Med Surg

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Author:
grace.bui
ID:
247670
Filename:
Med Surg
Updated:
2013-11-18 19:21:31
Tags:
Perioperative Care Renal Urinary Electrolytes
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Description:
Med Surg test 1
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  1. What are the 3 common postop respiratory complications and what do they include?
    • Airway obstruction: tongue falling back, retained thick secretions, laryngospasm, laryngeal edema
    • Hypoxemia: atelectasis, pulmonary edema, pulmonary embolism, aspiration, bronchospasm
    • Hypoventilation: depression of central respiratory drive, poor respiratory muscle tone, mechanical restriction, pain
  2. Manifestations & Interventions:
    tongue falling back
    Use of accessory muscles, snoring respirations, decreased air movement

    Patient stimulation, chin lift, jaw thrust, artificial airway
  3. Manifestations & Interventions:
    retained thick secretions
    noisy respirations, coarse crackles

    Suctioning, IV hydration, chest physical therapy, deep breathing and coughing
  4. Manifestations & Interventions:
    Laryngospasm
    Inspiratory stridor, sternal retraction, acute respiratory distress

    O2, corticosteroids, IV muscle relaxant, lidocaine, positive pressure ventilation
  5. Manifestations & Interventions:
    Laryngeal edema
    Inspiratory stridor, sternal retraction, acute respiratory distress

    O2, antihistamines, corticosteroids, sedatives, possible intubation
  6. Manifestations & Interventions:
    Atelectasis
    ↓ breath sounds, ↓ O2 sat 


    Humidified O2, deep breathing, IS, early mobilization
  7. Manifestations & Interventions:
    Pulmonary edema
    ↓ O2 sat, crackles, infiltrates on chest x-ray

    O2 therapy, diuretics, fluid restriction
  8. Manifestations & Interventions:
    Pulmonary embolism
    Acute tachypnea, dyspnea, tachycardia, hypotension, ↓ O2 sat, bronchospasm

    O2 therapy, cardiopulmonary support, anticoagulant therapy
  9. Manifestations & Interventions:
    Aspiration
    Unexplained tachypnea, bronchospasm, ↓ O2 sat, atelectasis, interstitial edema, alveolar hemorrhage, respiratory failure

    O2 therapy, cardiac support, antibiotics
  10. Manifestations & Interventions:
    Bronchospasm
    wheezing, dyspnea, tachypnea, ↓ O2 sat

    O2 therapy, bronchodilators

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