Respiratory Rationales Flashcards
After you identify the client and apply a pulse ox to the client you should perform ______ ______.
perform hand hygiene
before you suction the clients trach you need to do what?
suction small amounts of NS solution
ipratropium bromide is a _____ ______.
bronchial relaxer
Hemophilia is a deficit factor ______.
VIII
If a client has hemophilia B the client would require the replacement of _____ _______ concentrates.
factor IX concentrates
to facilitate the placement of a tube thoracotomy the client should be positioned ____ with the HOB elevated to ____ to _____ degrees.
supine / 30 to 45
With a tube thoracotomy notify the physician for any drainage greater than _____ mL/hr
70 mL/hr
Do you clamp a chest tube when a client is repositioned?
NO - it can cause tension pneumothorax
What is the criteria of output for a chest tube to be disconnected? A 24 hour output of ____ ml
40 ml (when drainage is less than 100-150 ML in 24 hours)
An absence of bubbling in the water-seal chamber during expiration indicates?
No air leak
What is hemothorax?
bleeding in the chest cavity
Tiotropium is typically administered ____ ______.
once daily
A crucial part of mitigating the symptoms of OSA is for a client to ____ _____.
lose weight
Prior to a chest tube being removed the nurse should admin ____ _____.
pain medication
Albuterol can lower serum ______.
potassium
decongestants can make clients?
jittery, nervous, or restless.
A client with carbon monoxide poisoning would be expected to have a _______.
HA
periods of apnea with periods of gradually increasing and decreasing breaths is defined as ______ - _______>
Cheyne - Stokes
Ataxic breathing is ______ and ______.
irregular and unpredictable
apneustic breathing is characterized by prolonged _____ and ______ exhalation.
inhalation and shortened
What is the therapeutic goal of non-invasive positive pressure ventilation (NIPPV)?
Reduce the work of breathing and improving ventilation
poractant alfa promotes the production of _______.
surfactant
How do you assess for tactile remits?
ask the client to say “ninety-nine” while palpating the intercoastal spaces
The two diagnostics test for a pulmonary test are ______ and ____ _____.
D-dimer and CT scan
Diffuse inspiratory and expiratory wheezes throughout the lung fields means ______ _______.
increased airflow
respirations that are abnormally deep, regular, and increased in rate is ______.
Kussmaul’s
apnea that alternates with periods of rapid breathing is _____ - ______.
Cheyne-Stokes
client is gasping for air
Agonal
RBC count is elevated to compensate for ____ ____ ____.
low oxygen levels or hypoxia
______ are a adverse effect of montelukast.
hallucinations (also depression, aggression, and thoughts of suicidality)
One of the toxic effects of theophylline is ____ ____.
cardiac arrhythmias
Patients with COPD have ______ ______.
hyper inflated lungs (barrel chest)
when a client takes tiotropium bromide inhalation capsules make sure they hold their breath for ______ seconds.
10 seconds
Prior to a getting a pulmonary function test the client should not use their ______.
bronchodilators four to six hours before the test
Albuterol can increase the ______.
HR
When a client with pneumothorax has clear bilateral breath sounds this indicates?
both lungs have fully expanded
Formoterol may cause ________.
insomnia
One common cause of fluctuation cessation in a water seal column is?
fibrin clots in the tubing
Patients with LHF should not take _____ because it reduces myocardial contractility.
Dilitazem
