Resp. processes
A patient is admitted with a chest wound, extreme dyspnea and unequal rise and fall of the chest with absent breath sounds on the left side. What do you suspect?
Pneumothorax
Primary cause of atelectasis
what is lack of surfactant
A patient with severe COPD is having an episode of extreme shortness of breath and requests their inhaler. Which type of inhaler ordered by the physician would provide the FASTEST relief for the patient based on this particular situation?
A. Spiriva
B. Salmeterol
C. Symbicort
D. Albuterol
D. Albuterol
The nurses suspects this when seeing continuous bubbling in the water seal chamber of the chest tube upon assessment.
What is an air leak in the drainage system
A nursing intervention to prevent atelectasis
What is incentive spirometer
People more likely to get a spontaneous pneumothorax
tall, thin, young males
Normal relationship between intrapleural pressure and atmospheric pressure
intrapleural pressure< atmospheric pressure
You are providing care to a patient with COPD who is receiving medical treatment for exacerbation. The patient has a history of diabetes, hypertension, and hyperlipidemia. The patient is experiencing extreme hyperglycemia. In addition, the patient has multiple areas of bruising on the arms and legs. Which medication ordered for this patient can cause hyperglycemia and bruising?
A. Prednisone
B. Atrovent
C. Flagyl
D. Levaquin
A. Prednisone
This type of chest tube system has no water column to control suction but uses a suction monitor to balance wall suction.
What is dry suction chest tube system
The normal pH range for blood
What is 7.35-7.45
Late sign of tension pneumothorax
Tracheal shift
Type of COPD associated with copious sputum and productive cough
chronic bronchitis (blue bloater)
Used for long term control for asthma and COPD. What should you avoid with this drug?
Methylxanthines; avoid caffeine
A patient calls and says something is wrong with his chest tube....you go to the room and the chamber has fallen on its side and leaking from a crack in the system. This should be your next move.
What is disconnect tubing from chamber and insert tubing 1 inch into a bottle of sterile water and obtain a new system
The respiratory pattern of a patient experiencing metabolic acidosis.
What is hyperventilation
Main goal of pneumothorax treatment
Restore the negative pressure
A patient with emphysema may present with all of the following symptoms EXCEPT:
A. Barrel chest
B. Hyperinflation of the lung
C. Hypotventilation
D. Hypercapnia
C. Hypoventilation
Used prophylactically to decrease inflammation, bronchial hyperactivity and decrease mucus production in the airway
Beclomethasone
This may be present in the water seal chamber of a patient recovering from a pneumothorax.
What is intermittent bubbling may be noted in the water seal chamber
The condition when pH is low, bicarb is high and carbon dioxide is high.
What is respiratory acidosis?
A chronic inflammatory disease causing airway narrowing and increased airway secretion
Asthma
hypoxic drive vs. hypercapneic drive
First line prophylaxis for asthma; prevents exercise induced bronchospasm
Cromolyn and Nedocromil
The immediate nursing intervention when a chest tube becomes dislosdged.
What is place a sterile dressing over the site and tape it on three sides. Then notify the physician
The condition when the pH is high, bicarb is high and carbon dioxide is normal.