part 2 Flashcards

(38 cards)

1
Q

is a common occurrence and usually resulting from crusting, cracking, or irritation of the mucous membrane of the nasal septum

what is the only sign of nosebleed

A

epistaxis (nose bleed)

bleeding

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2
Q

what are the most common type of nose bleed

how many % require medical attention

A

anterior bleed 90% to 95%

about 6%

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3
Q

nosebleed can also result in what

A

trauma
hypertension
blood disorder like leukemia

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4
Q

When epitaxis (nose bleed) occurs, how should patient sit and how should pressure be applied?

A

the patient should sit forward and apply direct pressure by pinching the nose just below the bone, close to the face, for 10 to 15 minutes.

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5
Q

When epitaxis occurs, placing them in the forward position prevents ________?

How does cold compresses help with epitaxis?

the pt should avoid doing what ?

A

Prevents blood from running down the back of the throat

Cold compresses/ ice will constrict blood vessels

bending over or pick at for 24 hrs

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6
Q

once. the bleeding stop the pt should

A

Minimal bleeding
Persistent bleeding
Rest
Patient teaching

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7
Q

pt on anticoagulant and anti-platelet med and when nasal cannula are increased of what

A

nose bleed

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8
Q

usually called a sore throat

what may be caused by ?

A

Pharyngitis

virus, bacteria, or fungus but usually by viral

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9
Q

Acute follicular pharyngitis (“strep throat”) is caused by

A

caused by beta-hemolytic streptococcal infection.

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10
Q

Fungal pharyngitis occurs with long-term use of

A

antibiotics or inhaled corticosteroids,

or in patients with immunosuppression, such as occurs with HIV or AIDS

during cancer treatment.

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11
Q

Laryngitis (inflammation of the larynx with diminished voice or hoarseness) may occur

A

if the infection progresses into the larynx.

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12
Q

If the inflammation extends to the epiglottis what occur which more common in ?

what can it cause

A

epiglottitis occurs.
More common in children

acute airway obstruction and should be monitored

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13
Q

Symptoms of pharyngitis include
what may also be involved

is also present with discomfort when swallowing one’s own saliva.

A

Dry, “scratchy” feeling in the back of the throat
Mild fever
Headache
Malaise
Throat, tonsils, palate, and uvula may be involved and will be reddened

Dysphagia

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14
Q

What is a common symptom of Laryngitis that does not usually inhibit the ability to take adequate fluids and nourishment?

A

Discomfort when swallowing one’s saliva

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15
Q

The voice may become absent or hoarse with this condition

A

Laryngitis

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16
Q

How long does uncomplicated pharyngitis or laryngitis usually last?

17
Q

The diagnosis of pharyngitis is confirmed

A throat culture is often done to confirm or rule out

A

by clinical signs and symptoms.

streptococcal infection.

18
Q

How is uncomplicated viral pharyngitis treated? It responds to these measures..

A

usually responds to conservative measures,:

rest,

warm saline gargles (image to 1 tsp of table salt to a glass of warm water),

throat lozenges (small medicinal tablets that dissolve in the mouth),

antiseptic sprays,

plenty of fluids,

and a mild analgesic for aches and pains.

19
Q

Antiseptic sprays and lozenges help provide relief from

20
Q

Bacterial pharyngitis requires what… for what type of organism

A

antibiotic therapy, particularly if the infecting organism is Streptococcus.

21
Q

Chronic pharyngitis may require diagnostic procedures to determine what ?

A

the underlying cause and therapeutic measures such as humidification and filtering of environmental air

22
Q

Fungal pharyngitis is treated with what ? how can it be difficult

A

an agent effective against fungi but may be difficult to control in immunocompromised individuals.

23
Q

An infection with inflammation of the tonsils is usually caused by viruses such as those common cold

24
Q

is the most common organism causing bacterial infection

A

Group A streptococcus

25
tonsillitis caused by the Epstein-barr virus is called
glandular fever or infectious mononucleosis
26
Acute tonsillitis is more common | in
young children.
27
Symptoms of tonsillitis
high fever, sore throat, general malaise, pain referred to the ears, and chills, white blood cell count elevated , redness and swelling of the tonsils and surrounding tissues with patches of yellow exudate.
28
usually produces an enlargement of tonsillar tissue and adenoidal tissue.
Chronic tonsillitis
29
how is tonsillitis DX if streptococcal infection is suspected what should be done
by physical examination and history throat culture or rapid strep test
30
A throat culture is performed before treatment to check for the presence of
Streptococcus, which can cause rheumatic fever or glomerulonephritis if not treated promptly
31
Acute tonsillitis is treated with.. | treated with
warm saline throat gargles and the administration of specific antibiotics (usually penicillin) to destroy the pathogen.
32
what are some nursing measure for tonsillitis
bed rest fever management liquid dt
33
surgery is used to treat tonsillitis when it is what
recurrent or enlarge of the tonsil and adenoids or if the pt has more than six episode
34
tonsillectomy and adenoidectomy are done when what should be administered to the pt the should be a restriction of and what should you check foe after surgery
the same say surgery aspirin and anti-inflammatory medication restricting the pt dt for 6 to 8 hrs b4 surgery for hemorrhage
35
what is another clue to excessive bleeding what should you watching after surgery frequently what can cause bleeding
restlessness VS and swallowing or clearing if throat sneezing, coughing, vomiting
36
After tonsillectomy & Adenoidectomy, place pt. in this position when DROWSY when FULLY AWAKE what should be placed on their neck
Side-lying position semi fowler ice collar or ice pack
37
These types of food should be avoided until throat is completely healed
RED food Ctrus fruits, hot fluids, rough foods should be avoided until the throat has completely healed. Straws are not used because sucking may cause bleeding
38
what is the most common airway obstruction is the
tongue