test6 various info per SLATE lectures Flashcards
Define Thoracentesis and where is this done(anatomically)
…/pleural space..(not inside the lung)
Best nursing acx for thoracentesis positioning
client to lean over side table feet lfat on floor
t/f…client needs to be NPO before and after procedure?
NO,,Client can remain on regular diet as tolerated.
define bronchoscopy
.
Does client need sedation for bronchoscopy?
.
Nursing acx for bronchoscopy
Consent
- NPO 6-8 prior
- sedation
- lay flat –SUPINE
- Check gag reflex post procedure before meals use tongue depressor
- monitor pulse ox
- Monitor breathe sounds
Educate overweight clients require what kind of oxygenation to tissues?
Increased o2 tissue demand
Malnourished clients
weak muscles
Monitor If client has weak
cough
Nutrition: diet high in calories?
…can increase CO2 levels
Nursing/UAP acx for better oxygenation
add pillows
Nursing acx for various o2 sats 88/92-93/100/95
depending on facility policy, 1.always document, 2. {normal s 93-95 to 100} if less than
Suck or blow for incentive spirometer and how often
suck…..during commercials 10x kg (lol) spread time
tidal volume(according to slate)
15-2000 is good` (yes slate said 15 but I think its wrong)
<500 tidal volume?
not good
Nursing Monitoring: COPD
use diaphragmatic breathing; pursed lips-exhale, this allows increased longer held pressure in alveoli to increase o2 entry (copd) air trapping
cascade cough?
.
HUFF cough?
.
Quad cough?
.
Lung sound description:
-Ronchi
.
Lung sound description:
Wheezing
.
Educate CLIENT on
.rx/positioning/nutrition/(oscilating fan=PSUEDO rx)
nursing acx
suction/mouhcare-pneumonia)
What to look out for in COPD clients
barrel chest pigeon chest/decreased breath sound/lowo2/dyspnea/SOB/orthopnea/hypoxia
