What is the focus for patient teaching for URIs
focus on prevention and health promotion
What URI can cause an exacerbation of COPD
influenza
What resp meds should be used in caution with older adults due to drug interactions
antihistamines and decongestants
What are some URIs
- Rhinitis/rhinosinusitis
- pharyngitis
- tonsillitis
- peritonsillar abscess
- Laryngitis
What is rhinitis
- group of disorders characterized by inflammation and irritation of the nasal mucus membranes
Which type is rhinitis is the common cold
viral
What are some clinical manifestations of rhinitis
- nasal congestion/discharge
- Sneezing
- Pruritus of nose, mouth, throat, eyes and ears
- Headache can occur
What is the medical management for rhinitis
- Depending on cause
- Ask ab symptoms and exposure to allergens
- Viral: medications like nasal sprays and decongestants
- Allergic: allergy testing
- Bacterial: ATBs
How long is viral rhinitis shed before symptoms occur
about 2 days
What are some symptoms of rhinitis
fever, congestion, rhinorrhea, nasal discharge, sneezing, watery eyes, general malaise, cough
What is recurrent acute rhinosinusitis
4 or more acute episodes in a year
what is acute pharyngitis
- Sudden painful inflammation of the pharynx and back of throat
- Commonly called a sore throat
What are some clinical manifestations of acute pharyngitis
- fiery red pharyngeal membrane and tonsils
- enlarged and tender cervical lymph nodes
- fever over 101
- malaise
What is the medical management of acute pharyngitis
- Viral: treated with ATBs
- Bacterial: ATBs
- Typically penicillin or azithromycin/clarithromycin
What is the nursing management of acute pharyngitis
- Educate about symptoms (dyspnea, drooling, inability to swallow/open mouth fully)
- Encourage to stay in bed during febrile stage
- monitor for rash and replace toothbrush
What are some issues with URIs
- Airway obstruction
- Hemorrhage
- Sepsis
- Meningitis
- Acute otitis media
- Aphonia
- Cellulitis
How do you assess a pt with a URI
- Health Hx
- S&S: HA, cough, hoarseness, fever, stuffiness, discomfort, fatigue
- Allergies
- Inspect nose, neck, throat and lymph nodes
What are some goals with URIs
- Manage airway
- Reduce aspiration risk
- Pain management
- Communicative strategy (bc sore throat)
- Teaching prevention and absence of complications
What are nursing interventions to help with URIs
- Elevate HOB
- Ice collar to reduce inflammation
- Hot packs to reduce congestion
- Analgesic for pain
- Gargle for sore throat
- Encourage liquids and vapors for room
What is some patient education for a URI
- Prevent infections
- frequent hand washing
- When to contact PCP
- Completing ATBs
- Flu vaccine
What is epistaxis
nose bleed, hemorrhage from the nose
What is an issue with epistaxis
- airway compromise or significant blood loss
How to stop epistaxis
- Find cause and location
- Pinch the soft portion for 5-10 mins and sit the pt forward
What are some medical managements for epistaxis
- Phenylephrine spray (vasocon)
- Cauterize with silver nitrate
- Pack with gauze
- ATBs
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Week 1 Module 1 Chapter 213
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Week 1 Module 1 Chapter 919
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Week 1 Module 1 Chapter 711
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Week 2 Module 2 Chapter 6020
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Week 2 Module 2 Chapter 817
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Week 2 Module 2 Chapter 5928
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Week 3 Module 3 Chapter 5725
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Week 3 Module 3 Chapter 5610
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Week 3 Module 3 Chapter 1029
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Module 4- Ch. 1724
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Module 4- Ch. 1829
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Module 5 Ch. 1952
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Module 5 Ch 2021
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Module 5 Ch 2131
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Module 6 Ch 2232
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Module 6 Ch 2414
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Module 6 Ch 2339
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Module 7 Ch. 2630
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Module 7 Ch. 2751
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Module 7 Ch. 2824
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Module 8 Ch. 32- Assessment of Immune Function35
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Module 8 Ch. 34 Assessment with Allergic Disorders49
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Module 8 Ch. 61- Assessment of Neurological Function20
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Module 8 Ch. 62 Management of Pts with Neurologic Dysfunction56
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Module 8 Ch. 63 Management of Pts with Cerebrovascular Disorders32
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Module 9 Ch. 36 Assessment of Musculoskeletal function30
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Module 9 Ch. 38 Mgm of patients with Msk Trauma59
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Module 9 Ch. 37 Management of Pts with MSK Disorders73
