Mask up
What type of oxygen delivery device can deliver oxygen to the patient in the amount of 1L-6L?
Why should you not use high doses of oxygen in patients with COPD?
these patients may develop a hypoxic respiratory drive.
Name of most common beta agonist short acting "rescue inhaler"
Albuterol (Proventil, Ventolin, ProAir),
What is a hypertonic solution?
A solution with more solvants than human blood causing fluids to leave the vasculature for the interstitual and intracellular spaces.
Typical timeframe for RSV incubation
3-8 days
What is the oxygen concentration range provided by a Venturi mask?
24% to 50%.
What is the main feature that defines asthma? (Not just "trouble breathing")
Reversable airway obstruction which means that the narrowing of the airways can improve or return back to the patients normal functioning state.
When a patient is prescribed one of the following drugs:
budesonide (Pulmicort), fluticasone propionate (Flovent or Flonase-nasal spray), triamcinolone (Azmacort):
What action would be important to advise the patient to do following the use of their medication.
rinse mouth or gargle with water or salt water after use and monitor for redness, sores, or white patches and to report to the provider if they occur.
Monitor blood glucose levels.
What size catheter would be most appropriate If you need to deliver a large amount of fluid,
14-16 guage
When should oxygen delivered by nasal cannula be humidified?
It should be humidified when flow rates are above 4 L/minute.
Why must a simple face mask use at least 5 L/minute of oxygen flow?
To flush expired carbon dioxide out of the mask so the patient does not rebreathe it.
****Daily Double****
What is a major life threatening complication of COPD and what are the assessment findings that would indicate this complication is occuring (list 4)?Cor Pulmonale
Confusion, Distended jugular veins (JVD), Peripheral dependent edema, Weight Gain, GI distress, enlarged liver / spleen, increased fatigue.
List 5 side effects of beta agonists
What may the patients doctor if the side effects do not resolve or are too extreme?
Nervousness, tremors, tachycardia, increased BP, possible increased blood sugar, N/V.
Decrease the dosage.
What is the main difference between a midline catheter and a PICC line
A Midline is considered a peripheral line, a PICC line is considered a central line.
What type of tubing is required for blood administration
Name two possible adverse reactions to oxygen therapy
Ventilatory depression, absorption atelectasis, oxygen toxicity, or depression of ciliary and leukocyte function.
List 3 risk factors for Asthma
Family history, smoking or exposure to 2nd hand smoke, exposure to chemical irritants or dust, GERD
When clients are prescribed an inhaled beta-adrenergic agonist and an inhaled glucocorticoid what patient teaching needs to be given?
advise patients sto inhale the beta-adrenergic agonist 5 minutes before inhaling the glucocorticoid.
The beta-adrenergic agonist promotes bronchodilation and enhances absorption of the glucocorticoid.
According to the Ohio Administrative Code 4723-17-13
LPNs may: “place a venous access catheter, no longer than ___?___ inches in length, in the (what 3 places?)
Three
hand, forearm, or antecubital space
A patient has ABG results of pH 7.36, PaCO₂ 55 mmHg, HCO₃⁻ 31 mEq/L. Please evaluate
What type of patient might we see these ABG results on?
Respiratory acidosis fully compensated.
What oxygen concentration can a partial rebreather mask deliver?
40% to 70% oxygen.
What are the 2 illnesses that make up COPD and what characterizes them?
Chronic Broonchitis: inflammation of the bronchi and bronchioles due to chronic exposure to irritants
Emphysema: characterized by the loss of lung elasticity and hyperinflation of lung tissue and destruction of the alveoli causing decreased surface area for gas exchange.
What side effects may a person using the medication ipratropium bromide (spiriva) experience?
Anticholinergic side effects such as
Why is a secondary IV bags tubing set changed every 24 hours
it is intermittently disconnected/accessed and has a higher risk of contamination and bacterial growth than continuously running primary tubing
What is the difference between infiltration and extravasation?
With infiltration a non-vesicant IV fluid or medication accidentally leaks out of the vein into the surrounding tissue.
With extravasation a vesicant IV fluid leaks but causes harm such as blistering or necrotic tissue.