respiratory 1 Flashcards
what are some things the RN assesses during the intiial intake?
onset, severity, etc
what are some things to keep in mind about vaccines?
vaccines that are not taken in childhood can contribute to adult respiratory issues
why should we be looking at the skin?
if the person is cyanotic, we can then hypothesize about their oxygen intake/saturation
how do we assess our patients with darker skin?
look at their mouth
how does one ascultate the breath and lung sounds?
in a zig zag paattern, making sure you get the sides of the rib cage
when is the best time to take a sputum culture and why?
morning time because the patient is free of food and we can get a relatively clear sample
what does it mean to do blood cultures x2
we do blood cultures in 2 spots to ensure that our primary site was not contaminated
why is it important to detect early with respiratory disorders?
early detection can save on unnecessary complications with disorders
is the common cold a highly infectious disease that requires hospitalization and iv ABX?
no. it is mainly caused by the influenza virus, and this can be saved by VACCINATIONS, and ANTIVIRALS
what is epistaxis?
hemorrhage from the nose
why is epistaxis serious?
it can result in loss of airway and extreme loss of blood
what is going to be the medical management of epistaxis?
pinching the nose, tilting the head back, and administering phenylephrine (afrin) for its vasoconstriction
what are some complications associated with upper respiratory infections?
hemorrhage, sepsis, etc
what should we make sure we assess when thinking about upper respiratory infections?
assessing the mouth, throat, etc
what are some nursing interventions that we can use to help relieve our patients with upper respiratory infeciotns?
ice packs, elevating hob, gargling, analgesics, topicals, etc
what is the RN’s number 1 priority when it comes to treating patients with upper respiratory infections?
maintaining a patent airway
what are some important things to teach our patient when it comes to preventing infections?
vaccines and hand hygiene
what is atelectasis?
a collapse of the alveoli in the lungs
when is the client most at risk for the collapse of the alveoli?
usually during post op?
what are some things that we can do to prevent atelectasis?
turning, good ambulaiton, using the incentive spirimoter
what is obstructive sleep apnea?
when the pt has trouble getting air to their body during the night due to an airway obstruciton
what are some manifestations of sleep apnea?
snoring, daytime drowsiness, loss of breathing for >10 secs
what are some things that the nurse can teach the patient about with sleep apnea?
to stay away from things like smoking and alcohol, to try to reduce their comorbitities, to be COMPLIANT with their cpap and bipap
how do we define community acquired pneumonia?
when the pneumonia is acquired in the community setting or 48 hours after the hospitilization
how are we defining hospital acquired pneumonia?
when the pneumonia is contracted 48 hrs after hospitilization
what is a reason that the person may have Hospital acquired pneumonia?
the person may have been exposed to multiple antimicrobial treatments, thus leaving their immune system susceptible to the pneumonia
what are some manifestations of pneumonia?
cough, dyspnea, confusion
what is confusion in our clients with pneumonia caused by?
hypoxia
what are some diagnostic things that we can do for our patients with pneumonia?
cxr, blood cultures, abg, bronchoscopy
what can we do to prevent pneumonia?
VACCINATION
what are going to be some of the medical management for the patient experiencing penumonia?
the appropriate abx, oxygen(if indicated for hypoxia), fluids possibly
what are some nursing interventions that we can do for the pneumonia pt?
place them in high fowlers, encourage coughing, encourage incentive spiromiter?
why do we encourage coughing with our pneumonia pts?
to clear secretions
what is the ammount of fluid intake our pts with pneumnonia should be intaking?
2-3L/day if not containdicated
what is the severity like for a person experiencing covid 19 infeciton?
they can range from asymptomatic to severe
can atelectasis occur from sars cov2?
yes! the collapse of the alveoli is serious and can occur from covid 19
when thinking about the connection of hypoxemia and sars cov-2, what is going to be the connection there?
the hypoxemia is going to be a lingering affect
what is aspiration pnemonia?
when foreign objects, often food, makes it into the lungs via the trachea
what are some nursing interventions we can do to prevent aspiration pneumonia?
hob elevated, food in small bites, check the pt’s mouth before feeding, etc
what is rifmapin used for?
tberculosis
what should we keep in mind with rifampin as it pertains to bodily fluids?
they will be red to orange
what is a lung abcess?
a pocket of puss that forms due to an in infection
what are some symptoms of lung abcess?
cough, dyspnea, foul sputum
what are some diagnostics we can do for a lung abcess?
cxr, sputum sample
what is a pleural effusion?
when fluid collects in the pleural space
