respiratory 2

Question 1

what is copd a combination of?

Answer 1

chronic emphysema and bronchitis

Question 2

is copd preventable? what can we do to combat copd?

Answer 2

it is preventable, we can do things like not smoke

Question 3

is the damage from COPD reversable?

Answer 3

no, the damage is not repairable

Question 4

what disease and disease processes does copd put you at more of a risk for?

Answer 4

pneumonia and respiratory failure

Question 5

when thinking about the tissue associated with COPD, what can we expect to find?

Answer 5

narrowing due to inflammation and scar tissue

Question 6

what type of chest can we expect to see with our emphysema patients?

Answer 6

barrel chest

Question 7

what are some risk factors for copd?

Answer 7

older clients, smoking, other respiratory issues

Question 8

how do we diagnose bhroncitus?

Answer 8

sputum production for 3 months in 2 years (must know)

Question 9

what is the mnemonic for remembering chronic bronchitis?

Answer 9

blue bloater

Question 10

are our patients with COPD going to gain or lose weight?

Answer 10

they lose weight because of their dyspnea

Question 11

why does dyspnea in COPD cause patients to lose weight?

Answer 11

because they are expending more energy and they aren’t eating as much

Question 12

what are some symptoms of bhroncitis?

Answer 12

sputum, cough, dyspnea

Question 13

what is the mnemonic to remember emphysema?

Answer 13

pink puffer

Question 14

why will our emphysema pts appear pink?

Answer 14

because they are having an uptake in co2

Question 15

why do our patients do pursed lip breathing?

Answer 15

this helps them to regulate their breathing

Question 16

how should our patient be positioned to relieve the stress of breahting?

Answer 16

high fowlers

Question 17

what are the appropriate levels of oxygenaiton for our COPD patients?

Answer 17

88-92%

Question 18

because in COPD our patient is retaining co2, what should we do?

Answer 18

we need to give oxygen 2-4l via nasal canula or 40% venturi mask

Question 19

when our patient comes to us from the ED, what type of assessment do they need?

Answer 19

a full head to toe

Question 20

what should be some things in our assessment with COPD?

Answer 20

really good health hx, loc, pulmonary function tests

Question 21

what are some things that should probe us to dive deeper with our assessment? (this is an analyzing cues question)

Answer 21

dyspnea, grasping for air, pt bent over

Question 22

what should our goal planning be for our patients with COPD?

Answer 22

good oxygenation (satting between 95-100), rest, decrease that anxiety, airway security and patency

Question 23

how can e be sure that our interventions are good?

Answer 23

abg’s, vs

Question 24

what are some medications to treat COPD?

Answer 24

bronchodilators, abx, corticosteroids

Question 25

what is bronchiestasis?

Answer 25

when the bronchioles are permanently dilated

Question 26

what happens in asthma?

Answer 26

the airway is inflamed and the person is ultimately in bronchospasm

Question 27

what are some manifestations of asthma?

Answer 27

coughing, dyspnea, wheezing

Question 28

is our patient with asthma going to be tachy or brady?

Answer 28

tachy because the heart is working overtime to compensate

Question 29

when is usually the osnet of asthma?

Answer 29

childhood around 12 years old

Question 30

what should an assesment look like for the nurse for an asthmatic patient?

Answer 30

questions about current and PREVIOUS attacks, factors, meds, relief efforts

Question 31

what are the 2 types of meds used for asthma and their differences?

Answer 31

bronchodilators (instant RESCUE med) and corticosteroids(decreases inflammation over TIME, NOT a rescue med)

Question 32

what are some things we should teach our pt with asthma?

Answer 32

how to stick to reducing stressors, how to use their inhalor, how to do propper breathing techniques

Question 33

what is status asthmaticus?

Answer 33

a rapid, severe onset of asthma

Question 34

why can asthma be detrimental to certain pops?

Answer 34

it can exacerbate anxiety, depression, and if you are an older pt, it adds to your comorbidities

Question 35

what does our pt experiencing status asmathiticus look like?

Answer 35

extremely dyspnic, cyanotic, loc is impaired, and experiencing chest tightness

Question 36

what is the role of the RN with asthmatic patients?

Answer 36

constant monitoring, administering the beta agonists and corticosteroids, and assessment to see if treatment is working

Question 37

what is oxygen toxicity and how can we prevent it?

Answer 37

when the pt receives too much oxygen for an extended period of time. we can prevent it by giving the lowest dose of concentrated oxygen carefully