COPD

Question 1

what is the common cause of COPD

Answer 1

1. smoking
2. genetics

increased Co2- decreased O2= triggered ventilation

Question 2

what is the therapeutic O2 sat of the COPD px

Answer 2

89-92%

Question 3

what is the most accurate and precise respiratory mask

Answer 3

1-2L/min

Question 4

alveolar fibrosis/ damage. “PINK PUFFERS” rosy flushed red, struggling to breath. alveoli is thick and poor gas exchange. and has a thin build

Answer 4

emphysema
+ barrel chest

poor saturated RBC=Pink
chronic hypoxia= increased RBC

Question 5

inflammation of the bronchi, mucus production “BLUE BLOATERS”, cyanotic, overweight . when doing activity it increased the work of activity

Answer 5

chronic bronchitis

Question 6

mgt for COPD

Answer 6

1. hypoxia- venturi mask 1-2lpm
2. hypercapnia- purse lip breathing*
   diaphragmatic breathing

LET THEM SIT* every there is a activity

Diet- high cal, high protein, low carbs
-small frequent eating, drink water AFTER meal & loss clothing

Question 7

what is the best position of COPD

Answer 7

Orthopneic tripod

Question 8

cause by allergens, chronic airflow limitations. environmental such as pollen, dust, danger fur, feather, smoke, fumes, strong smells

Answer 8

asthma

Question 9

BQ: what is the best pet for an asthma pt?

Answer 9

fish

Question 10

what are the triad pathology of asthma?

Answer 10

+wheezing &crackles
+cough
+dyspnea

Question 11

s/sx of asthma

Answer 11

Bronchoconstriction
Airway obstruction
Mucus production

Question 12

what is the best purpose of Incentive spirometer

Answer 12

to Lung expansion, prevent lung collaps

Question 13

what is the Dx tool for severity of asthma and to measure expiratory volume*

Answer 13

PEFM Peak expiratory flow meter

Question 14

trapped air in the pleural space

Answer 14

pneumothorax

spontaneous injury- may caused also a closed chest injury

Question 15

blunt trauma in the luncgs

Answer 15

closed chest injury

Question 16

gun shot wound, stab

Answer 16

open chest injury

Question 17

build up of (+) pressure causing lungs to collapse, causing to pushing to the unaffected side

Answer 17

tension pneumothorax

if + JVD position the pt into semi fowlers position

Question 18

what is the confirmatory tool of pneumothorax

Answer 18

xray

Question 19

mgt for pneumothorax

Answer 19

thoracostomy= thoracocentesis
continuous drainage: chest tube drainage system

Position- flat, supine with hand behind the head- Valsalva maneuver

Question 20

what is the position after thoracosynthesis

Answer 20

semi fowlers position and place transparent dressing. place below the heart level, no loops and no kinks

Question 21

containers of thoracosynthesis

Answer 21

1. collection seal N= 70-100 ml
   first 24 it is okay na ma abot og 100 ml. Monitor Qhr.
   >100ml risk for shock & bright red is sign of bleeding
2. water seal container-at least 2cm water, gentle intermittent bubbling
3. negative pressure

Question 22

s/sx of pneumothorax

Answer 22

subcutaneous emphysema (+) crepitus

Question 23

VAP mgt

Answer 23

position; semi fowlers position
oral care: 2hrs
suctioning:as needed
turn position: Q2hrs