Pg 242
When can someone eat and drink again after a bronchoscopy?
when swallow, cough and gag reflex return
Versed- conscious sedation. Know med for nclex
Pg 252?
What emergency med would you use during anaphylaxis?
Epinephrine or Corticosteriod
SATA:
2 SELCETIONS
Trach cuff
Pg 259-260
Why should you have a cuff on a trach?
Not a question-
Negative pressure
does not require intubation
decreases intrathoracic pressure during inspiration, allowing air to flow into the lungs
for chronic repiratory failure
Exp. iron lungs
Not a question-
Positive pressure
exerts positive pressure on airway to inflate, passive exp
Pressure cycleddelivers flow of air until cartain pressure is reached, then cycles off
PEEP
P-
positive
E-end
E-expiratory
P-pressure
EXP. Bag valve mask, continuous-flow or Anaesthesia(T-piece) bag, a mechanical ventilator, transport ventilators, ICU vents., NICU vents, PAP vents. (non invasive-treats sleep apnea)
True or False?
The pressure inside the lungs is above the atmospheric pressure?
False
______ is a life threating condition that results from the progressive deterioration and worsening simple pneumothorax
Tension Pneumothorax
Pg 207
How will you know when a lung as reinflated and negative pressure is restored and the chest tube is no longer needed?
No fluctuation in the water seal chamber
Which nursing intervention to prevent clot after pt has knee surgery, what would you get an order for?
Elastic stockings
Thrombolytics- clot busting medications
tPA, Anistreplase, Streptokinase, Reteplase(a type of tPA), Tenecteplase.
Have EPI pen ready for Streptokinase, may cause allergic reaction.
Your encouraging a post op patient to move alot, this helps to prevent a?
Pulmonary embolism
A surgical procedure that makes an opening into a
Trache
What are you NOT going to do while suctioning a trach?
do not apply suction while inserting
What position for a pt in resp distress?
semi fowlers
What tells you when a trach needs to be suctioned?
noise
Abnormal sound for pt with asthma?
Wheezing
What do you know if a pt has a positive Mantoux test?
They have been exposed to TB
Normal pulse oxcimetry reading?
95%-100%
What tells you that the pt understands the Pulmonary function test procedure?
He states he has to breathe into a inspiramator
How will you tell if pt's O2 status is compromised?
Pt begins to become restless
_________ is the movement of air in and out.
Ventilation
Where are the Maxillary sinuses located?
Cheek
You are a NX in a call center and someone calls and states her sister is chocking NX asks?
Can she cough?
_________ is the removal of a segment of lung.
segmentectomy
When are you going to read a Mantoux test?
48-72 hrs
Singer going to have larongoscopy, what statement to you that shows she understand she is having
I am having this test because my voice is hoarse and I could have laringeal cancer
IV 1000CC NS over 12hrs how many ML an hour? Multiple choice..approx.
