General Patient Care Flashcards
What are some programs designed to assist individuals into quit smoking?
Instruction
Group counseling and support
Nicotine replacement
Behavioral modification
Stress reduction
What are three ways you can monitor compliance in a smoking cessation program
Carboxyhemoglobin levels exhaled CO levels (FeCO)
Continine levels in blood and urine
What is the name for Bupropion hydrochloride and what is its purpose?
Wellbutrin
An antidepressant that has been shown to dramatically reduce nicotine withdrawal symptoms
What is Varenicline and what type of drug is it?
Chantix
A prescription medication used to reduce cravings for and decrease the pleasurable effects of cigarettes and tobacco products
What sterilization method is used to sterilize prepackaged equipment in manufacturing
Gamma irradiation
What sterilization method sterilizes equipment by alkylation of enzymes and is frequently used with electronic equipment in hospitals
ETO gas sterilization
What sterilization method is appropriate for reusable Plastic devices used in respiratory therapy and flexible fiber optic bronchoscopies.
Alkaline glutaraldehydebor Cidex
What is the definition of a nosocomial infection?
An infection acquired at least 72 hours after admission to a hospital or other healthcare facility
Due to the high risk of contamination in water containing equipment, what should be done with containers and bottles that contain water
They should be labeled with date and time used and used/ discarded within 24 hours
How should you transport contaminated equipment from an isolation area?
It should be double bagged, and labeled
How often should you culture equipment storage to ensure it’s sterility and disinfection?
Routinely
What are the requirements for a biohazardous and or medical waste disposal?
Use a biohazard bag and slider rigid container.
Bags must be marked with biohazardous waste or symbol
double bag items placed inside a leak proof container with a lid
What are four ways of preventing ventilator associated pneumonia
 gentle suctioning
Post pyloric feeding
use of MDI’s instead of small volume nebulizers
Stress ulcer prevention
What are the objectives of pulmonary rehabilitation?
Alleviate or control medical symptoms of a respiratory impairment
Teaching how to maximize ability to carry out activities of daily living
What are the long-term benefits and goals of pulmonary rehabilitation?
Decreased perception of level of dyspnea
Improve ability to do activities of daily living
Decreased frequency of hospitalizations
What is a common test used to see if pulmonary rehabitation is having positive positive benefit
A time 6 to 12 minute walk where increased distances indicate improvement
In-home care, what should you teach patients about keeping their equipment from being a source of infection
Clean, clean equipment daily by washing with a mild detergent and then soaking in white distilled vinegar for 20 minutes
What is the criteria used to determine if a patient will benefit from oxygen in the home?
PA02 less than 55 torr on room air
Exercise limitation that is responsive to oxygen therapy
Pulse oximetry at rest, exercise and sleep suggested
Polycythemia or cor pulmonale
Why are liquid oxygen systems not used as back up systems?
Because they vent the oxygen overtime if not used
When using an oxygen concentrator, what will happen if higher flows are used
The oxygen concentration will fall
What is an important to have for patients to require home ventilation?
Primary and back up ventilator on site
