Fill in the blank
___ causes a patient with sleep apnea to wake up in order to breathe.
Excess amounts of CO2
Upper respiratory infections
Rhinitis, Rhinosinusitis, Tonsillitis, Adenoiditis, and Laryngitis
Name three pieces of patient education you would give a patient after a tonsilectomy
Gargle with salt water for the pain, don't brush your teeth vigorously, stay in a humid environment.
Area that is around the lung
Pleural space
Patient presents with rhinorrhea, sore throat, congestion, sneezing, and an itchy throat
Rhinitis
Why would a practitioner want to do a bronchoscopy?
To get samples, to look around, to remove foreign objects, or to control bleeding.
A 2-step TB test needs to be done ___ weeks apart
3 weeks
Things that can impact lung compliance
Fluid, breathing by mouth (some air goes into the stomach), fast or shallow respirations, labored breathing, trauma (cracked ribs), position (the orthopneic position can mechanically help the lungs expand), and tight clothing like a corset.
What is one reason why we want to ensure our patient with Pharyngitis finishes their antibiotics that we should educate them about?
It can spread and cause endocarditis if untreated
Invasive test used in critical patients to determine their hemodynamic status
ABG (Arterial Blood Gas)
Patient presents with headache in the morning, snoring, fatigue, daytime sleepiness, and was brought in by his wife.
What are the symptoms of respiratory distress?
Cough with or without blood or sputum, confusion, increased pulse rate, decreased blood pressure, shortness of breath, anxiety, tachypnea, cyanosis, chest pain, labored respiration, and decreased pulse ox.
The swab test for pharyngitis takes ___ to return.
24 hours
Signs/Symptoms of Tuberculosis
Weight loss, night sweats, hemoptysis, fever, cough, activity intolerance
How would you explain why we give expectorants to patients with pnemonia?
Expectorants help you to cough up the mucus
Oxygen therapy that has two flaps, but one of the flaps is closed. This therapy allows the patient to breathe some room air.
Patient presents with shortness of breath, fever, fatigue, pleural chest pain, rapid or labored breathing, accessory muscle use to breathe, sputum that is green in color, and activity tolerance.
Bacterial (because of the green sputum) Pnemonia
What happens to the diaphragm with inhalation?
It collapses down to allow the lower lobes to expand.
Antihistamines can be taken daily for allergic rhinitis and some patients may require ___ on a short term basis.
Corticosteroids
Causes of Atelectasis
Infection, trauma, tumor, laying supine for too long, foreign body, mucus plug, shallow breathing, and pain.
A patient has come in for their second step PPD reading and it reads positive. What will they need next? Why?
They will need a QuantiFERON Gold to tell if it is active or latent TB.
Last step of oxygen therapy before intubation
CPAP/BiPAP
Patient presents with air hunger, shortness of breath, tachycardia, fatigue, and a cough that they say have been getting worse with time.
Atelectasis
Where are thoracentesis and thoracoscopy performed?
A thoracentesis can be done bedside, and a thoracoscopy is done in the OR.
Patients with active tuberculosis will need a ___ if they are being treated at the hospital.
Negative pressure room
Percussion, vibration, and postural drainage
What foods should be avoided if my patient is taking Isoniazid?
Foods containing tyramine including tuna, aged cheese, red wine, soy sauce, and yeast extracts.
Phase of TB treatment that takes 4-7 months.
Maintenance phase
Patient presents with halitosis, hoarse voice, pain with talking, and pain that is worse in the morning.
Laryngitis
What diagnostic testing provides a "living image" and uses cross sectional views.
A CT scan
If a health care worker is exposed to active TB, they will need to be treated prophylactically for ___.
6-12 months
Medications that are given to treat TB
What patient education should be provided to a patient with bacterial pharyngitis?
Throw away your toothbrush, don't shave, drink plenty of fluids, cough into your arm or a tissue, stay home for 24 hours after starting your antibiotic, and the patient can gargle salt water for the pain.
Low flow oxygen therapy system
These do not deliver a precise amount of oxygen and include the nasal canula, simple face mask, and can also include a partial nonrebreather depending on the settings.
Patient presents with rhinosinusitis that they have left untreated and now have more complications.
Meningitis
What's included in the nursing respiratory bag of tricks?
Teaching patients to use the incentive spirometer, fluids, ambulation, positioning, CPT, turn q2h, cough, deep breathe, diaphragmatic breathing and pursed lip breathing