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95 Cards in this Set
- Front
- Back
The inflammatory process in the lung _______ results in edema and exudate that fill alveoli |
lung Parenchyma |
|
____________ is a contributing factor to the development of pneumonia |
Immobility |
|
2 normal lung changes in older adults that make them more susceptible to pneumonia |
Decreased lung elasticity Thickening alveoli |
|
Name one antihistamien for rhinitis |
Brompheniramine (dimetapp) |
|
One leukotriene inhibitor |
Singulair (montelukast) |
|
One mast cell stabilizer |
Nasalcrom (cromolyn) |
|
Intranasal glucocorticoid |
Flonase |
|
SE of antihistamines |
Vertigo, hypertension, UTI |
|
This can occur if pathogens enter bloodstream from sinuses |
Meningitis |
|
Three symptoms of avian flu |
Diarrhea, cough, hypoxia |
|
Precautions for flu |
Aiborne as it's a virus (tiny) |
|
pH normal range? |
7.35-7.45 |
|
Chest tube second chamber |
Water seal 2cm |
|
Chest tube 3rd chamber |
Suction control |
|
Normal chest tube suction pressure |
-20cm H2O |
|
Continuous bubbling in |
Suction chamber |
|
With spontaneous respirations fluid in water seal rise with |
Inspiration |
|
Cessation of ________ in water seal chamber signals reexpansion of lungs or obstruction |
Tidaling |
|
Pleural effusion means |
Fluid in lung |
|
PaO2? |
80-100 |
|
PaCO2 |
35-45 |
|
HCO3 |
21-28 |
|
Thoracentesis |
Remove fluid pleural space |
|
No more than ______ fluid removed from pleural space on one time |
1L |
|
Pneumothorax |
Collapsed lung |
|
Chest tube via _______ incision |
Thoracotomy |
|
Chest tube water seal at _____ cm block air upon _________ |
2cm ; inhalation |
|
Chest tube first chamber |
Drainage |
|
Chest tube facing _____ for pneumothorax |
Up towards shoulder |
|
Chest tube face ____ for hemothorax and pleural effusion |
Down towards posterior |
|
Excessive chest tube drainage is more than _____ |
70mL / hr |
|
Crepitus |
Air leakage in subcut tissue |
|
Hemostat |
Clamp |
|
Do not ______ or ________ chest tube |
Clamp or milk |
|
Bubbling in water seal chamber means |
Air leak |
|
If chest tube comes out client ____ and tube _____ |
Coughs and tube put in sterile water |
|
During chest tube removal client _____ |
Inhaled and holds; valsava (bear down ) |
|
flow rate range for nasal cannula |
1-6 L/min |
|
face mask min flow rate |
5 L/min |
|
non rebreather mask flow rate range |
10-15 L/ min |
|
venturi mask (2) advantages |
high precision no need for humidification |
|
T piece O2 mask min flow rate |
10 L / min |
|
symptom of hypercarbia |
restlessness |
|
tracheal cuff should be at what pressure |
20 mm Hg |
|
parenteral |
PIC line and Central Line |
|
Enteral |
PEG tube / G tube |
|
takes over work of clients breathing preset ventilatory and tidal volume |
assist control |
|
for those with difficulty weaning |
VAPSV |
|
require patient to breath spontaneously (3) |
SIMV, CPAP, PSV |
|
3 bronchodilators |
albuterol, atrovent, theophylline |
|
adverse of albuterol |
tachycardia, tremors |
|
adverse of atrovent |
dry mouth |
|
safe range for theophylline |
10-15 mcg/mL |
|
ARDS |
dying, ground glass lung xray |
|
atelectasis |
alveoli collapse |
|
singular is |
leukotreine antagonist |
|
this anti inflammatory respiratory treatment med can cause anaphylaxis |
xolair |
|
COPD can lead to this heart condition |
right sided heart failure |
|
cough longer than _______ check for tb |
3 weeks |
|
skin tb test |
mantoux |
|
tb lab test |
quanti feron tb gold |
|
if induration __________ or bigger in a non immunocompromised person than tb |
10 mm
|
|
if ______ or bigger in immuno compromized |
5mm |
|
tb vaccine in foreign countries |
bacillus calmette-guerin vaccine (bcg) |
|
to test for tb need ___________ smear and culture |
acid fast bacilli |
|
collect ____________ tb cultures at __________ time |
3 tb cultures at early morning |
|
four drugs for tb |
isoniazid, rifampin, pyrazinamide, and ehtanbutol hydrochloride |
|
isoniazid also known as |
INH |
|
______ used to prevent tingling of INH |
vitamin b6 |
|
rifampin 2 side effects |
orange birth control |
|
isoniazid (INH) should be taken on a ______________ |
an empty stomach |
|
PZA |
pyrazinamide antibiotic |
|
ethambutol SE (2) |
color vision children under 13 |
|
for multri drug resistant TB, give |
streptomycin |
|
1 SE of streptomycin |
hearing |
|
TB in bloodstream |
miliary TB |
|
most common cause of pulmonary embolism |
DVT |
|
2 interesting female risk factors for pulmonary embolism |
estrogen oral contraceptive |
|
_________ rub and ________ (dots) symptoms of PE |
pleural friction rub and petechiae |
|
lab test for PE |
d dimer |
|
normal d dimer range |
0.43-2.33 |
|
normal PTT |
20-35 |
|
normal INR on warfarin |
2-3 |
|
PTT on heparin |
30-87 seconds |
|
drug to dissolve blood clot |
alteplase |
|
flail chest involves? |
broken ribs |
|
priority action for pneumothorax |
large bore IV needle for decompression |
|
ARF |
acute respiratory failure
|
|
PaO2 in ARF |
less than 60 mm Hg
|
|
SaO2 in ARF |
less than 90%
|
|
PaCO2 in ARF * |
greater than 50 mm Hg with pH less than 7.30 |
|
SARS |
mega old from coronaviruses |
|
x ray in ARDS |
white out area |
|
allergy for propofol (2) |
eggs cholesterol |
|
vecuronium and other oniums |
neuromuscular blocking agents |