lower respiratory

Card Set Information

Author:
vanwin
ID:
252114
Filename:
lower respiratory
Updated:
2013-12-09 19:54:41
Tags:
medsurge nursing respiratory
Folders:
MEDSURGE_E2
Description:
uttyler nursing, dont go here
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  1. normal ABGs
    • pH: 7.35-7.45
    • PaO2: 45-35
    • PaCO2: 22-26
  2. acute bronchitis treatment
    antibiotics 5-7 days
  3. acute bronchitis s&s (5)
    • fever
    • HA
    • malaise
    • SOB on exertion
    • *no infiltrates on CXR compared to pneumonia
  4. Types of Pneumonia (4)
    • Community: within 2 days of hospital admit
    • hospital acquired
    • aspiration
    • opporunistic
  5. Pneumonia patho (4)
    • congestion: rapid build up of organism
    • red hepatization: mass dilation of capillaries
    • gray hepatization:
    • resoluation: if theres no complications
  6. pneumonia typical findings (7)
    • chills
    • shaky
    • SOB
    • purulent sputum
    • productive cough
    • elderly/ delibitated - restless & confusion
  7. pneumonia assessment findings (3)
    • dullness on percussion of lungs
    • increased fremitus
    • sounds in periphery
  8. pneumonia complications (8)
    • pleurisy
    • pleural effusion
    • atelectasis
    • delayed resolution
    • absess
    • empyema
    • cerebral meningitis
  9. pleural effusion (3)
    • fluid in  pleura
    • reabsorbed in 1-2 wks
    • may need thoracentesis
  10. empyema
    infected effusion
  11. Pneumonia vaccine canidates  (5)
    • chronic illness
    • recent severe illness
    • >65 yrs
    • longterm care facility
    • *must be renewed Q5Y
  12. antibiotic treatment for pneumonia
    • should work in 48 to 72 hrs
    • improve in 3 days
  13. Tuberculosis complications (3)
    • miliary TB
    • pleural effusion -> empyema
    • TB pneumonia
  14. TB skin tets (2)
    • > 10mm positive in normal patients
    • >5mm immunocompromised
  15. TB nursing implications (3)
    • negative pressure room
    • N95 mask
    • resiratory isolation percautions
  16. pulmonary fungal infection s&s
    • chills
    • fever
    • purulent sputum
    • pleuritic chest pain
  17. Pulmonary fungal infection treatment (3)
    • Amphotericin B
    • IV
    • premed with steroid
    • nephrotoxic - hyrdate!!
  18. Types of lung cancer (2)
    non small cell & small cell - most aggressive
  19. Lung cancer DX testing (7)
    • CXR
    • CT
    • PET
    • MRI
    • sputum culture
    • biopsy
    • thoracentesis
  20. lung cancer screening criterias (4)
    • 55-74yol
    • good health
    • @ least 30pk yr hx
    • still smoking/ quit within the past 5 years
  21. lobectomy vs pneumonectomy
    • Lobectomy: will have chest tube, LAY INCISION UP (only took out part of one lung)
    • Pneumonectomy: no chest tube, LAY INCISION DOWN (whole side was taken out, good side needs to breath)
  22. lung cancer teaching, call HCP when (4)
    • hemoptysis
    • dysphagia
    • chest pain
    • hoarsness
  23. pleural effusion clincal manifestation (5)
    • progressive SOB
    • ↓ chest wall movement
    • dullness on percussion
    • absent/ ↓ sounds in affected area
    • pleuritic pain
  24. chemical pleuradesis
    uses talcum powder to fill up pleura
  25. pleurisy treatment (3)
    • treat underlying cause
    • analgesics for pain
    • splint on affected side
  26. cor pulmonale patho
    enlargement of right ventricle secondary to pulmonary hypertension

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