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MS 3 > Resporatory Distress Syndrome > Flashcards

Resporatory Distress Syndrome Flashcards

1
Q

Common in newborn because of absence of surfactant of the lungs that prevent alveoli collapse

A

Respiratory distress syndrome

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2
Q

Atelectasis can be due to?
(P,G,L)

A

Premature birth
Gestational diabetes
Low body weight

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3
Q

Symptoms for Atelectasis
(I,I,A)

A

Increase heart rate
Increase respiratory rate
Altered LOC

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4
Q

How do you know that a baby experiencing decrease LOC

A

Sleepiness

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5
Q

What are the late signs of Atelectasis

A

Blue colored lips and finger

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6
Q

How do you asses a discoloration if the patient is a black American

A

Check the mucosa

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7
Q

What are common in patient with Atelectasis (F,G)

A

-flaring nostril and grunting

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8
Q

Diagnostic procedure for Atelectasis
(X,A)

A

-Xray
-amniocentesis

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9
Q

When do you check the amniocentesis

A

Check while the baby is still in the womb (5 months old)

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10
Q

Management of Atelectasis before birth

A

Give corticosteroids

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11
Q

What corticosteroids should you give
(B,T)

A

Betamethasone
Terbutaline

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12
Q

Management of Atelectasis after birth

A

Give surfactant
Give low flow rate of oxygen

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13
Q

Why low flow rate of oxygen

A

To prevent blindness

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14
Q

Consequence of too much oxygen

A

Retrolental hyperplasia

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15
Q

What specific oxygen mask to be use

A

Venturi mask

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16
Q

Common in adult and pedia this is due to trauma such as using prolonged mechanical ventilation

A

Acute respiratory distress syndrome

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17
Q

Prolonged using of mechanical ventilation may be result to?

A

Pneumonia and fat embolism

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18
Q

Nursing priority for patient with acute respiratory distress syndrome

A

Move patient every 2 hours
Tube care

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19
Q

Early Sign and symptoms of Atelectasis
(A,I,I,U)

A

Altered level of consciousness
Increase heart rate
Increate respiratory rate
Use of accessory muscle

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20
Q

Late Sign and symptoms of Atelectasis
(F,C,H)

A

Flail chest
Crackles
Hypoxia

21
Q

Why is crackles present in Atelectasis

A

Due to Discontinued breathing

22
Q

The presence of rales and wet brain can be due to?

A

Accumulation of fluid and air

23
Q

Diagnostic procedure for acute respiratory distress syndrome

A

Abg

24
Q

Management of acute respiratory distress syndrome (T,H)

A

Thoracentisis
High Oxygenation

25
Q

Position for thoracentesis during removal and insertion

A

Unaffected side

26
Q

Why do you need to put patient into the unaffected side position

A

To prevent lung expansion

27
Q

What position would the patient be if both lungs are affected

A

Semi-fowlers

28
Q

Is thoracentesis a long term process of treatment for patient with ARDS

A

Yes

29
Q

Why is thoracentesis a long term process for ARDS

A

To re establish the negative pressure in the lungs

30
Q

What would you instruct the patient during insertion of thoracentesis

A

Stay still and exhale plus hold to minimize accidental puncture of lungs

31
Q

What is it done during removal of thoracentesis

A

Valsalva manuever

32
Q

Why would you do a valsalva manuever during thoracentesis

A

To prevent air in going to the lungs

33
Q

Passage of thrombus to the blood vessel of the lungs

A

Pulmonary embolism

34
Q

What are present to patient with pulmonary embolism
(D,I,I,R,H,F)

A

Dyspnea
Increase heart rate
Increase respiratory rate
Respiratory acidosis
Hemoptysis
Feeling of impending doom

35
Q

What color is the blood for hemoptysis

A

Bright red

36
Q

What are the management for pulmonary embolism (T,P,M,G,M)

A

Thoracentisis
Position the patient in high fowler
Monitor vital signs
Give oxygen
Medication

37
Q

What medication should you give a patient with pulmonary embolism (A,A,B)

A

Anti platelet
Anti coagulant
Blood thinner

38
Q

Accumulation of air in the lungs

A

Pneumothorax

39
Q

Types of pneumothorax
(S,O,T)

A

Spontaneous, Tension, Open

40
Q

Occurs due to rupture of the pulmonary bleb

A

Spontaneous

41
Q

Occurs due to prolonged used of mechanical ventilator which cause a build up of air in the lungs ( + pressure in the lungs)

A

Tension

42
Q

+ pressure in the lungs

A

Open

43
Q

Diagnostic procedure for pneumothorax

A

Chect xray

44
Q

Signs and symptoms of pneumothorax
(A,C,D,H,T,T)

A

Absence of breath sound in the affected side
Cyanosis
Decrease expansion of chest of the affected side
Hypotension
Tachypnea
Tachycardia

45
Q

Management for pneumothorax
(A,G,H,C,M,W)

A

Apply dressing over an open chest
Give oxygen
High fowler position
CTP or thoracentisis
Monitor drainage system
Watch out for subcutaneous emphysema

46
Q

Position of patient with pneumothorax

A

High fowler

47
Q

What would you watch of for patient with pneumothorax

A

Subcutaneous emphysema

48
Q

Position of patient with pulmonary embolism

A

High fowler position

MS 3 (2 decks)

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