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ATI Comprehensive > Med-Surg: Respiratory System/2 > Flashcards

Med-Surg: Respiratory System/2 Flashcards

1
Q

carbon dioxide toxicity contributing factors

2

A
  1. CO2 retention

2. excessive oxygen therapy

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2
Q

CO2 toxicity manifestations

4

A
  1. altered LOC
  2. tachypnea
  3. increased BP
  4. tachycardia with dyrhythmias
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3
Q

pneumonia contributing factors (less known)

7

A
  1. no pneumococcal vaccination within the last 5 years
  2. no influenza vaccine within last year
  3. post op
  4. sedation and opioid use
  5. prolonged immobility
  6. tobacco use
  7. enteral tube feeding
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4
Q

pneumonia fluid intake

A

3l/day

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5
Q

TB manifestations

6

A
  1. cough, hemoptysis
  2. positive AFB sputum
  3. low grade fever
  4. night sweats
  5. malaise, fatigue
  6. anorexia, weight loss
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6
Q

isoniazid and food

A

avoid food containing tyramine (aged cheese, curred meats)

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7
Q

TB - educate about rifampin

A

can alter metabolism of other drugs

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8
Q

TB meds - monitor what organs

2

A

liver

kidneys

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9
Q

TB meds- administer when and how

A

empty stomach, at the same time everyday

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10
Q

TB meds - educate to watch for indications of

3

A
  1. hepatoxicity
  2. nephrotoxicity
  3. visual changes
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11
Q

meds that tx TB

6

A
  1. INH
  2. rifampin
  3. pyrazinamide
  4. ethambutol
  5. fluoroquinolones
  6. aminoglycosides
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12
Q

laryngeal cancer is most common in who

A

men ages 55-70

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13
Q

laryngeal cancer contributing factors

3

A
  1. smoking
  2. radiation exposure
  3. chronic laryngitis and/or straining of vocal cords
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14
Q

laryngeal cancer manifestations

7

A
  1. hoarseness longer than 2 weeks
  2. dysphagia
  3. dyspnea
  4. cough
  5. persistent sore throat
  6. hard, immobile lymph nodes in neck
  7. weight loss, anorexia
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15
Q

hoarseness in voice lasting longer than 2 weeks, think…

A

laryngeal cancer

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16
Q

laryngeal cancer dx procedures

5

A
  1. MRI
  2. direct laryngoscopy with biopsy
  3. x ray
  4. CT
  5. bone scan and PET scan
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17
Q

laryngeal cancer - route of meds that is preferred

A

elixir

18
Q

laryngeal cancer therap. measures

2

A
  1. partial or total laryngectomy

2. radiation

19
Q

PE contributing factors

9

A
  1. a fib
  2. hypercoagulation
  3. long bone fracture
  4. long term immobility
  5. oral contraceptive or estrogen therapy
  6. obesity
  7. PVD, DVT
  8. sickle cell
  9. central venous catheters
20
Q

PE manifestations

8

A
  1. dyspnea, tachypnea
  2. sharp, stabbing pain on inspiration
  3. tachycardia
  4. hypotension
  5. impending doom
  6. diaphoresis
  7. pleural effusion
  8. crackles, cough
21
Q

fat emboli signs

A

petechiae over chest and axilla

22
Q

PE dx tests

5

A
  1. abgs
  2. d dimer
  3. chest xray
  4. v/q scan
  5. pulmonary angiography
23
Q

PE therapeutic measures

2

A
  1. embolectomy

2. vena cava filter

24
Q

hemothorax manifestations

6

A
  1. respiratory distress
  2. tracheal deviation
  3. reduced/absent breath sounds
  4. asymmetrical chest wall movement
  5. subcutaneous emphyseam
  6. chest pain
25
Q

chest tube insertion

5

A
  1. place supine or semi-fowlers
  2. verify informed consent signed
  3. administer pain meds/sedation
  4. after - apply dressing to insertion site
  5. monitor
26
Q

chest tube - continuous rapid bubbling in water seal chamber

A

air leak

27
Q

chest tube - no tidaling in water seal chamber

2

A
  1. check for kinks

2. check breath sounds for lung re-expansion

28
Q

chest tube - no bubbling in suction control chamber

3

A
  1. verify tubing is attached
  2. verify water is filled to prescribed level
  3. check wall suction regulator
29
Q

chest tube pulled from client

3

A
  1. cover insertion site with sterile dressing, taped on three sides
  2. contact provider
  3. prepare for reinsertion
30
Q

hypoxia and hypoxemia: early or late sign - tachypnea

A

early

31
Q

hypoxia and hypoxemia: early or late sign - tachycardia

A

early

32
Q

hypoxia and hypoxemia: early or late sign - restlessness

A

early

33
Q

hypoxia and hypoxemia: early or late sign - pale skin and mucous membranes

A

early

34
Q

hypoxia and hypoxemia: early or late sign - elevated BP

A

early

35
Q

hypoxia and hypoxemia: early or late sign - use of accessory muscles, nasal flaring, adventitious lung sounds

A

early

36
Q

hypoxia and hypoxemia: early or late sign - bradypnea

A

late

37
Q

hypoxia and hypoxemia: early or late sign - bradycardia

A

late

38
Q

hypoxia and hypoxemia: early or late sign - confusion and stupor

A

late

39
Q

hypoxia and hypoxemia: early or late sign - cyanotic skin and mucous membranes

A

late

40
Q

hypoxia and hypoxemia: early or late sign - hypotension

A

late

41
Q

hypoxia and hypoxemia: early or late sign - cardiac dysrhythmias

A

late

ATI Comprehensive (17 decks)

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