Unit 7 Flashcards
What is abnormal aPTT range?
> 70
What is the range for HCP?
100,000-120,000
Where will the pain be in a DVT?
groin, calf, and thigh
What are cues of asthma?
Coughing
Forced expiration
Retractions
Nasal flaring
Wheezing
Restlessness, dyspnea
Cyanosis
What are interventions for asthma (think about AIM)?
Positioning
O2 therapy
Alleviate triggers
IV access for acute attack
Have intubation equipment ready
Assess chest sounds (absent?)
Medication
What is cor pulmonale?
Right sided heart failure; increased pressure creates heavy workload on right side of heart which pumps blood into lungs
What are cues of COPD?
Cor pulmonale
Thin appearance
Respiratory changes
Cynotic appearance
Late digital clubbing
Assess for respiratory distress
What is management of COPD?
O2 at 88-92
Small frequent meals
Activity as tolerated
Breathing techniques
Positioning
Medications
What are cues of pneumonia?
Non-productive cough
Chills
Tachynea/Dyspnea
Fever
Pleuritic chest pain
Green/yellow/rust sputum
Hypoxemia
What are ways to treat pneumonia?
Oxygen therapy
Chest X-ray
Blood cultures
ABX
Analgesics and antipyretics
Rest and activity as tolerated
Hydration and nutrition
Ventilated
When should oral care be done when pt is on a ventilator?
Q2hr
What are cues of DVT?
Sudden onset, unilateral
Warmth and tender
Measure against other leg for base line
Homans sign not advised
Diagnosed by D-dimer or venous ultrasound
What are interventions for DVT?
Walk
Hydration
Compression stocking
Elevate legs
DO NOT MASSAGE
What drugs would you use with DVT?
Heparin (aPTT, watch platelet lvls)
Enoxaparin
Warfarin
Direct oral anticoagulants
What is virchow triad?
Venous stasis
Damage
Hypercoagulability
