Resporatory Distress Syndrome

Question 1

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

Answer 1

Respiratory distress syndrome

Question 2

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

Answer 2

Premature birth
Gestational diabetes
Low body weight

Question 3

Symptoms for Atelectasis
(I,I,A)

Answer 3

Increase heart rate
Increase respiratory rate
Altered LOC

Question 4

How do you know that a baby experiencing decrease LOC

Answer 4

Sleepiness

Question 5

What are the late signs of Atelectasis

Answer 5

Blue colored lips and finger

Question 6

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

Answer 6

Check the mucosa

Question 7

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

Answer 7

-flaring nostril and grunting

Question 8

Diagnostic procedure for Atelectasis
(X,A)

Answer 8

-Xray
-amniocentesis

Question 9

When do you check the amniocentesis

Answer 9

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

Question 10

Management of Atelectasis before birth

Answer 10

Give corticosteroids

Question 11

What corticosteroids should you give
(B,T)

Answer 11

Betamethasone
Terbutaline

Question 12

Management of Atelectasis after birth

Answer 12

Give surfactant
Give low flow rate of oxygen

Question 13

Why low flow rate of oxygen

Answer 13

To prevent blindness

Question 14

Consequence of too much oxygen

Answer 14

Retrolental hyperplasia

Question 15

What specific oxygen mask to be use

Answer 15

Venturi mask

Question 16

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

Answer 16

Acute respiratory distress syndrome

Question 17

Prolonged using of mechanical ventilation may be result to?

Answer 17

Pneumonia and fat embolism

Question 18

Nursing priority for patient with acute respiratory distress syndrome

Answer 18

Move patient every 2 hours
Tube care

Question 19

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

Answer 19

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

Question 20

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

Answer 20

Flail chest
Crackles
Hypoxia

Question 21

Why is crackles present in Atelectasis

Answer 21

Due to Discontinued breathing

Question 22

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

Answer 22

Accumulation of fluid and air

Question 23

Diagnostic procedure for acute respiratory distress syndrome

Answer 23

Abg

Question 24

Management of acute respiratory distress syndrome (T,H)

Answer 24

Thoracentisis
High Oxygenation

Question 25

Position for thoracentesis during removal and insertion

Answer 25

Unaffected side

Question 26

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

Answer 26

To prevent lung expansion

Question 27

What position would the patient be if both lungs are affected

Answer 27

Semi-fowlers

Question 28

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

Answer 28

Yes

Question 29

Why is thoracentesis a long term process for ARDS

Answer 29

To re establish the negative pressure in the lungs

Question 30

What would you instruct the patient during insertion of thoracentesis

Answer 30

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

Question 31

What is it done during removal of thoracentesis

Answer 31

Valsalva manuever

Question 32

Why would you do a valsalva manuever during thoracentesis

Answer 32

To prevent air in going to the lungs

Question 33

Passage of thrombus to the blood vessel of the lungs

Answer 33

Pulmonary embolism

Question 34

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

Answer 34

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

Question 35

What color is the blood for hemoptysis

Answer 35

Bright red

Question 36

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

Answer 36

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

Question 37

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

Answer 37

Anti platelet Anti coagulant Blood thinner

Question 38

Accumulation of air in the lungs

Answer 38

Pneumothorax

Question 39

Types of pneumothorax (S,O,T)

Answer 39

Spontaneous, Tension, Open

Question 40

Occurs due to rupture of the pulmonary bleb

Answer 40

Spontaneous

Question 41

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

Answer 41

Tension

Question 42

+ pressure in the lungs

Answer 42

Open

Question 43

Diagnostic procedure for pneumothorax

Answer 43

Chect xray

Question 44

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

Answer 44

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

Question 45

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

Answer 45

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

Question 46

Position of patient with pneumothorax

Answer 46

High fowler

Question 47

What would you watch of for patient with pneumothorax

Answer 47

Subcutaneous emphysema

Question 48

Position of patient with pulmonary embolism

Answer 48

High fowler position