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NURSING INCO 1 > RESPI AND RENAL NURSING PROCEDURES > Flashcards

RESPI AND RENAL NURSING PROCEDURES Flashcards

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1
Q

Recommended Position in Suctioning (CONSCIOUS)

A

Semi - Fowlers

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2
Q

Recommended Position in Suctioning (UNCONSCIOUS)

A

Side Lying

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3
Q

Recommended WALL unit pressure of Suctioning (Adult, Child, Infant)

A

A: 100 - 120 mmhg
C: 95 - 110 mmhg
I: 50 - 95 mmhg

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4
Q

Recommended PORTABLE UNIT pressure of Suctioning (Adult, Child, Infant)

A

A: 10 - 15 mmhg
C: 5 - 10 mmhg
I: 2 - 5 mmhg

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5
Q

Size of sterile suction catheter

A

A: 12 -18/ 12 - 15 inch
C: 8 - 10 inch
I: 5 - 8 inch

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6
Q

Length and Measurement of the catheter

A

from the tip of the nose to the earlobe ; 13cm (5-6 inches)

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7
Q

Apply suction for how many seconds, maximum of

A

5-10 secs ; 15 seconds

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8
Q

how many seconds does the interval bet. each suction

A

20 -30 secs

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9
Q

What lubricant is use in Nasopharyngeal suctioning?

A

Water - soluble lubricant

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10
Q

What lubricant is use in Oropharyngeal suctioning?

A

NSS/ sterile water

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11
Q

It is the removal of fluid or air from the pleural cavity

A

Thoracentesis

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12
Q

How much of withdrawn fluid should be?

A

600 - 1000mL

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13
Q

Recommended position for thoracentesis

A

Sitting Upright Leaning Forward
Orthopedic Position

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14
Q

What are the signs of HYPOVOLEMIA

A

HYPO
TACHY
TACHY
SOB
WEAKNESS
RESTLESSNESS

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15
Q

It is a direct inspection and examination of the larynx, trachea and bronchi through either a flexible fiberoptic bronchoscope or a rigid bronchoscope

A

Bronchoscopy

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16
Q

Recommended position for Bronchoscopy

A

Supine (During) Side lying (After)

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17
Q

Why do we need to position the pt. in side lying position after bronchoscopy?

A

To prevent aspiration and promote drainage of secretions

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18
Q

Is low grade fever is common after bronchoscopy?

A

Yes

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19
Q

What will you assess before bronchography?

A

Food allergies particularly in seafoods

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20
Q

How many hours should the pt. undergo NPO

A

6-8 hrs

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21
Q

Pre-op meds of Bronchography

A

anti- cholinergic and valium

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22
Q

It detects Acid base imbalance and use to assess ventilation

A

ABG

23
Q

Common site for ABG

A

Radial Artery

24
Q

It is the test that will occlude your radial & ulnar arteries until it blanched and turns to pinkish color within 6 seconds

A

Allen’s test

25
Q

Amount of ABG

A

2 mL

26
Q

Why do we need to use 10ml Pre- heparinized syringe

A

To prevent blood clotting
to prevent RBC breakdown/Hemolysis

27
Q

This is to identify pathogenic organisms and to determine whether malignant cells are present

A

Sputum Studies

28
Q

How many hours should specimen delivered to the lab

A

within 2hrs

29
Q

It detects fluids, tumors, foreign bodies and other pathologic conditions.
Taken after FULL INSPIRATION or DEEP BREATH

A

Chest x-ray

30
Q

Remove the end products of protein from metabolism from the blood

A

Dialysis

31
Q

Maintain safe levels of electrolytes

A

Dialysis

32
Q

What Renal disorders will occur if you have increased BUN,ICP and SERUM CREATININE>

A

Renal Encephalopathy

33
Q

What is the site of insertion of Peritoneal Dialysis

A

2inch below umbilicus

34
Q

During peritoneal dialysis why do we need to warm up the Dialysate Solution?

A

To prevent abdominal discomfort
To prevent capillary permeability

35
Q

Infusion time of peritoneal Dialysis

A

10mins

36
Q

Dwell Time of peritoneal Dialysis

A

After 4-6 hrs maximum of 20 mins

37
Q

Drainage time of peritoneal Dialysis

A

30 mins

38
Q

For the first few bottles of drainage what will be the normal color

A

Pink - tinged

39
Q

If drainage stops what would be your initial action?

A

Turn the pt. to the side and check for the lumen if it is occluded in the colon/large intestine

40
Q

CAPD (Continues Ambulatory Peritoneal Dialysis) is done at home for how many hours and how frequent?

A

q6 -8 hrs 3 to 4x a day

41
Q

Why do we need to monitor it hydration status?

A

Possible weight loss may occur after dialysis

42
Q

Why do we need to give small amount of insulin to a pt. who undergo dialysis?

A

Dialysis solution contains glucose

43
Q

S/Sx of Disequilibrium Syndrome

A

Headache
Hypertension
Decreased LOC
Disorientation
Confusion

44
Q

If pt. experienced respiratory difficulty after dialysis what is the ideal position?

A

Semi - Fowler

45
Q

Requires Vascular Access

A

Hemodialysis

46
Q

Duration and frequency of Hemodialysis

A

2-3 hrs a day ; 3- 4x a week

47
Q

Initial Hemodialysis takes how many minutes?

A

only 30 minutes to prevent Disequilibriun syndrome

48
Q

During the procedure check the V/S every?

A

5-15 minutes

49
Q

What sound you’ll auscultate in pt. with AV fistula?

A

Bruits

50
Q

What sound you’ll palpate in pt. with AV fistula?

A

Swishing/thrills/vibration sound

51
Q

Why does anti - hypertensive medications are omitted?

A

it may further decreased BP

52
Q

What are the benefits of hemodialysis

A

Increased BUN, Serum crea, Electrolytes, Blood pressure and absence of edema

53
Q

S/Sx of Steal Syndrome

A

Diminished pulse
Pale

NURSING INCO 1 (6 decks)

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