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Med Surg 2 > Pulmonary Disorders > Flashcards

Pulmonary Disorders Flashcards

1
Q

cheyne stokes

A

periods of apnea
dying and neuro pateints

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2
Q

sign of pulmonary disorder in finger

A

clubbing

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3
Q

carboxyhemoglobin

A

number of carbon on hemoglobin

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4
Q

normal caroxhemoglobin

A

2 or less
- smokers 5-10

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5
Q

how to treat carbon monoxide posioning

A

high flow o2

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6
Q

DVT
- virchows triad

A

hypercoaguability
vessel trauma
venous statis

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7
Q

how can we get a PE

A

DVT breaks off

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8
Q

s/s of DVT

A

pain
swelling
warm
redness
doppler diagnosis

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9
Q

s/s of PE

A

shortness of breath

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10
Q

diagnosis of DVT

A

doppler

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11
Q

classification of PE

A

massive
submassive
low risk

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12
Q

massive PE

A

hypotension

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13
Q

submissive PE

A

right ventricular dysfunction or myocardial necrosis

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14
Q

low risk PE

A

no hypotension or right ventricle issues

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15
Q

why might PE have right ventricular failure

A

right ventricle has to work harder

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16
Q

how might CXR look in PE

A

normal

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17
Q

best way to diagnose a PE

A

CT

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18
Q

ABG of PE

A

hypoxemia with r alk

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19
Q

how to treat a PE

A

fibrinolytic therapy

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20
Q

right sided HF also might be caused by

A

pulmonary hypertension

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21
Q

atelectasis

A

collapse of the alveloi

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22
Q

how to treat atelectasis

A

incentive spirometer
deep breathing (in)
intunate

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23
Q

if we intubate atelectasis, what do we want increased

A

PEEP

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24
Q

s/s of atelectasis

A

tachypena
tachycardia
dyspnea
hypoxemia
decreased breath soundsc

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25
Q

crackles

A

fluid

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26
Q

emphysema blebs

A

air trapped pockets

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27
Q

caused of tension pneumothorax

A

truama
chest tube displacement
central line
pleural effusion

28
Q

how will a tension pneumothorax look clinically

A

NO LUNG SOUNDS
TRACHEAL DEVIATION TO UNAFFECTED SIDE!!!!!!

29
Q

what might we palpate for with pulmonary issues

A

subq emphysema

30
Q

asthma is caused by

A

bronchoconstriction

31
Q

what happens with mucus with asthma

A

increase

32
Q

asthma V/Q mismatch

A

ventilation and circulation mismatch
no oxygenation but we have perfusion

33
Q

S/S of asthma

A

wheezing
non productive cough
tachycardia
tachypena
accessory muscle use

34
Q

why are we cautious of Co2 elevation in asthma

A

client chest
not moving in or out
impending death
r acid

35
Q

know how to use inhaler

A

deep breath while pushing
hold breath
spacer

36
Q

why do lungs failure to collapse in status asthmaticus

A

mucus plugs

37
Q

why use peak flow

A

ensure meds are working

38
Q

acute respiratory failure ABG

A

pao2 less than 60
pco2 greater than 50

39
Q

what happens after placing ET tube

A

check lung sounds
CXR

40
Q

what happens in right stem intubation

A

decreased L lung sounds
withdraw

41
Q

where should the ET tube be at on the carina

A

4cm

42
Q

intubated patient how often oral care

A

Q2

43
Q

ET tube inflated to

A

20-25

44
Q

why do we not want ET inflated higher than 20-25

A

necrosis

45
Q

what to due with a GSC under 8

A

INTUBATE

46
Q

tidal volume settings

A

6-8cc/kg (450-650)
rate 8-14
Fio2 lowest to prevent hypoxemia

47
Q

when do we consider nutriton needs for an intubated patient

A

3rd day nourished
24 h malnourished

48
Q

complications of intubation

A

VTE
GI bleeding
cardiac
pulmonary

49
Q

what type of prohypatic for intubated patients

A

DVT and GI
- heparin and PPI

50
Q

crepitus

A

subq emphysema

51
Q

what do we need to monitor “psychiatric” for intubated patients

A

delerium

52
Q

do all intubated patients need restraints

A

no
- ex: fully sedated, or decreased GCS

53
Q

if there is increased intratoracici pressure what happens to CO

A

decreased

54
Q

cardiac dysrythmais occur because of

A

sucioning
meds
hypoxemia

55
Q

maintain HOB at

A

30

56
Q

spontaneous breathing test

A

turn down mech ventilation every morning to see if pt can breath on own

57
Q

twinkle in eye

A

look infuse that they are ready to be extubated

58
Q

weaning intolerance

A

VITAL SIGNS
- SBP increase/decreased 20
- DBP greater than 100
-HR increase by 20
- RR over 30 or less than 10
- spo2 less than 90%

59
Q

CXR with ARDS

A

completely normal

60
Q

ARDS
- refractory hypoxemia

A

increase O2 but it stays low

61
Q

ARDS tidal volume

A

lower

62
Q

proning

A

promote lung expansion and then increase oxygenation

63
Q

oscillation (fluctuation/swing) unexpected cessation

A

indicate blocked or kinked

64
Q

air leak

A

intermittent bubbling

65
Q
A

Med Surg 2 (29 decks)

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