Respiratory

Question 0

First Thing to Check if Pt LOC changes?

Answer 0

1. O2 Saturation

- Cigarette smoke loads Hgb w/ Co2 so monitor will show high reading but it will be inaccurate

Question 1

TB

-Priorities

Answer 1

1. Transmission Precautions / prevention
2. ABC’s (Sit up, O2)
3. Education
4. Assess if Cough started quickly
5. Antibiotics

Question 2

TB

-Education

Answer 2

1. Take med for 6-9 months
2. All secretions will turn orange (clothing may stain)
3. Take forgotten dose asap but do not double dose
4. Eye exam will be ordered before start of treatment
5. Contagious until 3 negative sputum samples are seen

Question 3

TB

-early precautionary methods to minimize transmission

Answer 3

1. Put a mask on the patient

2. Mandatory reporting to Public health. PH will inform people who may have been exposed.

Question 4

What will Pneumonia Sound like in the Vesicular Area

Answer 4

1. Crackles

Question 5

Fine Crackles

Answer 5

1. pulmonary fibrosis

- Velcro or pulling a tarp up and down.

Question 6

Hypercapnic Respiratory Failure

Answer 6

1. Overdose of sedatives
2. Slow shallow breaths
   - -
3. Increase Rate of respiratory
4. PT needs to get rid of Co2
5. Use Ambu Bag to give deeper respiration

Question 7

Pneumonia

-Interventions

Answer 7

1. Antibiotics
2. Oxygen
3. Incentive Spiromitry, Hydration, positioning to drain lungs
4. Vaccination / Prevention

Question 8

Chronic Bronchitis

-Med?

Answer 8

1. Bronchodilator

Question 9

Bronchodilators

-PT Ed when Starting

Answer 9

1. Sympathetic response of the body

Question 10

Corticosteroids

-Pt Ed

Answer 10

1. Osteoporosis over long period of time
2. Immune suppression
3. Electrolyte imbalance
4. Poor Glucose control

Question 11

Thoracotomy

-Teaching?

Answer 11

1. Position them on the unaffected side to maximize perfusion and oxygenation
2. Pain mgmt