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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