Pressure Ulcers
What is often the first sign of impending skin breakdown?
red/gray or pale discoloration, non-blanching area
Skin problem, also known as a hive?
Wheal
What is the nasal cannula used for?
Delivering oxygen through the nostrils
Are symptoms and signs of COPD reversible?
Sometimes we can slow progression, but no, the disease is not reversible. It is a progressive disease.
What is the name of the oxygen delivery system that pulls oxygen from the air, removing. impurities and delivering 90% oxygen to the patient?
Concentrator
What are two things you can do to prevent skin breakdown?
Reposition every two hours
Moisturizing lotion
Encourage fluids
Increased protein
Name three bony prominences that have an increased risk of skin breakdown/pressure?
Heels, knees, occiput, sacrum, elbows, behind the ears, hips, ankles
What should the nursing assistant do/be aware of regarding oxygen?
Don't adjust flow rate, but check to see what it is, is oxygen on? Is tubing unkinked? No smoking. Ask nurse before you remove it.
What position would a person with COPD have difficulty breathing in?
1. Supine
2. High Fowler's
3. Low Fowler's
4. Orthopneic
Supine (Lying flat on their back would be difficult)
What would you do if you came to a patient, and discovered their trach collar deflated?
Tell the nurse urgently
Which stage can be seen as an intact blister?
Stage II
Skin irritation/wound caused by scraping the top part of the skin away
Abrasian
Normal pulse oximetry reading
95-100%
What is a possible symptoms of emphysema that results from lack of oxygen and or CO2 buildup?
Headache
What is the opening to the tracheostomy called?
Stoma
Which wound has full thickness loss with bone or muscle exposure?
Stage IV
Darkened area on the skin as a result of a blow or trauma (Bruise)
Contusion
After obtaining a pulse oximetry reading, you see that the patient's SPO2 is 85% on 2L of oxygen via nasal cannula. What is your first course of action?
Tell the nurse right away.
Circulatory
What is a CPAP's purpose?
Forces air into the lunch of a patient with (Sleep) apnea.
Which stage is characterized by full thickness loss and exposed subcutaneous tissue?
Stage III
A wound that happens when layers of skin separate or pull back
Skin tear
What are we worried about if we see condensation in the tubing for a patient who is mechanically ventilated?
Aspiration
What is a major cause of COPD/emphysema?
Smoking
When caring for a patient with chest tubes, position them, taking caution to
Not pull on the tubes (put traction on the tubes)