MS-RES Flashcards
Ensure drainage bottle is positioned below the level of the chest.
Keep 2 clamps at the bedside
Measure and document amount of drainage per 8 hrs, shift
Document color, consistency and amount
Assess lung sounds, and check for crepitus
Ensure there is a petroleum/occlusive dressing when chest tube is removed over the site
What are the nursing responsibilities for someone with a chest tube?
crepitation
noun
crep·i·ta·tion ˌkrep-ə-ˈtā-shən
: a grating or crackling sound or sensation (as that produced by the fractured ends of a bone moving against each other or as that in tissues affected with gas gangrene)
crepitation in the arthritic knee
Airway could be blocked,
kink in the tube,
disconnected tube,
may need suctioning.
Check the patient
What does a high sounding alarm mean and what should the nurse do?
Decrease in air flow
Decrease gas exchange
Weakening of respiratory muscles
Decline in ability of lungs to defend itself
Effects of aging on the respiratory system
Bed rest 3-8hrs
Supine position
Monitor vital signs and report abnormalities
Encourage po fluids to flush dye out
Post procedure care for Pulmonary angiogram
an·gio·gram ˈan-jē-ə-ˌgram
1: a radiograph made by angiography
2: ANGIOGRAPHY
Airborne droplets
Route of transmission of Tuberculosis
tu·ber·cu·lo·sis
tu̇-ˌbər-kyə-ˈlō-səs tyu̇-
A raised and swollen (induration) is a positive TB test. What is the test
PPD ( purified protein derivative)
induration
noun
in·du·ra·tion ˌin-də-ˈrā-shən -dyə-
: the process of or condition produced by growing hard
specifically : sclerosis especially when associated with inflammation
indurative
ˈin-də-ˌrā-tiv
-dyə-
;
in-ˈdür-ə-
-ˈdyür-
adjective
Positive skin test, but patient may not show signs of TB if immune system is strong. What is formed on the lung?
Tubercle
tu·ber·cle
ˈtü-bər-kəl ˈtyü-
High protection N95 Face mask
Worn by health care staff to care for TB patients
Sit in chair lean forward
Place pressure to nares 5-10 minutes
Ice-pack to nose and eye area to constrict vessels
Monitor VS and for bleeding
Check airway if posterior nasal packing done
Interventions for epistaxis
ep·i·stax·is ˌe-pə-ˈstak-səs
pluralepistaxes ˌe-pə-ˈstak-ˌsēz
: NOSEBLEED
Fluid collected in the space between the lung and its outer tissue or surroundings. Or excess fluid between visceral and parietal pleurae
Definition of pleural effusion
effuse
1 of 2
verb
ef·fuse i-ˈfyüz e-
effused; effusing
Synonyms of effuse
transitive verb
: to pour out (a liquid)
intransitive verb
1
: to flow out : EMANATE
2
: to make a great or excessive display of enthusiasm
they effused about his accomplishments
Chest x-ray
CT-Scan
Thoracentesis
tho·ra·cen·te·sis
ˌthō-rə-sen-ˈtē-səs
Diagnostic tests for Pleural effusion
Thoracentesis
Analgesics
Chest tube
Bedrest
Treat underlying cause
an·al·ge·sic
ˌa-nᵊl-ˈjē-zik
Treatment for Pleural effusion
Inflammation of lung tissue which causes pain on inspiration resulting in shallow breathing which can result in atelectasis (collapsed alveoli)
pleurisy
Sudden dyspnea (sob) , anxiety, tachycardia, cough with blood, chest pains on breathing ( pleuritic chest pain), crackles, friction rub caused by a clot that traveled to the pulmonary artery, with
Risk factors: post op, sedentary workers and oral contraceptives. Tests done: D-dimer, angiogram, ventilation-perfusion lung scan, spiral CT
Pulmonary embolism
Facial tenderness
Foul breath
Swollen face
Purulent nasal discharge
fever
Sinusitis is inflammation of the sinuses. Name symptoms
