Med-Surg: Respiratory System/2 Flashcards
carbon dioxide toxicity contributing factors
2
- CO2 retention
2. excessive oxygen therapy
CO2 toxicity manifestations
4
- altered LOC
- tachypnea
- increased BP
- tachycardia with dyrhythmias
pneumonia contributing factors (less known)
7
- no pneumococcal vaccination within the last 5 years
- no influenza vaccine within last year
- post op
- sedation and opioid use
- prolonged immobility
- tobacco use
- enteral tube feeding
pneumonia fluid intake
3l/day
TB manifestations
6
- cough, hemoptysis
- positive AFB sputum
- low grade fever
- night sweats
- malaise, fatigue
- anorexia, weight loss
isoniazid and food
avoid food containing tyramine (aged cheese, curred meats)
TB - educate about rifampin
can alter metabolism of other drugs
TB meds - monitor what organs
2
liver
kidneys
TB meds- administer when and how
empty stomach, at the same time everyday
TB meds - educate to watch for indications of
3
- hepatoxicity
- nephrotoxicity
- visual changes
meds that tx TB
6
- INH
- rifampin
- pyrazinamide
- ethambutol
- fluoroquinolones
- aminoglycosides
laryngeal cancer is most common in who
men ages 55-70
laryngeal cancer contributing factors
3
- smoking
- radiation exposure
- chronic laryngitis and/or straining of vocal cords
laryngeal cancer manifestations
7
- hoarseness longer than 2 weeks
- dysphagia
- dyspnea
- cough
- persistent sore throat
- hard, immobile lymph nodes in neck
- weight loss, anorexia
hoarseness in voice lasting longer than 2 weeks, think…
laryngeal cancer
laryngeal cancer dx procedures
5
- MRI
- direct laryngoscopy with biopsy
- x ray
- CT
- bone scan and PET scan
laryngeal cancer - route of meds that is preferred
elixir
laryngeal cancer therap. measures
2
- partial or total laryngectomy
2. radiation
PE contributing factors
9
- a fib
- hypercoagulation
- long bone fracture
- long term immobility
- oral contraceptive or estrogen therapy
- obesity
- PVD, DVT
- sickle cell
- central venous catheters
PE manifestations
8
- dyspnea, tachypnea
- sharp, stabbing pain on inspiration
- tachycardia
- hypotension
- impending doom
- diaphoresis
- pleural effusion
- crackles, cough
fat emboli signs
petechiae over chest and axilla
PE dx tests
5
- abgs
- d dimer
- chest xray
- v/q scan
- pulmonary angiography
PE therapeutic measures
2
- embolectomy
2. vena cava filter
hemothorax manifestations
6
- respiratory distress
- tracheal deviation
- reduced/absent breath sounds
- asymmetrical chest wall movement
- subcutaneous emphyseam
- chest pain
chest tube insertion
5
- place supine or semi-fowlers
- verify informed consent signed
- administer pain meds/sedation
- after - apply dressing to insertion site
- monitor
chest tube - continuous rapid bubbling in water seal chamber
air leak
chest tube - no tidaling in water seal chamber
2
- check for kinks
2. check breath sounds for lung re-expansion
chest tube - no bubbling in suction control chamber
3
- verify tubing is attached
- verify water is filled to prescribed level
- check wall suction regulator
chest tube pulled from client
3
- cover insertion site with sterile dressing, taped on three sides
- contact provider
- prepare for reinsertion
hypoxia and hypoxemia: early or late sign - tachypnea
early
hypoxia and hypoxemia: early or late sign - tachycardia
early
hypoxia and hypoxemia: early or late sign - restlessness
early
hypoxia and hypoxemia: early or late sign - pale skin and mucous membranes
early
hypoxia and hypoxemia: early or late sign - elevated BP
early
hypoxia and hypoxemia: early or late sign - use of accessory muscles, nasal flaring, adventitious lung sounds
early
hypoxia and hypoxemia: early or late sign - bradypnea
late
hypoxia and hypoxemia: early or late sign - bradycardia
late
hypoxia and hypoxemia: early or late sign - confusion and stupor
late
hypoxia and hypoxemia: early or late sign - cyanotic skin and mucous membranes
late
hypoxia and hypoxemia: early or late sign - hypotension
late
hypoxia and hypoxemia: early or late sign - cardiac dysrhythmias
late
