Week 2 post conference

Question 1

Rhonchi: Obstruction of fluid accumulation. Rumbling, course sounds, a snore.

Answer 1

COPD - PNA

-Pulm toilet - Ambulate - IS -FLutter valve

Question 2

Wheeze-constriction

Answer 2

-Asthama - emphysema - Bronchitis

-Humidifier - Steroids - Antihistamines

Question 3

Crackles/Rales: Fluids in lungs

Answer 3

CHF PNA

Pulm toilet, diuretics, abx, O2 nebs/ing

Question 4

Set up room

Answer 4

-Room clean

-Bed in room

-Flow meter

-Suction set up

-Fall alarms

-IV pump Pole

-How she voids

-Puls ox and tele

-ADL supples

-IS

Question 5

Additional Orders

Answer 5

-Labs

-Teams

-VS how often?

-Strict I&O’s

Question 6

Teach IS

Answer 6

-Purpose
-Assess LOC
-Position
-Mouthpiece
-Slowly inhale deeping
-Hold breath for at least 3 seconds
-Encourage 10x per hour
-Set a goal
-Place within reach

Question 7

Therapeutic Communication

Answer 7

-Possibly touch

-Understand

-Re-assure

-Offer to do what you can

-Consult people needed

Question 8

Trach communication

Answer 8

-Dry erase boards

-Yes/no

-Blink

-Communication boards

Question 9

What type of information would you want to hear from report re: trach?

Answer 9

-Size
-Cuffef, noncuffed
-Type Shiley or Jackson
-How much O2
-How often to suction
-How does she tolerate
-Sputum characterisitcs
-Lung sounds
-Last suciton
-Last time trach care completed

Question 10

What do you need in the room for a trach patient?

Answer 10

-Obturator
-Suction
-Suction catheters
-Trach kit
-Disposable cannula
-Smaller trach
-Flow meter
-Ambu bag

Question 11

Walk into the room with someone and their trach is out?

Answer 11

-Locate the obturator, remove the inner cannula from the trach, insert the obturator and replace ASAP

-Call for help

-Call repiratory

-Call HCP

-Prepare suction

Question 12

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