PE
1. Avoid sitting/lying for long periods of time
2. Aerobic exercise is also a "good" idea
3. Avoid foods rich in vitamin K
What is PE prevention?
1. Assist/teach patient to use an incentive spirometer
2. Administer pain meds
What is nursing interventions to increase lung expansion after a non-symptomatic patient with chest trauma causing a contusion?
Michael Jackson liked this medication for sedation/sleep because the patient will wake up within 5-10 minutes of stopping the medication.
What is propofol (Diprivan)?
The patient has a DNR but the family tells the nurse to "do everything to save their loved one's life".
What is: (what to do)
1. Call the provider
2. Call the ethics committee (in the "real world" the provider will call them)
Providing the patient with oral care can prevent this.
What is VAP (ventilator acquired pneumonia)?
CTA (Spiral CT) is used for this. You must IV access at or above the forearm.
What is how to diagnose a PE?
Administer epinephrine immediately to open the airways and increase gas exchange when this occurs.
What is treatment for anaphylaxsis?
Prior to intubation, you will hyperventilate using this medication.
Patient has no DNR and is actively dying.
The nurse should:
Facilitate a meeting with the family and provider to discuss an advanced directive.
NEVER do this to a chest tube.
What is "milking the tube"?
If the patient is very SOB, this is an intervention to help diagnose a PE.
What is a blood gas?
Narcan (naloxone) and Romazicon (flumazenil).
What are reversal agents for opioids and benzodiazepines?
This medication:
1. Often administered for patients for intubation/sedation
2. Decreases anxiety but patients are arousable
3. Potential side effects: bradycardia and hypotension
What is dexmedetomidine HCL (Precedex)?
See pg 563, Table 27.11
The family is divided on whether or not to honor the patient's DNR.
1. Contact the hospital ethics committee (in the "real world" the provider will do this)
2. The nurse will support whatever decision the family makes
This measures how much oxygen is dissolved in the blood.
What is PaO2?
Venous stasis, vessel wall damage and hypercoagulability. Predisposing factors for developing a DVT.
What is Virchow's triad?
Assess for this any time a patient is experiencing chest trauma, including chest tube insertion.
What us subcutaneous emphysema?
What is dexmedetomidine (Precedex)?
This is a legal document that is utilized for DNR.
What is an advanced directive
This is the fraction of inspired O2 that tells up the percentage of oxygen that is being exchanged in the aveoli.
What is FiO2?
Obesity, pregnancy, "couch potatoes", post op patients
Who is at risk for a DVT that could lead to a PE?
After a thoracotomy, or pain medications, the RN must perform this aspect of their "super power".
What is a respiratory assessment?
This medication:
1. Inhibits ACTH and decreases cortisol secretion
2. The nurse must assess for adrenal insufficeincy
3. Can cause hypokalemia
What is pasireotide (Signifor)?
This document outlines acceptable healthcare choices and treatments the patient wants regarding end of life.
What is a living will?
Good lung down
The position to place a patient in during ARDS.
(This is NOT a nursing term, rather a theory developed by respiratory therapist)