Ya heard
Tell me how I'm supposed to breathe with no air
99 problems
Shake (your meds) like a salt shaker
The math ain't mathin'
100

High pitched musical sound heard on exhale. Usually in asthma or COPD. Indicates bronchial constriction.

Wheezing

100

True or false: Oxygen requires a doctor order

True

100

Nose bleed

Epistaxis

100

Dipenhydramine

Cetirizine

Loratadine

H2 receptor antagonist

100

Administer 1000 mL lactated ringers q 10 hrs. 

? mL/hr

1000 mL / 10 hrs = 10 mL/hr

200

Wet sounds. Indicated fluid in the lungs. Heard in pneumonia and Congestive heart failure. 

Rales/ Crackles

200

Site of oxygen/ CO2 exhange

Alevoli

200

A chronic inflammatory disease of the airways that causes hyper responsiveness, mucosal edema, and mucous production

Asthma

200

Albuterol, metaproterenol, salmeterol, terbutaline

bronchodilators

200

Administer D5 1/2 NS at 30 mL/hr. The drop factor is 60 drop/mL 

?drops/min.

?gtts:    60         30 mL       1 hr           180                              ____  x  ______ x ______ =   ____ 

            1 mL      1 hr          60 min         60


= 30 gtts/min

300

Airway obstruction. This is an emergency!

Stridor

300

Most common method of oxygen delivery, likely at 2 LPM

Nasal cannula

300

  • Cough and sputum production for at least 3 months in each of 2 consecutive years

  • Ciliary function is reduced, bronchial walls thicken, bronchial airways narrow, and mucous may plug airways 

  • Alveoli become damaged, fibrosed, and alveolar macrophage function diminishes

  • The patient is more susceptible to respiratory infections 

Chronic bronchitis

300

beclomethasone, budesonide, fluticasone, prednisone, prednisolone, methylprednisolone

corticosteroid

300

Administer 250mL in 90 minutes.

?mL/hr

?mL/hr:   250mL            60 mins

              ______     x     ________ = 15000//90

                90 mins           1 hr


= 166.66 = 167 mL/hr

400
Low-pitched, rumbling. Usually clears once the patient coughs. Indicates mucus in the airway.

Rhonchi

400

Too much oxygen will cause a patient with this condition to suppress their drive to breath. 

COPD (Chronic Obstructive Pulmonary Disease)

400

  • Abnormal distention of air spaces beyond the terminal bronchioles with destruction of the walls of the alveoli

  • Decreased alveolar space causes an increase in “dead space” and impair oxygen diffusion

  • Reduction of the pulmonary capillary bed which increases pulmonary vascular resistance and pulmonary artery pressure

  • Hypoxemia 

  • Increased pulmonary artery pressure causes heart failure

Emphysema

400

ethambutol, isoniazid, pryazinamide, rifampin

TB medications

400

Administer D5LR at 75 mL/hr. The drop factor is 10 drops/ml 

? drops/min

?gtts/min: 10 gtts       75 mL        1 hr

                ______  x   _____   x _____

                 1 mL          1 Hr          60 min

= 750 / 60 = 12.5 = 13 gtts/min

500
Indicates a pneumothorax

No sounds

500

Concentration of 50% or more over long periods of time. 

Symptoms- sub sternal discomfort, paresthesia, dyspnea, restlessness, fatigue, malaise, progressive resp. difficulty, difficulty, hypoxemia, atelectasis, and alveolar infiltrates on X-ray

Oxygen toxicity

500

  • Closure or collapse of the alveoli. Can be acute or chronic

Atelectasis

500

ipatropium, tiotropium

anticholinergic

500

Administer IVPB 50mL in 30 minutes. 

? mL/hr

?mL/hr = 50 mL           60 min

              _____     x      _____   =  3000/ 30

                30 min           1 hr

=  100 mL/hr

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