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Nursing 101 > O2 Objectives > Flashcards

O2 Objectives Flashcards

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1
Q

1st symptom you may notice in hypoventilation

A

change in mental status

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2
Q

2 prongs inserted into nostril

Does not interfere with eating or speaking

Easy home use

Disadvantages

Delivers up to 6 LPM

A

Nasal Cannula

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3
Q

A diuretic is

A

substance that promotes diuresis, the increased production of urine

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4
Q

A series of tests to detect lung volume and capacity.

A

Pulmonary function studies

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5
Q

ABG means and evaluates

A

Arterial Blood Gases

effectiveness of gas exchange.

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6
Q

Accumulation of fluid and blood in the pleural space interferes with lung expansion, ventilation, and gas exchange.

A

Hemothorax

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7
Q

Air in the pleural space creates positive pressure, causing lung collapse

A

pneumothorax

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8
Q

Allows mask to deliver the most precise concentrations of O2

A

Venturi Mask

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9
Q

Alveoli that have been overstretched, as with_______ , lose their elastic recoil over time. This loss of elasticity allows the lungs to ______ easily but inhibits deflation, leaving stale air trapped in the ________

A

emphysema
inflate
alveoli.

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10
Q

Bronchodilators are contraindicated for

A

clients when stimulation of the sympathetic nervous system would be dangerous – cardiac disease, vascular disease, diabetes, hyperthyroidism, etc.

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11
Q 
Bronchoscopy
Need:
NPO for
Assess for: 
Remove:
NPO until:
NO
A 
informed consent
6-8 hrs prior
allergies to iodine (in case of contrast) 
dentures
gag reflex returns

No smoking, talking or coughing for several hours

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12
Q

Capnography measures and should be

A

co2 (expiratory / end tidal) 35-45

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13
Q

Chest xray

better if person is

A

standing up

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14
Q

Clients with ____________ become insensitive to CO2 and respond to hypoxia (low O2) levels to stimulate breathing

So . . . if __________ is given and the blood oxygen level is raised, the stimulus to breathe is _____________

A

COPD (emphysema)

excessive oxygen

removed

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15
Q

collapse of alveoli

A

atelectasis

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16
Q

Deep breathing and coughing is essential to prevent

A

pneumonia

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17
Q

Delivers highest concentration of O2 via a mask to a client who is breathing on their own

A

Non-Rebreather Mask

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18
Q

Diagnosis :inability to maintain a clear airway

A

Ineffective Airway Clearance

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19
Q

Diagnosis :used to describe inadequate ventilation, such as hypoventilation, hyperventilation, tachypnea, or bradypnea.

A

Ineffective Breathing Pattern

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20
Q

Diagnosis:appropriate diagnosis if the patient is ventilating adequately but diffusion of gases across the alveolar-capillary membrane is impaired.

A

Impaired Gas Exchange

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21
Q

Diagnosis:describes a condition in which a patient, as a result of decreased energy reserves, is unable to maintain breathing adequate to support life.

A

Impaired Spontaneous Ventilation

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22
Q

Diagnosis:should be used when there is a risk for secretions, solids, or fluids entering into tracheobronchial passages (e.g., for patients who have had head or neck surgery or who have a reduced level of consciousness).

A

Risk for Aspiration

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23
Q

drug delivery device used to administer medication in the form of a mist inhaled into the lungs.

A

Nebulizers

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24
Q

Face mask with reservoir bag

What does the bag do?

Flow rate:

O2 delivery

A

partial rebreather

collects first part of exhaled air - rebreathes expired air

8-11

40-70%

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25
Q

function of the upper airways

A

movement of air

26
Q

Furosemide (Lasix)

A

Potassium wasting

27
Q

help make coughing more productive.

A

Expectorants

28
Q

Hemoglobin

A

M 13.8-18 g/dL F 12-16 g/dL

29
Q

Important to do after using corticosteroids orally

A

rinse mouth afterward

30
Q

is the term used to describe difficulty breathing when lying down

A

Orthopnea

31
Q

is the term used to describe difficulty breathing when lying down

A

Orthopnea - needing to sit up to breathe

32
Q

located in the lung and chest wall, are sensitive to breathing patterns, lung expansion, lung compliance, airway resistance, and respiratory irritants.

A

Lung receptors

33
Q

located in the medulla of the brainstem, the carotid arteries, and the aorta, detect changes in blood pH, O2, and CO2 levels and send messages back to the central respiratory center in the brainstem

A

Chemoreceptors,

34
Q

low oxygen level in blood

A

hypoxemia

35
Q

Major muscle of inspiration

A

diaphram

36
Q

Med that is Not for emergency use; concern about infection

Sore throat, coughing, dry mouth, fungal infections

A

Corticosteroids -beclomethasone

37
Q

Meds that Combat inflammation in the airways
Broad:
Specific:
Side effect:

A

Corticosteroids
beclomethasone
can decrease s/s of infection, upset stomach, insomnia

38
Q

Meds that Relax the smooth muscles lining the airways.
Can be administered as oral or inhaled medicines.
Broad name:
specific Med:
Side effect:

A

Bronchodialators

Beta-2 adrenergic agonists - albuterol

irritability, tachycardia, excitability,GI upset, arrythmias, hypertension, sweating, pallor, flushing, bronchospasm

39
Q

Montelukast side effects

A

upper respiratory infection, fever, headache, sore throat, cough, stomach pain, diarrhea, earache or ear infection, flu, runny nose, and sinus infection.

40
Q

Mucus secretions

Used to determine infection, presence of abnormal cells (cytology), acid-fast bacillus.
To determine effectiveness of therapy

Brought up from

What else can you use to help get it up

Get to lab within

A

sputum cultures

lungs, bronchi and trachea. It is NOT saliva.

IS

30 min

41
Q

occurs when a person breathes fast and deeply to move a large amount of air through the lungs, causing too much carbon dioxide to be removed by the alveoli.

A

Hyperventilation

42
Q

oxygen deficiency in body tissues

A

hypoxia

43
Q

Phrenic nerve, 4th cervical damage - person cant

A

live on their own

44
Q

Radiographic exam of thorax - visualizes respiratory and cardiac function

Can reveal

A

Chest xray

abnormal fluid or air, collapsed lung, pneumonia, atelectasis, pneumothorax

45
Q

RBC count

A

M 4.5 - 5.3 F 4.1-5.1

46
Q

reduce the frequency of an involuntary, hacking, nonproductive cough.

A

Antitussives (cough suppressants)

47
Q

refers to the ease of lung inflation

A

Lung compliance

48
Q

refers to the tendency of the elastin fibers to return to their original position away from the chest wall after being stretched (think of stretching a rubber band, then letting go of it).

A

Lung elasticity (or elastic recoil)

49
Q

Relieve stuffy, blocked nasal passages by constricting local blood vessels through stimulation of alpha-1 adrenergic nerve receptors in the vessels.

A

Nasal Decongestants

50
Q

Room air is __% o2

A

21

51
Q

Simple face mask flow rate:

O2 delivery :

A

5-10 LPM

35-50%

52
Q

spironolactone

A

Potassium sparing

53
Q

T/F codeine can be added to cough med to suppress cough

A

T

54
Q

Test that used to evaluate o2 use under stress (exercising )

A

Pulmonary function studies

55
Q

Typically used when flow rates are greater than 3 LPM OR if client complains of nasal dryness

A

Humidification

56
Q

used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma

A

Montelukast

57
Q

What are the normal breath sounds heard in the lungs?

A

vesicular
bronchovesicular
bronchial

58
Q

What is splinting used for

A

coughing, esp after surgery to promote cough

59
Q

What is the purpose of surfactant in the lung?

A

to reduce surface tension in the alveoli

60
Q

When using bronchodialator (albuterol) and corticosteroid (beclomethasone) - which first - why

A

albuterol - absorbed better

Nursing 101 (23 decks)

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