Module 5: Respiratory Management Flashcards
When does a patient start to have brain damage from not breathing?
3 minutes, 10 minutes patient unlikely to recover, 15 minutes no recovery possible
List the five parts of Maslow’s Hierarchy of Needs
Physiological, safety. social, self-esteem, self-actualization
Who is a bitch
Emily
5 first things to consider in an emergency
- airway 2. breathing 3. circulation 4. disability 5. exposure
Three most important things to consider when trying to adequately ventilate a patient
Ventilation, perfusion, compliance
respiratory physiology
structure, function, lung volumes, pulmonary circulation, resp gas exchange, regulation of ventilation
Define WORK OF BREATHING
The effort required to expand and contract the lungs
Define emphysema
When alveolar membranes break down and gas exchange doesn’t take place as well
Define chronic bronchitis
Inflammation and excess mucus in the airway passage.
Cardiovascular physiology
–Myocardial pump
–Myocardial blood flow
–Coronary artery
circulation
–Systemic circulation
–Blood flow regulation
conduction system
List conditions that affect chest wall movement
Pregnancy
*Obesity
*Musculoskeletal
abnormalities
*Trauma
*Neuromuscular diseases
*Central nervous system
alterations
*Influences of chronic lung
disease
diagnostic tests
Pregnancy
*Obesity
*Musculoskeletal
abnormalities
*Trauma
*Neuromuscular diseases
*Central nervous system
alterations
*Influences of chronic lung
disease
List common nursing Dx related to oxygenation
- Impaired gas exchange
- Ineffective breathing pattern
- Impaired airway clearance
- Impaired cardiac output
- Acute pain
- Activity intolerance
4 easiest ways to manage dyspnea
*Assessment
*Positioning
*Oxygen
*Medications
How do you maintain/promote lung expansion?
*Ambulation
*Positioning
–Good lung down
*Incentive spirometry
What are the components of a medication order?
–Patient’s full name
–Date and time of the order
–Medication name
–Dosage
–Route of administration
–Time and frequency of
administration
–Signature of the
healthcare provider
What are the seven rights to medication adminstration?
- Right medication
- Right dose
- Right patient
- Right route
- Right time
- Right documentation
- Right indication
How many identifiers must you confirm before administering medication?
2
How many times do you check for accuracy before administering medication?
3 times
Memorize the following
*Prn
*Stat
*now
*q.i.d.
*hs
*SQ
*TD
*cc
*gtt
*NPO
*q8h
*IM
*IV
*NGT
*EC
*NS
*ID
*Supp
*Cap
*IVPB
What are six things you need to do before administering medications?
- COMPARE THE MED LABEL TO THE ORDER
- CHECK THE EMR FOR ALLERGIES OR CONTRAINDICATIONS
- CHECK THE EXPIRATION DATE ON THE MEDICATION
- VISUALLY INSPECT THE MEDICATION FOR ANY LOSS OF INTEGRITY
- PERFORM HAND HYGIENE
- SEVEN RIGHTS OF MEDICATION ADMINISTRATION
- IF BAR CODE SCANNING – OPEN MAW (MEDICATION ADMINISTRATION
WINDOW) SCAN THE PATIENT’S NAME BAND (VERIFYING WITH PATIENT NAME
& DOB) SCAN MEDICATION BAR CODE. - GIVE MED IN APPROPRIATE VEHICLE (MED CUP, SYRINGE, G TUBE, NG TUBE)
- STAY WITH THE PATIENT UNTIL MED INGESTED
- PERFORM HAND HYGIENE
- RETURN WITHIN AN HOUR TO REASSESS RESPONSE
Seven rights to drug administration
- RIGHT PATIENT (CHECK NAME BAND AND ASK THE PATIENT, THEN SCAN NAME BAND)
- RIGHT MEDICATION
- RIGHT DOSE
- RIGHT ROUTE
- RIGHT TIME
- RIGHT DOCUMENTATION
- RIGHT INDICATION
* **CLIENTS HAVE THE RIGHT TO REFUSE (SAY NO) TO MEDICATION
Three rules of thumb you HAVE to abide by
- NEVER GIVE A MEDICATION POURED OR DRAWN UP BY SOMEONE ELSE
- NEVER RETURN UNWRAPPED OR PREPARED MEDICATIONS TO STOCK
CONTAINERS - REMEMBER, DISPOSAL OF CONTROLLED SUBSTANCES MUST BE CO-SIGNED
BY ANOTHER NURSE, AS MANDATED BY LAW
What is the line in a pill used for cutting equally called?
scored pill