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17 Cards in this Set
- Front
- Back
Complications of interventions for lung cancer
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*surgery-DVT, pneumonia, inf, impaired gas exchange
*chemo-n/v, anemia, renal failure, thrombocytopenia, liver damage, CHF, SIADH, peripheral neuropathy, diarrhea, myelosupression *radiation-fatigue, skin reactions, esophagitis, pneumonitis, hair loss |
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Manifestations of lung cancer
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*majority asymptomatic during early stages of disease
*as tumor grows: persistent cough, chest pains, hemoptysis, dyspnea, wheezing and recurrent pneumonia; wt loss, fatigue, anorexia *with metastasis, bone pain, jaundice and HA may occur |
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Diagnosis of Emphysema
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*Pulmonary function test (PFT)
- <forced exp. vol, prolonged expir - <maximum voluntary ventil. - <forced vital capacity - ^ total lung capacity - ^ residual volume *chest xray (enlarged thoracic cage, flat diaphragm, elongated and narrow cardiac silhoutte) |
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Emphysema
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*abnormal distension of air spaces beyond term. bronchioles with destruction of walls of alveoli
*panlobular type (pink puffer) *centrilobular type (blue blo) *A-P/transverse diam. 2:1 |
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Medications for COPD
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*bronchodilators PO, SQ, IV, inhaled s/e: tachycardia, cardiac arrhythmias, CNS excitation, n/v
*corticosteroids PO, IV, inhaled s/e: hyperglycemia, CNS changes, HTN, masks inf, ^risk of inf, osteoarthritis, ^Na & H2O retention (causes ^BP) |
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Medical Management & Nursing Interventions for COPD
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*Improve Gas exchange:( aerosol therapy, albuterol nebs, Oxygen)
*remember: hypoxia is stim for respirations *Nsg interventions: pursed lip breathing *Remove bronchiap secretions (CPT, postural drainage, ^fluids) *prevent inf: (flu & pneumonia shots) |
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Therapeutic Interventions of Lung cancer
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*non-small cell CA is managed with surgery, chemo and/or radiation
*small cell Ca is managed with chemo and radiation (poorer prognosis) |
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Therapeutic Interventions for Emphysema
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*maximize quality of life, minimize complications
*teach how to breathe, so not SOB *pulm rehab |
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Cancer of the larynx
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*supraglottis (includes epiglottis)
*glottis (2/3 of all cancers) *subglottis |
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Nursing Assessment
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*what are you going to look for in your interview and physical exam?
*what kind of nsg dx are pertinent to this pt? *do you know how to suction & do trach care on this patient? |
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Diagnostics of Ca of larynx
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*History & exam
*CXR & barium swallow *MRI *laryngoscopy *pandendoscopy (views larynx, esophagus, trachea & bronchi) |
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Treatment of Ca of larynx
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*radiation & surgery; sometime chemo
*partial laryngectomy (preserves voice) *total laryngectomy (most common) pt will have permanent tracheal stoma *radical neck dissection (lymph nodes, epiglottis & sternomastocleod muscle removed) |
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Pre-op Ca of larynx
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*consent
*normal bloodwork *how pt will communicate afterward |
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Post-op: CA of larynx
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*maintain airway
*remove secretions *relieve pain *communication *complications: bleeding, infect, resp. complications *esophageal speech, electronic larynx, TEP |
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Diagnostics for lung cancer
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*CXR
*Chest CT *cytological examination-2 ways (bronchoscopy, sputum culture) *bronchoscopy *bone scan *liver scan *head CT |
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Nursing assessments of COPD
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*what are you looking for in physical exam and interview?
*what complications are this pt at risk for that you will be monitoring? *what nsg dx are approp for this pt? |
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Nursing assessment of lung cancer
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*Looking for cough patterns, wheezing, chest tightnes, hemoptysis, blood tinged sputum, dyspnea, hoarseness
*factors ^ risk: smoking *nsg dx? |