Exam 2 Flashcards
What needs to be attached to 02 delivery system if giving more than 4-6L of 02?
Humidifier
What area is need to be cont. assessed if pt. is on an 02 system?
-Cheeks -Bridge of nose - Nares -Ears
-Chin -Around the mouth
–Depends on the devise used
What advantageous lung sounds indicate RESP. DISTRESS?
-the sound?
-caused by?
Stridor (noisy breathing)
SX: characterized by a high-pitched whistling or squeaking sound when breathing in or out.
CAUSED BY a partially blocked airway, which can be in the upper airways, glottis, or trachea
The patient arrives in the emergency department with extremely labored breathing and wheezing. Use of accessory muscles for breathing and distention of neck veins are observed.
What is the pt. experiencing?
Status Asthmaticus
–> Prepare for emergency Intubation and interventions
Interventions for Status Asthmaticus?
-IV fluids
-potent systemic bronchodilators
-steroids
-epinephrine
-oxygen
-Magnesium Sulfate (relaxes muscles)
–>given immediately to reverse the condition. Magnesium sulfate
What does the sudden absence of wheezing along with a low oxygen saturation indicate _________ and requires a tracheostomy?
Complete Airway Obstruction
This is a destructive disease in which the airflow in and out of the alveoli (small sacs that promote oxygenation) is restricted, therefore trapping CO2 from escaping.
COPD
Also Includes:
-Emphysema
-Chronic bronchitis
What does VATS do for a COPD pt.?
-surgical procedure
Video-assisted thoracoscopic surgery removes hyperinflated tissue from both lungs, helping with oxygenation by removing the bad.
What CONDITION patho includes mucus narrows airways, reducing airflow and interfering with gas exchange and oxygenation?
Cystic Fibrosis
-hint= increased thick mucus production
What is the gold standard DX TEST for cystic fibrosis?
Sweat Chloride Test
-Positive chloride level = 60-200mEq/L
(Normal < 40 mEq/L)
