perfusing, gas exchange,inflamation
tonsillectomy post op S/S of complications
frequent swallowing and restlessness
shows possible bleeding and shock from blood loss
complication of acute bronchitis that needs to be reported & why
Increased green or yellow sputum suggests bacterial infection or worsening respiratory. status
persistent cough lasting more than 3 weeks indicates chronic issues or infection not resolving
what do the following complication for pneumonia shows-restless,confuseion, and has intercostal retractions
Impaired gas exchange
What is the safe O2 range for a patient with COPD
88-92%
bacterial sinusitis Nursing intervention
Apply warm compresses
Encourage fluid
use oxymetazoline spray for 7 days
avoid allergens
administer antibiotics as prescribed
Intervention for pneumonia
increased fluid intake to 3000ml
To cough and deep breath
take antipyretics as ordered for fever
What medication reduces sputum viscosity
Dornase alfa (Pulmozyme)
A life treating complication of ashma is
A silent chest auscultation- means bronchoconsstriction and minimal air flow and can rapidly lead to respiratory failure
COPD nursing interventions
Nursed lip breathing-improves ventilation promoting carbon dioxide elimination
High Fowler's position-gravity to help expand the chest and lungs
increased fluid intake to thin secreations
What shows a grade 1 hypertension
systolic BP 130-139 mm Hg or diastolic BP 80-89 mm Hg
tuberculosis what S/S is seen in the latent phase?
Positive TB test
No symptoms
normal chest radiograph
have the bacteria but it is inactive
What are modifiable risk factors for primary hypertension?
Obesity
smoking
excess dietary sodium
nursing interventions for bronchiectasis with thick mucus secretions
encourage fluid intake to thin secretions
Varicose Veins Complication
gradual increase in ankle swelling and skin becoming thick and brownish from blood pooling in lower legs due to vein damage
Which hypertensive drugs are potassium wasting vs potassium sparing
Furosemide is potassium wasting
spironolactone is potassium sparing
hydrochlorothiazide is potassium wasting
What is the cause of decreased breath sounds with emphysema
hyperinflation of alveoli-alveoli loses elasticity and become hyperinfated making it difficult for air to move
Nursing interventions for Ortho HTN in order
assist Pt to sitting position
have pt dangle legs for 1 min
assist pt to stand slowly
instruct pat to sit if dizziness occurs
S/S of abdominal aortic aneurysm (AAA)
Visible pulsating mass in the abdomen
What is Left sided heart failure
Pulmonary vessels and dyspnea due to left ventricle cannot pump blood effectively to body. congestion leads to increased pressure in lung blood vessels causing dyspnea
Triggers of Raynaud's
Avoid stress
what is the pathway of air from inhalation to gas exchange
Pharynx to
larynx to
trachea to
bronchi to
alveoli
Teaching for a PAD patient
Avoid smoking-nicotine causes vasoconsstsriction
walk regularly until painful-helps with collateral circulation improving blood flow
Avoid extreme cold exposure-cold causes vasoconstriction reducing blood flow
medical management for Stage C Heart Failure
Strengthen the heart's pumping action
relieve venous congestion in the lungs,
minimize sodium and water retention
Classify symptoms of right and left sided heart failure
left-pulmonary edema with pink frothy sputum
orthopnea
Right- sacral and lower extremity edema
hepatomegaly and abdominal distention
Primary risk factor for Buerger's disease
Cigarette smoking