upper airway (exam 1) Flashcards
what is a cold/inflammation in the nose?
rhinitis
is rhinitis bacterial or viral?
viral
what is inflammation in the nose and sinuses
rhinosinusitis
what is a sore throat called?
pharyngitis
what is adenoiditis?
in the nose, hard to breathe
inflammation of the voice box
laryngitis
what is another word for nose bleed?
epistaxis
is oxygen therapy considered medication
yes
hypoxemia involves ______, while hypoxia involves________
blood, tissues
complications of oxygen therapy
-oxygen toxicity (COPD) (Can stop breathing)
-ventilation suppression
how often should pts do incentive spirometry?
10x an hour
what is endotracheal intubation
used when intubating, connects to ambu/ventilator
the physical surgery of a tracheostomy is a ______
tracheotomy
how long does a tracheostomy need to be kept in?
90 hrs
have_____ on hand if tracheostomy is pulled out before 90 hours
obturator
surgical procedure where an opening is made in the trachea
tracheotomy
what is the actual opening of a tracheotomy surgery
tracheostomy
what is done to…
-bypass upper airway obstruction
-remove secretions
-long term ventilation
-prevent aspiration
tracheotomy/ostomy
what kind of tracheostomy allows for speech
fenestrated
when cleaning a tracheostomy at the hospital, it is ______. at home, it is _____
sterile, clean
do not remove the trach or change until stoma is established, or ______ hours
around 96
do not _________ to stimulate cough in trach patients
instill normal saline into trach (causes trauma and infection)
what is the stop bang questionaire?
about sleep apnea
-asks about snoring, stop breathing, neck circumference
what cardiovascular problems can obstructive sleep apnea lead to?
HTN, MI, strokes, CHF
what misc. problems can obstructive sleep apnea lead to?
accidents (sleep while driving)
insulin resistance
impaired social interaction
sudden death between midnight and 6am
what is treatment for OSA?
-weight loss
-airway support (BiPAP/CPAP)
-dental appliances (reposition)
-meds
-surgery
-sleep positioning (side)
in people using BiPAP/CPAP, their nasal spray has to be _________
normal saline only, can go down airway