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30 Cards in this Set
- Front
- Back
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Health teaching regarding pneumonia and influenza vaccinations includes who?
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yearly influenze vaccination and adults over 50 yrs old, anyone woho has a chronic respiratory problem and anyone who is immune--compromised should receive the pneumonia vaccine
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therapy used to remove bronchial secretions, improve ventilation, and increase the efficiency of the respiratory muscles.
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chest physiotherapy
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what are the 3 types of chest physiotherapy a nurse can perform
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postural drainage
chest percussion vibration |
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oxygen therapy
incentive spirometry mini-nebulizer therapy intermittent positive pressure breathing chest physiotherapy |
non-invasive respiratory therapies.
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partial or complete collapse of the lung due to positive pressure in the pleaural space
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pneumothorax
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what is the concentration of oxygen in room air
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21%
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what is the earliest indicator of the need for oxygen therapy
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change in pt respiratory rate.
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decrease in the arterial oxygen tension in the blood
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hypoxemia
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S & S of hypoxemia
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Changes in mental status
impaired judgement agitation disorientation confusion lethargy coma dyspnea increase in blood pressure changes in heart rate dysrhythmias central cyanosis diaphoresis cool extremitites |
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Hypoxemia usually leads to?
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Hypoxia, which is a decrease in oxygen supply to the tissues *can be life threatening
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S & S of hypoxia
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changes in central nervous system
resembles alcohol intoxication lack of coordination impaired judgement |
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Patients recieving oxygen therapy are given ox only to increase arterial oxygen pressure (PaO2) back to baseline, what is the normal baseline?
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normal baseline of arterial oxygen pressure (PaO2) is 60-95 mm Hg, which produces 80-98% blood ox saturation.
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when does oxygen toxicity occur?
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when too high a concentration of oxygen (greater than 50%) is administered for a long time (longer than 48 hours)
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What antioxidants are helpul in reducing the oxygen free radicals produced by oxygen therapy?
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Vitamin E, Vitamin C, and beta carotene
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substernal discomfort
paresthesias dyspnea restlessness fatigue malaise progressive respiratory difficulty refractory hypoxemia alveolar atelectasis alveolar infiltrates suggests? |
oxygen toxicity
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Oxygen flow rates
1-2 L/min and 23-30% oxygen What adminstration device? |
Nasal cannula
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Oxygen flow rates
3-5 L/min 30-40% oxygen What administration device |
Nasal cannula
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Oxygen flow rates
6 L/min 42% oxygen What adminstration device |
Nasal cannula
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Oxygen flow rates
1-6 L/min 23-42% oxygen What administration device |
Oropharyngeal catheter
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Oxygen flow rates
6-8 L/min 40-60% Oxygen What administration device |
Mask, simple
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Oxygen flow rates
8-11 L/min 50-75% oxygen What administration device? |
Mask, partial rebreather
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Oxygen flow rates
12 L/min 80-100% oxygen What administration device? |
Mask, non rebreather
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Oxygen flow rates
1/4 -4 L/min 60-100% oxygen What administration device? |
Transtracheal catheter
(High flow system) |
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Oxygen flow rates
4-6 L/min 24,26, 28% oxygen What administration device? |
Mask, venturi
(high flow system) |
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Oxygen flow rates
6-8 L/min 30,35,40% oxygen What administration device |
Mask, venturi
(high flow system) |
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Oxygen flow rates
8-10 L/min 30-100% oxygen Which administration device? |
Mask, aerosol
Tracheostomy Collar T-peice Face tent (all high flow systems) |
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How can a nurse prevent oxygen induced hypoventilation?
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by administering oxygen at low flow rates (1-2 L/min) and monitoring respiratory rate and ox satuaration
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How often should an oropharyngeal cather be changed?
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every 8 hours to prevent nasal irritation and infection
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How often should a patient receiving oxygen therapy visit his doctor for a check up?
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every 6 months
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How often should spirometry be perfomed?
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10 times in succession every hours.
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