Leukemia
What are the symptoms of bleeding that you should notify HCP for?
Black bloody bowel movements
Black or bloody vomits, sputum or urine
Bleeding from the mouth or in the body
Bruising or small red or purple spots on skin
Difficulty sudden weakness of an arm or leg confusion
Headache or you can see
What is the primary process?
Inflammation
What does the apneic Period include?
Hypoxemia and hypercapnia
Stimulate ventilation; arousal
What are the common allergens?
Pollen, weeds, dust mites/cockroaches, animal, dander, and smoke
What are the low flow O2 delivery systems?
Nasal cannula, simple face mask, partial rebreather, nonrebreather
How to protect yourself from infection?
Wash your hands, avoid crowds and people who are sick, avoid uncooked meats, seafood, eggs, and unwashed, fruits or veggies, be shower daily, use soft toothbrush, do not garden or clean up after your pets
What is the testing diagnosis of COPD?
FEV1/FEV <70%
What is the diagnosis based off of?
Medical and sleep history, PSG
What are the clinical manifestations of acute attack?
Wheezing is most common. Initially expiration, then with progression both inspiration and expiration.
What are the high flow O2 delivery systems?
venturi mask, tpiece,face tent, trach collar
What is the diet recommendations for leukemia?
High protein, high calorie
What ABG results would indicate COPD?
Hypoxemia PA 02 <60
SAO2 <88
Hypercapnia PACO2 >45
What is the criteria for severe sleep apnea?
Greater than 15 apnea/hypopenea events/hour
What are the normal ranges for ABG?
PH 7.35–7.45
PAO2 80-100 mmhg
PACO2 35–45 mmhg
HCO3 21–28 mEq/L
What does the nurse record and report?
Respiration assessment, findings, method of oxygen delivery, flow rate, patient response, any adverse reactions or side effects, any change in healthcare provider orders
What are the diagnostics?
CBC
Blood smear
Bone marrow biopsy
What are the complications of COPD how are they treated??
Pulmonary hypertension, cor pulmonale, acute exacerbations, acute respiratory failure.
Depends on severity medical history, current symptoms, hemodynamics ability, O2 requirements work of breathing, ABG values and coexisting disease
SABA and oral corticosteroids, oxygen
What is the nursing management for mild sleep apnea?
Positional sleeping on one’s side, elevating, head of bed, avoiding sedatives and alcohol 3 to 4 hours before sleep, weight loss, oral appliance
What are the classifications?
Intermittent
Mild persistent
Moderate persistent
Severe persistent
How does the nurse direct NAP in the delegation task?
Informing how to safely place or adjust the device. Instructing to inform the nurse about any changes in patient condition. Having personnel provide skin care, the patient ears, and nose.
What are the symptoms?
Fever
Bone and joint pain
Anemia
Swollen glands
Frequent infections
Weight loss
What are the nursing implementation for activity considerations?
Exercise training leads to energy conservation
Modify ADLs to conserve energy, using O2 during activities of hygiene
15 to 20 minutes a day of these three times a week with gradual increases adequate rest should be allowed
Exercise induced dyspnea should return to baseline within five minutes after exercise
What is the nursing management for severe sleep apnea?
CPAP, BiPAP, cautious use of narcotics and sedatives
Uses CPAP at home check for continued use in hospital
what is the patient teaching related to drug therapy?
Administration of drugs, name, purpose, dosage, method of administration, and when to use printed instructions
Response to drug therapy keep diary log
Side effects and actions occur
How to clean and care for device
Identify factors that affect correct use
Importance of adhering to management plan
What are the safety guidelines?
No, patient’s normal range of vital science and SPO2
Be aware of environmental conditions
Document of patient smoking history
No, patient’s most recent recent hemoglobin and passed and current ABG value
Oxygen is medication
Provide education to patient and family about home oxygen therapy