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Med Surg > Post Operative respiratory complications > Flashcards

Post Operative respiratory complications Flashcards

1
Q

What are some causes of airway obstruction

A

tongue falling back
Retained thick secretions
Laryngospasms
Laryngeal edema

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2
Q

What manifestations does tongue falling back causes

A

use of accessory muscles
snoring
decreased air movement

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3
Q

What are some interventions for tongue falling back

A

patient stimulation
head tilt jaw thrust
artificial airway

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4
Q

What are some manifestations of retained thick secretions

A

noisy respirations

coarse crackles

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5
Q

What are some interventions for retained thick secretions

A

suctioning
deep breathing and coughing
IV hydration
Chest PT

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6
Q

What are some manifestations of laryngospasms

A 
Inspiratory stridor
(crowing respirations)
Sternal retraction
Acute respiratory
distress
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7
Q

What are some interventions for laryngospasms

A 
O2 therapy 
PPVentilation 
IV muscle relaxants 
lidocaine 
corticosteroids
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8
Q

What are manifestations of laryngeal edema

A 
Inspiratory stridor
(crowing respirations)
Sternal retraction
Acute respiratory
distress
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9
Q

What are some interventions for laryngeal edema

A 
O2 therapy
• Antihistamines
• Corticosteroids
• Sedatives
• Possible intubation
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10
Q

What are some causes of hypoxemia

A 
atelectasis
pilmonary edema 
pilmonary embolism 
aspirations 
bronchospasms
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11
Q

What are signs of atelectasis

A

↓ Breath sounds

↓ O2 saturation

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12
Q

What are some interventions for atelectasis

A

Humidified O2 therapy
• Deep breathing
• Incentive spirometry
• Early mobilization

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13
Q

What are signs of pulmonary edema

A

↓ O2 saturation
Crackles
Infiltrates on chest xray

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14
Q

What are interventions for pulmonary edema

A
  • O2 therapy
  • Diuretics
  • Fluid restriction
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15
Q

What are signs of pulmonary embolisms

A 
Acute tachypnea
Dyspnea
Tachycardia
Hypotension
↓ O2 saturation
Bronchospasm
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16
Q

what are interventions of pulm embolism

A
  • O2 therapy
  • Cardiopulmonary support
  • Anticoagulant therapy
17
Q

What are signs of aspirations

A 
Unexplained tachypnea
Bronchospasm
↓ O2 saturation
Atelectasis
Interstitial edema
Alveolar hemorrhage
Respiratory failure
18
Q

What are interventions for aspirations

A
  • O2 therapy
  • Cardiopulmonary support
  • Antibiotics
19
Q

What are signs of bronchospasms

A

Wheezing
Dyspnea
Tachypnea
↓ O2 saturation

20
Q

What are interventions for bronchospasms

A
  • O2 therapy

* Bronchodilators

21
Q

What are causes of hypoventilation

A

depression of central resp drive
poor resp muscle tone
mechanical restriction
pain

22
Q

What are signs of depressed central resp drive

A 
Shallow respirations
↓ Respiratory rate,
apnea
↓ PaO2
↑ PaCO2
• Initiate capnography or other technology
supported respiratory monitoring
• Stimulation
• Reversal of opioids or benzodiazepines
• Mechanical ventilation
Poor respiratory
muscle tone
Neuromuscular blockade
Neuromuscular disease
As above
23
Q

What are interventions for depressed resp drive

A 
• Initiate capnography or other technology
supported respiratory monitoring
• Stimulation
• Reversal of opioids or benzodiazepines
• Mechanical ventilWation
24
Q

What are signs of resp mus tone

A 
• Initiate capnography or other technology
supported respiratory monitoring
• Stimulation
• Reversal of opioids or benzodiazepines
• Mechanical ventilWation
25
Q

what are intervention for poor resp mus tone

A
  • Reversal of paralysis

* Mechanical ventilation

26
Q

What are sign mechanical restriction

A 
Shallow respirations
↓ Respiratory rate,
apnea
↓ PaO2
↑ PaCO2
27
Q

What are intervention for mechanical restriction s

A

Elevate head of bed
• Repositioning
• Loosen dressings

28
Q

what are signs of pain

A 
↑ Respiratory rate
Hypotension
Hypertension
↓ PaCO2
↓ PaO2
Complaints of pain
Guarding behavior

Med Surg (35 decks)

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