Upper Respiratory

Card Set Information

Author:
vanwin
ID:
252090
Filename:
Upper Respiratory
Updated:
2013-12-09 18:10:06
Tags:
respiratory nursing medsurge
Folders:
MEDSURGE_E2
Description:
UTTYLER
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  1. Types of Nasal fractures (3)
    • unilateral
    • bilateral
    • complex
  2. Nasal fracture complications (4)
    • airway obstruction
    • epistaxis
    • meningeal tear
    • cosmetic deformity
  3. nasal fracture assessment (4)
    • airway
    • edema- expected
    • bruising- racoon eyes
    • drainage - if clear suspect meningeal tear
  4. nasal fracture treatment (6)
    • maintain airway
    • ice
    • surgery
    • nasal packing
    • splints
    • raise head of bed, high folwers
  5. nasal fracture patient teaching (5)
    • no aspirins/NSAIDs
    • no nose blowing/ heavy lifting
    • no valsava
    • sneeze with mouth open
    • 4 months before face returns to normal
  6. Types of epistaxsis
    • anterior: more common¬† in pedi & young adults, stops w/o treatment
    • posterior: older patients, requires treatment
  7. mild epistaxis treatments (4)
    • lean pt forward
    • pinch nose for 10-15 mins
    • nice pack to nose/ ice chips for constriction
    • gause underneath to soak up blood
  8. severe epistaxis treatment (3)
    • nasal packing; at least 3 days for anterior 2-3 for posterior
    • cauterization
    • vasoconstriction agents
  9. epistaxis nursing implications
    • lean pt forward
    • maintain airway
    • head of bed up
  10. corticosteroid sprays for allergic rhinitis nursing implications (2)
    • start 2 weeks before allergy season
    • no rapid acting, no rn
  11. Mast cell stabilizer for allergic rhinitis nursing implications
    use 2weeks before allergy season
  12. 1st gen vs 2nd gen antihistamine (3)
    • 1st gen: benadryl causes drowsiness
    • 2nd gen: doesn't, fewer side effects
    • *BOTH CONTRAINDICATED WITH MAOIs
  13. decongestants for allergic rhinitis nursing implications
    • do not use >3 days
    • possible dependency
    • rebound effect
  14. acute viral rhinitis (cold) patho (2)
    • takes up to 14 days to get rid of without antibiotics
    • spread airborne & contact
  15. Acute rhinitis treatment (6)
    • rest
    • fluids
    • antipyretics
    • analgesics
    • antihistamines
    • decongestants
  16. acute rhinitis complications (5)
    • pharyngitis
    • sinusitis
    • otis media
    • tonsilitis
    • lung infection
  17. Influenza complications (2)
    • pneumonia
    • secondary bacterial infection
  18. Influenza treatment
    • given 2nd day of onset
    • symmetrel, tamiflu, relenza
  19. Sinusitis  accute vs chronic causes
    • Acute: swimming, dental swelling, follows URI/ allergies
    • chronic: allergies & nasal polyps
  20. acute sinusitis treatment (4)
    • antibiotics 10-14 days
    • mucolytics
    • decongestants
    • steroids
  21. chronic sinusitis treatment
    • broad spectrum antibiotics 4 - 6 wks
    • mucolytics
    • surgery
  22. acute pharynitis s&s (6)
    • fever
    • sore throat
    • white patches
    • puss pockets
    • swollen cervical node
    • beefy throat
  23. sleep apnea complications (3)
    • HTN
    • dysrhythmias
    • hear failure

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