Lung CA
Leads to 80-90% of all lung cancers
What is smoking?
Most common type of chest injury in the US
What is pulmonary contusion?
Type of fluid used to prime the tubing for arterial line.
What is saline?
Non-cardiogenic pulmonary edema
What is ARDS?
Monitor the patient and administer medications as appropriate.
What is the nurse's role during moderate sedation?
Asbestos, smoke, coal, industrial pollution, nail dust, animal hair.
What are occupational exposures that can lead to lung cancer?
Pain, Inspiratory effort, and Cough
What are components of the PIC score?
Rise and fall of fluid in water seal with respirations, gentle bubbling in suction chamber, all connections secure, no kinking of the tube, dressing to insertion clean/dry/intact.
What are normal assessment findings with a chest tube?
Sepsis, near drowning, shock, aspiration, fluid overload.
What are some conditions that can lead to ARDS?
Removal of an entire lung
What is a pneumonectomy?
Thoracic injury which allows air to enter the pleural space, leading to a rise in intrathoracic pressure and reduced vital capacity.
What is a pneumothorax?
Wash hands, oral care at least every 4 hours, daily sedation vacation, enteral feedings.
What are ventilator- associated pneumonia prevention strategies?
Positioning a patient so that they are laying on their abdomen.
What is prone positioning?
An autoimmune disorder in which a cancer causes the generation of autoantibodies.
What is paraneoplastic syndrome?
Pain control with narcotic and non-narcotics, incentive spirometer, flutter valve, early mobility.
What are treatments for rib fractures?
Definitive way to confirm placement of endotracheal tube.
What is chest x-ray?
Pain management, sedatives, family support, collaborate with RT for oxygenation and ventilation.
What are nursing interventions for patient with ARDS?
Common symptoms include: face/neck swelling, distended neck veins, cough, dyspnea/orthopnea, and upper extremity swelling.
What is superior vena cava syndrome?
Inward chest movement during inspiration and outward movement during expiration.
What is paradoxical breathing?
Patient is biting the tube, has thick secretions, or is coughing.
What are reasons the high pressure alarm may sound on the ventilator?
Cause of respiratory acidosis and hypoxia in patients with ARDS.
What is V/Q mismatch?