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Bullets > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Chest tubes nurse alert

A
  1. Ensure that the tubing is patent and free of
    dependent loops (drainage accumulating in dependent
    loops obstructs chest drainage into the collecting
    system and increases pressure within the lung.
  2. Asses for air leaks in the system as indicated by
    constant bubbling in the water seal chamber.
  3. Assess for patent system: note the fluctuations or
    tidaling of water in the water seal chamber.
  4. Do not turn off the suction control stopcock OFF
    when transporting the patient (to prevent tension
    pneumothorax).
  5. Dislodgement of chest tube/drainage system.
    At the junction of chest tube/drainage system
    immerse the end of the chest tube into a glass of water
    to maintain water seal.
    at the insertion site- instruct patient to take a deep
    breath and hold it until site is sealed.
  6. Immediately cover with Vaseline gauze and sterile
    4×4 dressing and tape in place.
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2
Q

Chest tube documentation

A
  1. Collection chamber: amount and appearance of
    drainage
  2. Water seal chamber: water level, bubbling, and
    fluctuations of tidaling
  3. Suction chamber: water level
  4. Monitor chest tube drainage every 2 hours or more
    frequently in the immediate post operative period.
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3
Q

Chest tube trouble shooting

A

Sudden experiences of trouble breathing
1. Check for occlusion/kinking of the tube and integrity
of the line.
2. Ensure that suction control stopcock is in ON
position
Constant bubbling in the water seal chamber
Assess for air leaks in the system. To assess location
of a leak, intermittently occlude for a moment (< 1
minute) the chest tube or drainage tubing beginning at
the insertion site of progressing to the chest drainage
unit.
Tubing obstruction
Scan length of tubes for signs of mechanical
obstruction
2. If clots exists call MD, milking and stripping of chest
tubes is only performed with a specific physician order.

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4
Q

Theophylline side effects

A

Tachycardia, anxiety, headache, cramps, nausea and
vomiting

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5
Q

Theophylline, drink to avoid

A

Soda, coffee, tea, chocolate due to the caffeine, as it
increases CNS effect.

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6
Q

Spiriva handi-haler (tiotropium bromide) sides effects

A

Spiriva is a bronchodilator, maintenance treatment for
COPD. Most common side effect - dry mouth.
Other side effects: constipation and urinary retention

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7
Q

Barrel chest is commonly seen in condition called.

A

COPD

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8
Q

Client with emphysema

A

Instruct purse- lip breathing

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9
Q

Part of tracheostomy tube removed while cleaning.

A

Inner cannula

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10
Q

Mechanical ventilator alarming due to increased pressure

A

Check for tubing for kinks

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11
Q

Signs and symptoms of fat emboli

A

Petechiae in chest and abdomen, shortness of breath,
chest pain,
hypotension, decreased Pa)2 and increased PCO2.

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12
Q

Protamine Sulfate indication.

A

Reverses the anticoagulant effect of Heparin.
Protamine sulfate is administered intravenously.

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13
Q

Side effects of Protamine Sulfate

A

Hypertension or hypotension and pulmonary
hypertension
bradycardia, dyspnea

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14
Q

Caution with Protamine

A

Receiving Protamine-containing insulin
Vasectomy men, allergy to fish

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15
Q

Streptomycin indication and possible adverse reaction to watch:

A

Anti-PTB (pulmonary tuberculosis),
watch for auditory nerve damage, (8th cranial nerve)

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16
Q

TB patient being transported for Chest X-ray

A

Apply mask on patient when transporting.

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17
Q

Mechanical ventilation to observe other than ventilator
alarm.

A

Kinks and condensation of water in the tubing.

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18
Q

Patient is taking INH, what to monitor?

A

Monitor intake and output due to urinary retention.

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19
Q

Medication to decreases bronchial secretions

A

Atropine Sulfate

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20
Q

Acute pulmonary edema medicine to avoid

A

Coumadin

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21
Q

Assessment with patient taking narcotics.

A

Respiratory rate (Bradypnea)

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22
Q

Tracheostomy care what to intervene

A

Tracheostomy care what to intervene - removal of old
trachea ties

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23
Q

Side effects of Aminophylline

A

Gastric irritation, nausea, arrhythmias

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24
Q

Asthma prophylaxis, exercise induced-asthma

A

Sodium Intal (discontinue use during acute attack)

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25
Q

Red-green color discrimination, optic neuritis is a Side effect
of what antituberculous medication?

A

Ethambutol (myambutol)

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26
Q

Confirms a positive pulmonary tuberculosis (PTB)

A

A positive culture for M. tuberculosis

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27
Q

What blood gas disorder associated with hyperventilation
as in anxiety reaction?

A

Respiratory alkalosis

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28
Q

What blood gad disorder associated with hypoventilation as in opiate overdose?

A

Respiratory acidosis

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29
Q

Increased in liver enzyme and peripheral neuropathy is a
side of what antituberculous medication?

A

Isoniazid (INH)

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30
Q

Asbestosis exposure linked to diseases including

A

Mesothelioma is a lung cancer associated with asbestos exposure.

31
Q

Monitor tracheostomy cuff pressure every ___ hours.

A

4 hours

32
Q

Tracheostomy tube cuffs also should be inflated continuously in patients on.

A

Mechanical ventilator or continuous positive airway Pressure (CPAP)

33
Q

ET tube cuffs should be inflated continuously and deflated only during

A

Intubation, extubation, and tube repositioning

34
Q

Tracheostomized patients who are breathing spontaneously may have the cuff inflated continuously..

A

In patient with decreased level of consciousness without ability to fully protect airway. Deflated continuously or inflated only for feeding if the patient is at risk of aspiration.

35
Q

Thoracentesis indication

A

Pleural effusion

36
Q

Pt teaching when the paracentesis needle is about to be pulled out or removed.

A

Ask pt to hold still and pull it out during the end of expiration.

37
Q

Amount of pleural fluid that can be removed in one given time.

A

No more than 1.5 liters

38
Q

Purpose of thoracentesis

A
  1. Diagnostic (to determine the cause)
  2. Therapeutic (to relieve discomforts)
39
Q

Thoracentesis is performed when PT level is

A

Less than 1.5

40
Q

Laboratory test need to confirm pulmonary blood clot.

A

Serum D-Dimer

41
Q

Retraction is a sign of respiratory distress:

A
42
Q

Breath sounds

A
43
Q

Breath sounds

A
44
Q

Anthrax _____ acute infectious caused ___ anthracis.

There are three ways in which humans can be infected by anthrax spores:

Cutaneous - Trasmission based : Standard Precautions

Inhalation -
Intestinal -

Drug of choice :

A

doxycycline (Vibramycin)
- a tetracycline family

Ciprafloxin (Cipro)

45
Q

Asbestosis

A
46
Q

Asthma

A
47
Q

Metered dose inhaler:

A
48
Q

Acute bronchitis

A
49
Q

Cor Pulmonale - Right sided heart failure

A
50
Q

Emphysema

A
51
Q

Histoplasmosis

A
52
Q

Pneumonia

A
53
Q

Types of pneumonia:

A
54
Q

Pulmonary edema

A
55
Q

Pulmonary Edema - MAD DOG

A
56
Q

Pleural Effusion

A
57
Q

Pulmonary Embolism

A
58
Q

Coagulation Study VAlues

A
59
Q

Clot buster

A
60
Q

DVT:

A
61
Q

Warfarin interactions with herbals : can increase INR

A
62
Q

Substance can decrease INR

A
63
Q

Safety Precautions When Administering Heparin

A

Hepa drip Calculation :

64
Q

PT NCLEX question

A

DVT question :

65
Q

Pulmonary Hypertension:

A

Sarcoidosis:

66
Q

Obstructive apnea :

A

Latent TB infection :

67
Q

Tuberculosis

A

Mantaux Test for Tuberculosis

68
Q

Airborne and droplet

A
69
Q

Oxygen administration

A

Oxygen administration: Nursing intervention

70
Q

Bronchodilators

A

When to refill aerosol prescription?

71
Q

______________is a device to measure the airflow through the
bronchi and thus the degree of obstruction in the airways.
Mainly used by asthmatic patients.
/Pt teachings: take a deep breath and blow thru your mouth,
Purposes:
/1. Evaluate the presence and degree of lung disease.
2. Determine severity of asthma.
13. Evaluate responses to change in therapy.
4. Diagnose exercise-induced asthma.

A

______ is a device for measuring lung capacity and
keeping the lungs clear. IS

72
Q

ABG

A
73
Q

Metabolic Acidosis :

A
74
Q

ABG Interpretation based on effect of disease conditions

A

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