Asthma/COPD
If a pulse ox on a finger is 7O what do you do?
Doublecheck again on another finger and be sure
In pneumonia what are common cause:
HAP
Bacterial type
Laying around
If we are giving a Beta Blocker for BP and the patient's heart rate is 50 what do we do?
Call the DR and check to hold or not, because most hospital policies will recommend hold if heartrate below 60
After surgery on a patient who has PVD what is important for the PACU to assess on the operative leg
If patient has pulses below operative site
If the patient has to go for any kind of diagnostic test or anywhere- moving around and has a chest tube, what do you have to make sure of:
System remains upright and below level of the heart
Inhalers for Asthma, the patient needs to be monitored for what? Some inhalers cause:
Can increase blood sugar, cause increased heart rate and cause mouth yeast (so rinse mouth)
What is something you want pneumonia patient to do to help them get better?
Cough and get the sputum up, if they cannot produce a productive cough then they need a NEB treatment to loosen it up.
Considered HTN
BP 140/90
Sign of Triple A
Pain
Flank Pain
Constipation
pulsating mass in abdomen
Nausea
When is it okay to clamp a chest tube?
*suspected leak
*getting ready to remove or changing system
*Must ask Dr
COPD's #1 cause is:
Smoking
Complication of the flu:
Pneumonia
Main factor causes PVD
Smoking
What are modifiable risks for CAD
quit smoke
diet
reduce cholesterol
exercise
control diabetes
Is continuous bubbling in chest tube ok?
No usually sign of a leak
*some bubbling if patient coughs ok but not continuous
Target O2 for COPD patients
88%-92%
Normal people 94%-100%
Common symptoms of Covid
headache
myalagia
cough
changes smell and taste
Important teaching with HTN meds:
Encourage patient to rise slowly from laying to sitting
Be compliant-take your medication
What are TED hose
Compression hose to help circulation
What does it mean if no rise and fall of water in a closed chest tube system?
Lung has re-expanded and you dont need the chest tube
or system has a malfunction like a kink in the tubing
This would be a long term use inhaler with Asthma-or COPD maintainance:
Advair
the bulk of flu deaths occur in:
people over 65
which type of HTN can cause a cough?
Ace inhibitor
Most common signs of PE
#1Dyspnea- SOB
Tachypnea
Chest pain
How long can you suction Trach?
10 seconds because it causes hypoxia.
Cough most effective way to release secretions if dont work then suction.