Treatment Flashcards
Atelectasis
Turning
Ambulation
Breathing and coughing
ICOUGH
CPT, postural drainage
Thoracentesis
Intubation and ventilation
O2 therapy
Influenza prevention
Quit smoking
Stay home
Vaccines: LSIV and TIV
Hand washing
Don’t touch face
Avoid close contact with infected person
PNA
Prompt abx
O2, analgesics, antipyretics
Rest and activity
Humidifier, hydration
Cor pulmonale
BP meds
Diuretics
O2
COPD exacerbation
Short acting bronchodilators
Oral systemic steroids
Abx
O2
Goal of O2 therapy for COPD
Keep sat above 90
PaO2 over 60
Improves activity, cognition, sleep
COPD non pharm tx
Respiratory and physical therapy- pursed lip, diaphragmatic
Effective coughing
CPT
Flutter and Acapella
Positive expiratory pressure tx (PEEP)
COPD surgical options
Lung volume reduction surgery
Bronchoscopic lung volume reduction surgery
Bullectomy
Lung transplant
COPD nursing (edu on activity)
15-20 minute exercise 2-3 times per week
Sleep
NSCLC surgeries
Pneumonectomy
Lobectomy
Segmental resection
VATS
SBRT procedure
High dose radiation to small area
Over 1-3 days
Palliative care for lung cancer
Radiation
Stent
Pain management
Obesity lifestyle modifications
Decrease calories 500 to 1000
Exercise 75 to 150 minutes/week
Whole foods
Journal
Healthy sleep habits
Obesity non surgical procedures
Vagal blocking
Intragastric balloon
Endovascular bariatric embolization
Nursing for obesity respiratory and CV complications
Low Fowler for chest expansion
Pulse ox
O2
Resp assessments
Big cuff
Monitor for DVT and pressure injuries
Bariatric surgical procedures
RYGB (bypass)
Gastric banding
Sleeve gastrectomy
Biliopancreatic diversion with duodenal switch
Sleeve gastrectomy
Restrictive
Smaller stomach
Bariatric surgery complications
Infection
Leakage
Change in bowel pattern
Hemorrhage
VTE
Bile reflux
Dumping
Hypoglycemia
Dysphagia
Obstruction
Pre bariatric surgery diet
Clear liquid 24-48 hours
NPO midnight
Maybe restrictive diet 6 months
Post bariatric surgery diet (recovering post op)
Clear liquid 48 hours
Slowly progress to solid foods by week 8
Signs of anastomic leakage from bariatric surgery
Fever
Abdominal pain
Tachycardia
Leukocytosis
Post op nursing for bariatric surgery
Pain
Fluid volume balance
Nutrition status
Anxiety
Body image changes
Post bariatric surgery diet (in regular life)
Small frequent
High protein high fiber low simple carb
Water, no calorie drink, not during eat
Semi Fowler
High nutrient foods- PB, cheese, chicken, fish, beans
Eat slow and chew a lot
Monthly B12 and iron shots
Hep A and E prevention
Hand washing and hygiene
Cataract surgery
ECCE to suck out old lens
IOL lens implant
Nursing for cataract surgery
Dilating eye drops
Edu to call if vision changes, flashing lights, inflammation, unrelieved pain, increased / changed drainage
Surg for detached retina
Sclera buckle
Vitrectomy with gas bubble, silicone oil
Edu for retina detachment surg
Outpatient
Ss high IOP and infection
Prone position for gas bubble
Cerumen removal
Soften with glycerin, mineral oil, 1/2 strength hydrogen peroxide
Irrigation with low pressure
Acute otitis media
Abx
Myringotomy aka tympanotomy
Chronic otitis media
Tympanoplasty
Ossiculoplasty
Mastoidectomy
Tympanoplasty
Tympanic membrane reconstruction
Ossiculoplasty
Reconstruction of middle ear bones
Mastoidectomy
Removal of diseased bone or cholesteatoma
Nursing for mastoid surgery
Anxiety, analgesics
Antiemetic, anti vertigo
Help ambulate
Prevent infection
Prevent water getting in there
Pt education for mastoid surgery
Constant throbbing is infection
Hearing may be reduced for several weeks
No lifting over 10 pounds
No straining (stool softener?)
No nose blowing 3 weeks
Open mouth sneeze and cough
Ménière’s disease
Low sodium diet 1000 to 1500
Meclizine (Antivert)
Tranquilizers (Valium)
Antiemetics (promethazine)
Diuretics
Surg: endolymphatic sac decompression, middle and inner ear profusion, vestibular nerve sectioning
Cirrhosis nursing
Rest, nutrition, skin, reduce injury
IO
Small frequent
High calorie
Low sodium
Vitamins
Prevent complications: hemorrhage, encephalopathy, FVE
Liver CA nonsurg
Radiation
Chemo
Percutaneous biliary drainage
Liver CA surg
Lobectomy
Cryosurgery
Liver transplant
Ascites
Low sodium diet / salt subs
Diuretics - spironolactone, furosemide
Bed rest but not upright
Paracentesis 5-6 L
Give albumin
TIPS shunt between portal/hepatic vessels
Ascites nursing monitoring
IO
Weight
Girth
Resp
Labs for ammonia, creatinine, lytes
Varices
Shock tx, O2, IVF and lytes, volume expanders, blood products
Vasopressin
Somatostatin
Octreotide
Nitro
Propranolol and nadolol
Balloon tamponade
Banding ligation
Varices nursing
Safe environment to prevent injury
Deep breathe and position change
Hepatic encephalopathy
Eliminate cause
Lyte imbalances
Lactulose to reduce ammonium
IV glucose to minimize protein breakdown
Reduce ammonia via suction, enema, abx
Stop downers
