Acid Base Balance
What are the 3 types of compensations
•Uncompensated
•Partially compensated
•Fully compensated (pH must be normal )
Name the 5 Infectious Respiratory Disorders
Influenza, Covid-19, Pneumonia, Tuberculosis, Obstructive Sleep Apnea,
Asthma must first be Diagnosed as what
Reactive Airway Disease
What is the difference in 1st gen and 2nd gen antihistamines
1st gen is sedating
2nd gen is nonsedating
What Should the suction pressure be?
80-120
Seizures is a very late sign of
Respiratory Alkalosis
What labs are to be looked at in pneumonia patients
CBC (WBC), CRP, ABG’s, Sputum culture
Name the lower airway disorders That can be chronic and progressive
• Asthma
• COPD
• Cystic fibrosis
Analgesics are most commonly used to
•manage pain and reduce fever associated with upper respiratory tract infections.
Name the 6 Nursing responsibilities for a patient with a Tracheostomy
Stoma Care, Airway Protection, Infection Control, Suctioning, Inner Cannula Care, Humidification
You will see retention of C02 in a patient with?
Respiratory Acidosis
What is Multiple Organ Dysfunction Syndrome (MODS) in COVID-19
This is a severe, acute condition where two or more organ systems in the body fail to function correctly. It can develop rapidly and requires immediate medical attention.
Lower airway disorders negatively impact
Oxygenation
Ventilation
Gas exchange
What are Anti-IGE Agents used primarily for
managing asthma and, to a lesser extent, COPD.
Name the safety checks when for anyone with a tracheostomy
Obturator, Spare Trach Kit, Lubricant, syringe, extra trach ties, Bag valve mask, Suction equipment
What does a patient have with these levels
PH :7.48
PACO2: 34
HCO3: 7.27
Metabolic Alkalosis
What is the Difference in primary uses for a CPAP vs BIPAP
CPAP: Often the first-line treatment for obstructive
sleep apnea
BIPAP: Used for those who struggle to exhale against CPAP pressure, more severe sleep apnea, or central sleep apnea
What are the managements for Asthma
Adrenergic's
Steroids
Theophylline
Hydration
Mask O2
Anticholingerics
PDE-4 INHIBITORS Are primarily used in the management of
Chronic Obstructive Pulmonary Disease (COPD
How do you troubleshoot during Nasopharyngeal or Oropharyngeal Suctioning
Place patient in a sniffing position to align
airway
• Insert with a twisting motion if encountering
resistance or switch nostrils
The Decreases Ability of kidneys to excrete acid or conserve base is seen in what
Metabolic Acidosis
What are the 6 nursing action for a patient with Tuberculosis
•Isolation of patient in private negative pressure room
•Airborne isolation: N95 Mask
•Patient’s must wear surgical mask during transport
•Humidified oxygen
•Administer antibiotics as ordered
•Ensure adequate nutrition
How do you diagnose Status Asthmaticus
PEFR and FEV less than %50 of personal best
Which medication relax the smooth muscles of the airways and have potent anti-inflammatory properties, both of which improve breathing and reduce the risk of exacerbation.
METHYLXANTHINES
Name the complications for trach suctioning
• Hypoxia
• Tracheal or Bronchial trauma
• Cardiac Arrythmias or Arrest
• Pulmonary Atelectasis