NUR 112 unit 1 resp

make sure pt has adequate perfusion while they are doing activities

biggest cause of asthma attacks are triggers

nebulizer

what to do when u r titrating O2 while pt is walking/moving and o2 level starts to decrease

check blood sugar when pt is on steroids even if they don't have diabetes

where are bad (adventitious) lung sounds heard

with hypoxia, eventually it effects the bloodstream which is called

a pts ability to speak large amount of words at a time can be used to assess resp issues

encourge post surgery pts to do what....

how many mins do you wait between inhaler puffs when taking a bronchodilator

if hypoxia is left untreated it will turn into hypoxemia then the bloodstream won't be able to transport O2.

first thing to do when pt is showing signs restlessness

diminished breath sounds indicate

increased HR and RR are signs of hypoxia

with asthma, gas exchange cannot happen due to bronchoconstriction and inflammation of the airway

known as the "pink puffer"

ideal o2 sat goal for pt

asthma s/s

tissues not getting enough oxygen

when alveoli dies, gas exchange cannot happen

ABG (arterial blood gases)

all resp pts HOB must be elevated, never lay them completely down

encourage pt to spit mucus out so that it clears the airway then assess it

untreated hypoxia can lead to brain damage

why don't emphysema pts have cyanosis?

after surgery, when pt coughs, have them splint incision with pillow

a drug for pts who are not responding to bronchodilators and steroids

it is ok to do postural drainage on newborns and children

what parts of the resp system are affected as we age

as we age cilia moves slowly, so irritants can't come out of airway, which puts pt at higher risk for pneumonia

resp medication that is normally prescribed to older pts. Pt on this drug will need lab work done daily d/t toxicity.

when using this breathing device have pt inhale as deep as they can so lungs can expand. o2 comes in and co2 comes out.

Most important organ that must have adequate perfusion

when a peds pt is showing signs and symptoms of asthma, what will the doctor diagnose them with

permanent obstruction of alveoli. airway is fine. its an alveoli problem.

post surgery pts are at risk for....

never apply suction when going in, apply when suction when coming out

How to titrate O2 on bedridden pts

early signs of hypoxa

genetic enzyme that is seen in young pts who have emphysema

blue color in newborns. seen in hands and feet for up to 24-48 hours. can go up to 2 weeks after birth.

puts pts head down bc gravity helps get the stuff out of pts lungs that is blocking and clogging up their airway

gives us a baseline for asthma pt

for asthma pts, eosinophils are going to be elevated so assess CBC with differential bc it shows all the WBC's.

hgb normal range

theophylline becomes toxic around 30 so you'll see seizures dt decreased O2 getting to brain

have pt blow out (exhale). causes chest to vibrate. the vibration causes "junk" in lungs to loosen up. best option.

wheezing is an indicator that some gas exchange is happening

asthma is reversible

suction pts who do not have a productive cough and low O2 sats

why is hpoxemia seen in diabetic pts

long acting/prophylactic bronchodilators

late signs of hypoxia

things that trigger asthma attacks

hyperglycemia is common with IV and PO steroids

Goal is to wean pt off of O2

how many mins do you wait before taking a steroid

Never abruptly decrease O2

first thing you do when pt is showing early signs of hypoxia

age related risk factors for resp problems and pneumonia

if pt has decreased ability to get words out that indicates that they're having trouble breathing

asking asthma pt, "what was going on when this attack happened?" is a way to identify triggers

never put copd pt O2 higher than 4 liters

s/s of oxygen not getting to the brain

Start O2 at 2L

asthma pts are at higher risk of hypoxemia dt bronchoconstriction and inflammation in airway

What is the main concern for pts with resp issues

3 main interventions for all resp pts

resp pts may need to complete ADL's in increments. ex- brushing teeth then waiting 20 mins to wash face.

productive cough

if oxygen isn't getting to the brain, what is the main symptom you will see

2 main s/e of solu medrol

a hgb reading of 8 indicates....

o2 must come in and co2 must come out

solu medrol is given IV or IM

after you've done interventions and they don't work, what lab data do you obtain

a chemical in the bloodstream that carries oxygen to the all vital organs

normal range for theophylline

always make sure resp pts HOB is completely flat

bronchospasms

older pts can have a cold that could turn into pneumonia bc they can't fight off sicknesses

AIRWAY PROBLEM. bronchoconstriction and inflammation of airway.

interventions for thick secretions/mucus to make it easier for pt to release it

leading cause of chronic issues during childhood

FINES: feeding difficulty, inspiratory stridor, nasal flaring, expiratory grunting, sternal retractions

purpose of pursed lip breathing

the longer the pt goes without oxygen to the brain, the higher risk he is for permanent damage

biggest cause of emphysema

bronchodilator first then steroid

how to titrate O2

short acting/rescue bronchodilators

ineffective cough

IS helps get mucus and other secretions out of lungs

why does surgery interfere with resp

for asthma and chronic bronchitis pts increase fluids but not if they have a history of edema, chf, kidney failure

rr range for newborns

first sign of hypoxia

order _______ if pt has diminshed breath sounds or bc it shows infection or pneumonia

what will a chest x ray that is positve for COPD show

percusion