Respiratory Disorders Flashcards
Manifestations of PE (11)
- Dyspnea
- Tachypnea
- Sharp, stabbing pain on inspiration
- Tachycardia
- Hypotension
- Sense of impending doom
- Diaphoresis
- Decreased SaO2
- Pleural effusion
- Crackles
- Cough
Air leak in chest tube manifestation
Continuous rapid bubbling in the water seal chamber
Air leak interventions (4)
- Start at chest and move down tubing to find leak
- Tighten connection
- Replace drainage system
- Keep connection taped securely
Chest tube complication: no tidying in water seal chamber nursing interventions (2)
- Check for kinks in tubing
- Check breath sounds for lung re-expansion
Chest tube complication: no bubbling in suction control chamber nursing interventions (3)
- Check that tubing is attached
- Check that water is filled to prescribed level
- Check wall suction regulator
Chest tube complication: chest tube is disconnected from system nursing intervention
- Place open end of chest tube in sterile water until system can be replaced
Chest tube complication: chest tube accidentally pulled from client nursing interventions (3)
- Cover insertion site with sterile dressing taped on 3 sides
- Contact provider
- Prepare for reinsertion
Early signs of hypoxia/hypoxemia (8)
- Tachypnea
- Tachycardia
- Restlessness
- Pale skin/mucous membranes
- Elevated bp
- Use of accessory muscles
- Nasal flaring
- Adventitious lung sounds
Late signs of hypoxia/hypoxemia (6)
- Bradypnea
- Bradycardia
- Confusion/stupor
- Cyanotic skin/mucous membranes
- Hypotension
- Cardiac dysrhythmias
Nasal cannula FIO2/flow rate
- 24-44%
- 1-6 L/min
Simple face mask FIO2/flow rate
- 40-60%
- 6-8 L/min
Partial rebreather mask FIO2/flow rate
- 50-75%
- 8-11 L/min
Non-rebreather mask FIO2/flow rate
- 80-100%
- 12 L/min
Venturi mask FIO2/flow rate
- 24-40%
- 4-8 L/min
Aerosol mask, face tent FIO2/flow rate
- 30-100%
- 8-10 L/min
