Chapter 58 Flashcards
Type two aveoli cells in the walls of the aveoli produce ______________ a phospholipid protein that reduces the surface tension in the aveoli without it the aveoli will collapse
Surfactant
Allergies, chest injuries, crowded living conditions, exposure to chemicals, exposure to infectious disease, frequent respiratory illness, residence or traveling, smoking,viral syndrome
Can all be described as..
Risk factors for respiratory disorders
Specimen obtained by expectoration or tracheal suctioning to assist in identification of organisms or abnormal cells
what procedure is this
Sputum specimen
Sputum specimen
What time of the day is best to collect?
Does the client have to rinse mouth out before specimens collected?
How many ML’s of sputum must be obtained?
You have to collect specimens before client begins what?
Post procedure one specimens collected when does it get transferred to the lab?
Morning Yes 15 ML's Before antibiotic therapy begins Transport to the lab immediately
Which Bronchus is slightly wider and shorter and more bird vertical?
The right
What procedure enables the direct visual examination of the larynx trachea and bronchi with a fiber-optic bronchoscope?
Laryngoscopy and bronchoscopy
Laryngoscopy and bronchoscopy What is the first thing you obtain Since when is the patient NPO Why do you have to asses coagulation studies What do you remove Does the patient have an IV started
Informed consent
Patient NPO midnight before
To see how quickly your blood coagulates it is not good it to coagulate to quickly during a surgery.
Remove jewelry necklaces and dentures
And Ivy is started and pain medication is administered. Always have emergency resuscitation equipment available
Priority actions: identify for which procedure.
Explain procedure
Place client in a preposition
Hand hygiene don protective garb
Prepare suctioning equipment and turn on suction
Insert catheter without suctioning
Once inserted apply section intermittently while rotating in and withdrawing it
Hyper oxygenate
Listen to breath sounds
Document procedure
Priority actions for respiratory suctioning
Laryngoscopy and bronchoscopy: post procedure
After you assess vital signs how do you maintain the patient?
You must keep the patient NPO until what returns?
What complications can arise from this procedure?
When do you notify the healthcare provider?
Semi Fowler’s position
Gag reflex returns
Bronchospasms dysrhythmias hemorrhage hypoxemia noble thorax bronchial perforation
Fever, difficulty breathing
Describe the following procedure.
Tissue samples are obtained from central long masses and lymph nodes using a bronchoscope with the help of ultrasound guidance.
Endobronchial ultrasound (EBUS)
Endobronchial ultrasound (EBUS)
Why is this exam performed?
Is it very invasive?
Post procedure what are you monitor the patient for?
Tissue samples are used for diagnosis and staging lung cancer detecting infections and identifying inflammatory disease that affect the lungs like sarcoidosis
No it is minimally invasive done on an outpatient basis
Monitor for bleeding and respiratory distress
Identify the following procedure.
And invasive floor scopic procedure where catheter is inserted through the be more opening into the pulmonary artery. Iodine contrast is used.
Pulmonary angiography
Pulmonary angiography
What is the first thing you obtain
You have to assess for what type of allergies
Maintain patient NPO for how many hours before procedure
Why do they do coagulation studies?
You establish intravenous access through which artery
Instruct the client that once the dye is injected they will feel the urge to
Informed consent
Seafood allergies
Eight hours before procedure
The blood should not coagulate so quickly so they do the studies in case they have to give anticoagulation meds
The femoral artery aka antecubital
They may have the urge to cough, flushing ,nausea ,or salty taste following injection of dye
Pulmonary angiography. Post procedure
When it comes to taking BP what do you have to avoid?
What else do you assess on the affected extremity?
What are you monitor due to the dye?
Avoid taking blood pressure for 24 hours in the extremity used for the injection.
On the affected extremity monitor neurovascular status
Assess bleeding in the injection site
Monitor for anaphylactic shock due to dye
Describe the following procedure.
Removal of fluid or air from the plural space via thoracic aspiration.
Thoracentesis
Thoracentesis
Where is the first thing you obtain for procedure
Why do you assess coagulation studies
How secure position the patient?
How’s it you position the patient if you cannot sit up
What should the client not to during the procedure
Informed consent
So the blood one clot too fast
Sitting upright with the arms and shoulders supported by a table at the bedside
If patient cannot sit up the client is placed lying in the bed towards unaffected side with the head of the bed elevated
Client should not cough, breathe deeply or move
Thoracentesis: post procedure
What do you assess
Monitor for signs of what
Assess vitals and puncture site for bleeding and crepitus ( peculiar grafting or crackling sound)
Monitor for signs of air embolism pulmonary edema and Phuemothorax
Describe the following procedure.
Test used to evaluate lung mechanics gas exchange an acid-base disturbance through spirometric measurements, lung volumes, blood gas levels
Pulmonary function test
