Respi And Infection Precautions Flashcards
Stridor is
If stridor occurs after extubation
This is a symptom that patient may need to
It is common for patients after extubation
A high pitched, CROWING noise during inspiration caused by laryngospasm or edema around the glottis.
Be reintubated
Must call immediately the rapid response team before airway becomes completely obstructed
To have a hoarse and sore throat for a few days
When is the best time to discontinue droplet precautions with patients who have meningococcal meningitis?
Appropriate antibiotics have been given for 24 hours
Cdc recommends order of donning PPE?
Gomagogglo
Removing PPE?
Glogog goma
Handy hygiene Gown Mask Goggles Gloves
Gloves Goggles Gown Mask Hand hygiene
Can LPN auscultate?
Yes! Those who have been trained
Does a nonrebreather mask deliver 100% oxygen?
Yes
The institute of safe medications indicate that trailing zero is is not appropriate ( warfarin 1.0 mg PO) why?
Because it can be mistaken as a larger dose ( like 10 mg ). The order should be clarified before administration
Dietary changes for TB
Isoniazid is taken for 6 months
Foos rich in Iron, protein and vitamin c
PPE in disseminated herpes zoster?
Why not surgical face mask?
Gloves
Goggles
N95 respirator mask - because it is spread through airborne and direct contact with the lesions.
It only filters large particles
Zika virus is spread by
Guidelines for pregnant women in relation to zika virus
Moquito bite. So must use insect repellant
All pregnant women be assessed for zika exposure at each prenatal visit
Women who may have been exposed be tested
Women who are anticipating pregnancy avoid travel to areas where they might be exposed to zika virus
Barrier methods such as condoms be used if sex partner has been exposed to zika virus
Anthrax is a
First thing to do if patient has possible anthrax exposure
Then assess for
Security must be
Antibiotics is given if
Spore forming bacteria caused by Bacillus Anthracis
Decontaminating the client by removing clothes and showering to prevent infecting others
Signs and symptoms
Notified in the case it is bioterrorism,but only after decontamination
Antibiotics is given if there is signs of infection or contaminating substances tests positive for anthrax
Ppe when changing bed linens of patient who has sacral wound infected by MRSA(methycillin resistant staphylococcus aureus)
Gown and gloves because splashes or droplets or airborne will not happen when bed is changed
Antivirals are most effective in influenza infection when?
When it is used early. Example is OSELTAMIVIR
“Red Man” syndrome occurs when
Vancomycin is being infused too quickly, it must be slowed down
Clorhexidine solution
It is also used on
Used to clean mouth daily
(.5% clorhexidine in alcohol)Skin. To disinfect skin site before PICC insertion and more effective in reducing bloodstream infections compared to alcohol and betadine
Patients with COPD often have food intolerance like:
Meal related
Early
Protein calorie malnutrition, why?
Dyspnea
Satiety or feeling too full to eat
The increased work of breathing needs consumes calorie and protein needs, so increase diet to high protein and calorie
Is tracheostomy care standard precautions?
No. It must be sterile precautions because tracheostomy tube is directly connected to the lungs.
Asthma patients must avoid
MSG or monosodium glutamate
Anterior Nosebleed interventions:
Position Pressure on Standard body Ice Dont blow
Upright and leaning forward to prevent aspiration
Direct lateral pressure on the nose for 5 mins
Standard body precautions is maintained
Applying ice or cool compress
Dont blow the nose especially vigorous blowing
Hydroxyzine and hydralazine
Hydroxyzine is
Hydralazine is
They are look alike, sound alike medications that is usually involve in medication error
Hydroxyzine is an antihistamine used to treat anxiety and pruritus.
A potent vasodilator that is used to treat hypertension
When suctioning patient on mechanical ventilator what no. Of french catheter is used?
Suction should be applied
Sterile or standard?
Standard for adult is no. 12 to 14 French
Twirling,while withdrawing and no more than 10 seconds
Sterile precautions
Hoarseness and difficulty speaking after radiation therapy diagnosed with laryngeal cancer is
Improved within 6 to 8 weeks
When there is need for oxygen in tissues it curves to the
Right. This means that oxygen is dissociated from hemoglobin faster. The hemoglobin uloads oxygen to tissues to support higher needs- this is a tissue protection that increases oxygen delivery to tissues
When oxygen delivery is higher than 4 L/min
Treat by
The mucous membranes can dry out.
Add humidification to the oxygen delivery system. ALSO applying water soluble jelly to nares can help decrease irritation
Why COPD clients should be encourage not to raise arms when working?
Dont rush when
Activities involving arms decrease exercise tolerance because the accessory muscles are used to stabilize the arms and shoulders rather than to assist breathing
Doing activities. Dont do it ALL at once then rest but do activities ONE at a time with periods of rest
ET tube should be marked at the
Gold standard in evaluating and confirming ET position in patients who have adequate tissue perfusion?
LEVEL of the tube where it touches incisor tooth or nares
Using an END-TIDAL carbon dioxide detector
Maximum delivery of nasal cannula
Non rebreather mask can deliver
GiO2 of 44%. Which can be achieved by 6 L/min and increasing it to 10 L/min will not do anything
Oxygen to 95-100%
