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17 Cards in this Set

  • Front
  • Back
Post op care for laryngectomy patient.
Maintain airway, provide pain management, provide nutritional support, teach family/client about home care, provide access to communication devices (writing supplies, picture boards, and speaking valves), make any referrals needed and provide emotional support.
With cancer of the larynx-- which is more effective? Chemotherapy or radiation
What is our goal with oxygen in patients with respiratory deficits?
Just enough oxygen to maintain the O2 levels wihtin acceptable range for the patient.
With a sleep disturbance, why would you put them on a CPAP machine??
To keep the alveoli open while they are relaxing and asleep.
Diagnosis of Altered nutrition: what is important?
small frequent meals, change to cannula during meals, give them high fat, high calories, LOW CARBS, watch your meal preperation times and timing of the meals.
To check respiratory function, what two things are most accurate??
ABG's and pulse oximetry (O2)
patients with a respiratory diagnosis, should get the flu shot when? And the pneumovax when?
Flu shot every year

Pneumovax every 5 years
Manifestations of pleural effusion??
SOB, chest pain, tachypnea, hypoxemia,pleural rub
If a chest tube comes disconnected, what do you do??
If it is still connected to the patient.. put in sterile water until hooked back up to suction.
If I have a venous air embolism, what do you do with the patient??
*(can be from 3-8 ml/kg) of air)
*Terminate procedure
*Position in trendelenberg position
*Clamp off central line
*Turn onto left side
*100% O2
this will stop the air from going into the circulation of the heart and lungs.
What is one of the first signs of increased CO2 levels??
With Cor Pulmonale, what would a CXR show??
Right hypertrophy of the heart
What should the ratio be with a V/Q scan??
A 2:1 ratio
Identify the etiology of crackles......
Sudden onset of small airways that contain fluid heard during inspiration; this will not clear with a cough.
Identify the etiology of Rhonchi......
air passing through fluid filled, narrow passages caused by excess mucus production (pneumonia or bronchitis) heard on expiration; may clear with cough
Identify the ediology of Wheezes.....
continuous musical or hissing noises; passage of air through narrow airway; heard during inspiration or exhalation; associated with asthma but may be foreign body blocking airway
Identify the ediology of Pleural friction rub.....
pleural inflammation; creaking; grating noise heard on inspiration and expiration over area of inflammation.