturi mask?

A
  • most accurate
  • allows control for a specified oxygen concentration
50
Q

Disadvantage of the nasal cannula?

A
  • can dry out mucus membranes
  • will require order for humidified O2

z_NUR112: MIDTERM_LAST LEG (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions