respiratory assessment Flashcards
how much fluid should be in the pleural space?
no more than 15mL
subjective feeling of discomfort, SOB; can be sudden or gradual, aggravated/alleviated by different things
dyspnea
thick yellow-green sputum signifies
bacterial infection
pink frothy sputum signifies
pulmonary edema
chest pain that gets worse on inspiration
pleuritic pain
blood in sputum
hemoptysis
fluid in alveoli sounds
crackles
constriction pf bronchi/bronchioles, generally associated with asthma; musical & high-pitched noises
wheezing
heard in neck, indicative of narrow/constricted airways
stridor
sounds like snoring; low-pitched, generally in larger bronchi/bronchioles, will most likely clear with coughing
rhonchi
early signs of hypoxia
symptoms of restlessness, tachycardia, increased RR, increased BP, pale skin/mucous membranes, adventitious breath sounds w
late signs hypoxia
confusion/stupor, decreased RR, arrhythmias, cyanotic skin/mucous membranes, decreased HR, hypotension
if giving IV contrast, what should you check for?
shellfish/iodine allergy, metformin use, BUN & Cr
lighted scope with camera into lungs
bronchoscopy
T/F: blood-tinged sputum and a low-grade fever are expected within 24h of a bronchoscopy
T
after sedation, a nurse must assess that the _____ reflex has returned
gag
aspiration of the pleural space
thoracentesis
possible complications thoracentesis
pneumonia, infection
T/F: nurses need an order for O2 therapy
T
nasal cannulas can administer up to ____ O2
6L
if a pt has been on a ventilator for over 2 weeks, that is an indication for a ___________
tracheostomy
connected to face plate that’s surgically inserted; outermost portion trach
outer cannula
either disposable or reusable; goes inside outer cannula & gets changed
inner cannula
should always be at bedside; keeps airway patent if trach becomes dislodged
obturator
