Quiz #9 Nursing 175

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Author:
ZoeJane
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289794
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Quiz #9 Nursing 175
Updated:
2014-11-21 13:59:18
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ARDS Respiratory addiction musculoskeletal
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Description:
First lecture MS 1, end of respiratory
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  1. Values when is respiratory failure
    PaO2 less than 60mmHg, CO2 over 50 mmHg, O2 less than 90%, pH less than 7.30 = respiratory/metabolic acidosis
  2. hallmark of respiratory failure
    Dyspnea
  3. treatment for respiratory failure
    100% O2, non-rebreather mask
  4. Assessment after insertion of ET tube
    auscultate lung sounds, check for symmetrical chest expansion, order CXR
  5. s/s of hypoxemia
    dyspnea, tachypnea, cyanosis, restlessness, confusion, tachycardia, dysrhythmias, HTN, metabolic acidosis
  6. s/s of hypercapnia (excess CO2)
    dyspnea, respiratory depression, headache, papilledema, tachycardia, HTN, drowsiness, coma, systemic vasodilation, heart failure, respiratory acidosis
  7. treatment option for patient in respiratory failure that is spontaneously breathing
    CPAP
  8. barotrauma
    lung injury due to pressure from too much tidal volume or PEEP- positive end expiratory pressure during mechanical ventilation
  9. PEEP can cause
    decreased cardiac output, pressure on thoracic vessels and decreased urine ouptut
  10. drugs used with mechanical vent
    bronchodilators, steroids, ABX, neuromuscular blocking agents, IV fluids, electrolytes
  11. ARDS aka
    shock lung, adult hyaline membrane disease, noncardiac pulmonary edema
  12. ARDS=
    hypoxemia with 100% O2 therapy, lungs not oxygenating
  13. s/s of ARDS
    non cardiac bilateral pulmonary edema, ground glass appearance bilateral lungs
  14. pneumocyte
    produces surfactant, maintains lung elasticity, prevents alveolar collapse (destroyed in ARDS)
  15. treatment for ARDS
    mechanical ventilation
  16. more treatments for ARDS
    IV fluids, seation, analgesia, surfactant, inhaled nitric oxide
  17. osteoblasts
    bone building cell
  18. osteoclasts
    bone remodeling
  19. genum varum
    bowlegged
  20. 6 P's of orthopedic assessment
    • Pain
    • Pallor
    • paresthesia (numbness)
    • polar temp
    • puffiness (edema)
    • pulselessness
  21. Calcium values
    9-10mg

    • hypocalcemia= osteoporosis, low albumin
    • hypercalcemia= metastatic bone cancer, post fracture
  22. Phosphorus values
    3-4.5mg

    increased phosphorus= bone healing, renal failure, hypocalcemia, rheumatoid arthritis,
  23. Stages of lyme disease infection
    Stage 1- rash, fatigue, myalgia, arthralgia

    Stage 2- involves other body systems

    Stage 3- Chronic lymes
  24. Treatment for repetititive use injuries (e.g. carpal tunnel, bursitis)
    NSAIDS, corticosteroids, Vit. B12, immobilization, splint, surgery
  25. osteoporosis
    silent theif! metabolic disorder- disease makes holes in bone much larger
  26. prevention of osteoporosis
    weight bearing exercise, calcium supplement with vit. D for absorption, diet,
  27. osteopenia
    bone mineral density less than normal but more than osteoporosis- -1.0 to -2.5
  28. calcitonin
    protein hormone from thyroid- inhibits bone reabsorption preventing bone loss. Available as nasal spray for osteoporosis. Can cause red flushing of palms/feet
  29. Biophosphates
    inhibit bone breakdown. Examples are Fosamax, Boniva, Actonel. Must take in AM on empty stomach and sit above 30 degrees after taking. No other mes 2 hours after taking. Serious side effect: esophagitis
  30. Selective estrogen receptor modulator (SERM)
    Evista. Mimics effects of estrogen

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