Name That Diagnosis
name the diagnosis....
bradycardia
hypotension
tracheal deviation
muffled heart sounds
tension pneumothorax
Inflammation of visceral and parietal pleurae, causing sharp pain on inspiration
Pleurisy
friction between pleurae on inspiration, causing increase in formation of pleural fluid to reduce friction and decrease pain
name that stage of cancer...
cancer is in both lungs and pleurae or distant areas
stage IV
pneumonia in 1 lobe
lobar pneumonia
which breathing technique - conserves energy. It is the conscious use of diaphragm to assist with breathing when short of breath.
1. place one hand on the abdomen and the other on the chest
2. concentrate on pushing out the abdomen during inspiration and relaxing the abdomen on expiration. the chest should move very little
Diaphragmatic breathing
name that diagnosis...
sudden onset of dyspnea
tachycardia
tachypnea
cough
crackles
hemoptysis
pulmonary embolism
atelectasis
May be resolved by efforts to keep the airway using IS
name that stage of cancer...
cancer is in one lung and nearby lymph nodes
stage II
procedure that involves injecting a chemical agent, such as talc or tetracycline injected into pleural space with aims to eliminate the pleural space
pleurodesis
Which positions is used to conserve energy and allow for maximum lung expansion?
semi-fowler's or fowler's position (keep abdomnial contents from crowding lungs)
tripod (may help reduce dyspnea)
name that diagnosis...
progressive dyspnea
inspiratory crackles
chronic cough
fatigue
clubbing
possible flu-like symptoms
pulmonary fibrosis
sharp pain on inspiration
shallow breathing
fever, elevated white blood cells
friction rub (on auscultation)
pleurisy
name that stage of cancer...
cancer is in one lung with no spread to lymph nodes
Stage I
pneumonia in both lungs
bilateral pneumonia
What is "goog lung down"
Side lying position with good lung in dependent position. Gravity causes greater blood flow to the dependent "good lung." Increase oxygen saturation
Name that diagnosis...
dyspnea
pain
cough
tachypnea
diminished lung sounds and possible friction rub
Pleural effusion
What test determines if sweat is high in sodium and chloride
sweat test
(supports diagnosis of CF)
name that stage of cancer...
Cancer is in one lung, lymph nodes, and mediastinum
stage III
Pneumonia that develops after 48 hours of admission in the hospital
HAP
(Hospital associated pneumonia)
If patient on oxygen suddenly becomes confused, what do you do?
Check the patient's oxygen saturation then check the oxygen delivery system
The patient may have taken off the oxygen mask/cannula or the tubing may be kinked or disconnected. Can result in hypoxia and confusion
name that diagnosis...
dyspnea with minimal exertion
cough
large amounts of purulent sputum
anorexia
recurrent infection
clubbing
crackles and wheezes
fever during active infection
bronchiectasis
NSCLC
Rapidly growing lung cancer found anywhere in the lung
Metastasizes early
Poor prognosis
Large Cell Carcinoma
Most common form of NSCLC
Usually originates in lining of bronchi and metastasizes late in disease
Associated with hx of smoking
Better prognosis
Squamous Cell Carcinoma
•Very young
•Elderly, adults over age 65
•Hospitalized
•Intubated
•Chronic disease/Immunocompromised ( AIDS and alcoholism)
•Smokers
What are these s/s commonly associated with?
snoring
daytime sleepiness
headache
memory and attention problems
obstructive sleep apnea