upper resp infections

Question 1

CSF drainage test

Answer 1

pos for glucose, dry w a yellow halo

Question 2

posterior nasal bleed

Answer 2

emergent, observe for respiratory distress and tolerance

Question 3

nosebleed best practice-5

Answer 3

1. standard precautions
2. position upright and leaning forward
3. apply direct lateral pressure for 10 min, ice if possible
4. loosely pack both nare w gauze
5. don’t blow nose for 24 hrs

Question 4

obstructive sleep apnea

Answer 4

breathing disruption that lasts at least 10 sec and occurs min of 5 times in 1 hour
-increase CO2 and decrease pH

Question 5

vocal cord paralysis

Answer 5

1 cord-airway patent but voice affected

bilateral- causes airway obstruction and emergency if can’t compensate=> stridor and dyspnea (rapid response)

Question 6

respiratory difficulty indications-9*

Answer 6

tachypnea, nasal flaring, anxiety, sternal retraction, SOB, restlessness, decreased O2 sat, decrease LOC, stridor
*stay w pt and call rapid response

Question 7

head and neck cancer patho

Answer 7

lesions may be seen as leukoplakia or erythroplakia

Question 8

head and neck cancer risk factors-5

Answer 8

1. hx of acute or chronic laryngitis/pharyngitis
2. oral sores
3. lumps in neck
4. painless hoarseness
5. exposure to pollutants

Question 9

carotid artery leak-3

Answer 9

rapid response
don’t touch area (not ruptured)
continuous pressure and emergent OR w rupture