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92 Cards in this Set

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DEFLECTION OF NORMALLY STRAIGHT SEPTUM CAUSED BY TRAUMA OR GENETICS
DEVIATED SEPTUM
DEVIATED SEPTUM IS TREATED BY:
NASAL ALLERGY CONTROL OR SEPTOPLASTY
THE UPPER RESPIRATORY TRACT CONSISTS OF THE
NOSE, NOSTRILS, NASAL CAVITY, MOUTH, PHARYNX, LARYNX
OCCURS IN CHILDREN AND YOUNG ADULTS.
STOPS SPONTANEOUSLY OR CAN BE SELF-TREATED
ANTERIOR NOSE BLEED
OCCURS IN OLDER ADULTS
USUALLY NEEDS MEDICAL ATTENTION
POSTERIOR NOSE BLEED
POSTERIOR NOSE BLEED IS TREATED BY
NASAL PACKING WITH AN ANALGESIC AND ANTIBIOTIC. USUALLY LEFT IN PLACE FOR 3 DAYS
POSTERIOR NOSE BLEED IS ALSO TREATED BY
CAUTERIZATION
SIMPLE FIRST AID FOR NOSE BLEED
1. KEEP PATIENT QUIET
2. SITTING UP AND LEANING FORWARD, OR HIGH FOWLERS.
3. APPLY DIRECT PRESSURE TO LOWER, SOFT PORTION OF NOSE
4.APPLY ICE COMPRESSIONS TO NOSE
5. PARTIALLY INSERT SMALL GAUZE AND APPLY DIGITAL PRESSURE IF BLEEDING DOES NOT STOP.
6. OBTAIN MEDICAL ASSISTANT IF BLEEDING DOES NOT STOP
7. OBSERVE FOR 45-60 MINUTES AFTER BLEEDING STOPS
PREVENTION OF NOSE BLEEDS
KEEP FINGERNAILS SHORT
HUMIDIFIER AT NIGHT
QUIT SMOKING
OPEN MOUTH WHEN SNEEZING
AFTER NOSE BLEEDING
-AVOID VIGOROUS NOSE BLEEDING, STRENUOUS ACTIVITY, LIFTING AND STRAINING FOR 4-6 WEEKS.
-SNEEZE WITH MOUTH OPEN
-AVOID USE OF NSAIDS
FLU CAUSES ABOUT DEATHS PER YEAR
36,000
WHAT GROUP OF PEOPLE ARE MOST LIKELY TO SUCCUMB TO THE FLU
AGE GREATER THAN OR EQUAL TO 60 YRS OR WITH CHRONIC HEART OR LUNG DISEASE
THERE ARE TWO TYPES OF FLU. TYPE AND TYPE
AND THERE ARE MANY STRAINS IN EACH
A AND B
THE FLU IS DIFFERENT FROM THE COMMON COLD BC
THE SYMPTOMS ARE MORE SEVERE AND IT AFFECTS A LOWER PORTION OF THE RESPIRATORY TRACT.
WHAT IS THE BEST WAY TO AVOID CONTRACTING THE FLU?
VACCINATION
THERE ARE TWO TYPES OF VACCINATION
ACTIVE AND INACTIVE
PEOPLE OLDER THAN 50 YRS OR HIGH RISK SHOULD RECEIVE THE
FLU VACCINE
INACTIVE
PEOPLE AGES 5-49 YRS OF AGE, HEALTHY AND NOT PREGNANT RECEIVE THE FLU VACCINE
ACTIVE
WHAT ARE CONTRAINDICATIONS FOR THE FLU VACCINE
ALLERGY TO EGGS AND GUILLIANE BARRE SYNDROME
INDIVIDUALS AT RISK FOR THE FLU
OVER 50 YRS
CHRONIC CARDIAC/PULM DISEASE
LONG TERM CARE FACILITY
2ND OR 3RD TRIMESTER OF PREGNANCY
HEALTH CARE WORKERS
SYMPTOMS OF INFLUENZA
COUGH
FEVER
MYAGLIA
HEADACHE
SORE THROAT
CHILLS
NAUSEA AND VOMITING
COMPLICATED CASES OF THE FLU INCLUDE
DYSPNEA AND DIFFUSE CRACKLES
UNCOMPLICATED CASES OF THE FLU
SYMPTOMS SUBSIDE WITHIN 7 DAYS
SYMMETREL AND FLUMADINE ARE USED
PROPHYLACTICALLY
RELENZA (INHALER) AND TAMIFLU (ORAL) ARE USED TO
PROPHYLACTICALLY AND TO SHORTEN DURATION OF SYMPTOMS
UNLESS AT HIGH RISK INDIVIDUALS WITH THE FLU MERELY NEED
TREATMENT OF SYMPTOMS
IT'S IMPORTANT TO PREVENT

IN THE FLU
SECONDARY PNEUMONIA
THESE SHORTEN THE CORSE OF INFLUENZA, STOP THE VIRUS FROM SPREADING AND DECREASE SYMPTOMS
ANTIVIRALS
WHAT IS GIVEN IF SECONDARY BACTERIAL INFECTION OCCURS
ANTIBIOTICS
NASAL FRACTURE CAN BE PREVENTED
BY PROTECTIVE SPORTS EQUIPMENT OR PREVENTION OF FALLS
COMPLICATIONS OF A NASAL FRACTURE
AIRWAY OBSTRUCTION
EPISTAXIS
MENINGAL TEARS
SEPTAL HEMATOMA
COSMETIC DEFORMITY
TYPES OF NASAL FRACTURE
UNILATERAL
BILATERAL
COMPLEX
UNILATERAL FRACTURE
LITTLE OR NO DISPLACEMENT
BILATERAL FRACTURE
FLATTENED NOSE
MOST COMMON TYPE OF FRACTURE
COMPLEX FRACTURE
FRONTAL BLOW
NURSING MANAGEMENT OF NASAL FRACTURE
ASSESS ABILITY TO BREATHE
LOOK FOR SEPTAL DEVIATION
HEMORRHAGE OR CSF
MAINTAIN AIRWAY
DECREASE EDEMA
PREVENT COMPLICATIONS
EMOTIONAL SUPPORT
UPRIGHT POSITION
APPLY ICE
SURGICAL RECONSTRUCTION OF THE NOSE
RHINOPLASTY
BEFORE THE CLIENT UNDERGOES RHINOPLASTY THE NURSE SHOULD
ASSESS THE PATIENTS EXPECTATIONS OF SURGERY
ASSESS PATIENTS BODY IMAGE
EXPLAIN THE OUTCOME OF THE SURGERY FRANKLY SO THAT THE PATIENT IS NOT DISAPPOINTED
RHINOPLASTY IS AN
OUTPATIENT PROCEDURE
NASAL PACKING IS REMOVED WHEN AFTER RHINOPLASTY
THE NEXT DAY
NASAL SPLINTS ARE REMOVED
3 TO 5 DAYS AFTER RHINOPLASTY
NURSING MANAGEMENT FOR PATIENT UNDERGOING RHINOPLASTY
NO ASPIRIN/NSAIDS 2 WEEKS PRIOR
MAINTAIN AIRWAY
RESPIRATORY STATUS
PAIN MANAGEMENT
OBSERVE SURGICAL SITE
TEACH TO DETECT COMPLICATIONS AT HOME
DEVELOPS WHEN THE EXIT FROM THE SINUSES ARE NARROWED OR BLOCKED BY INFLAMMATION. THE SECRETIONS ACCUMULATE BEHIND OBSTRUCTION AND GROWTH OF BACTERIA, VIRUS AND FUNGI OCCUR
SINUSITIS
HOW MANY PEOPLE SUFFER FROM SINUSITIS EACH YEAR?
10-15 MILLION
CAN OCCUR IN ANY OF THE 4 SINUSES
ETHMOID, FRONTAL, MAXILLARY, SPHENOID
ACUTE SINUSITIS RESULTS FROM
SWIMMING, DENTAL MANIPULATION, URI, ALLERGIC RHINITIS
CHRONIC SINUSITIS IS CAUSED BY
NASAL ALLERGIES AND NASAL POLYPS
SYMPTOMS OF ACUTE SINUSITIS
NASAL OBSTRUCTION
PAIN, TENDERNESS & SWELLING OVER AFFECTED SINUSES
PURULENT DISCHARGE
FEVER AND CHILLS
CONGESTION
MALAISE
IN ACUTE SINUSITIS THE NURSE SHOULD ASSESS FOR
CHANGES IN VISION OR SWELLING AROUND THE EYES
MOST PEOPLE WITH ASTHMA SUFFER FROM
SINUSITIS
CHRONIC SINUSITIS LASTS LONGER THAN
3 WEEKS
SYMPTOMS OF CHRONIC SINUSITIS
MIMIC THOSE SEEN IN ALLERGIES INCLUDING NASAL OBSTRUCTION, CONGESTION, INCREASED DRAINAGE

NO SEVERE PAIN/PURULENT DRAINAGE
HOW IS CHRONIC SINUSITIS DX
CT SCAN, X-RAY OR NASAL ENDOSCOPY
TREATMENT OF SINUSITIS INCLUDES
IMPROVE DRAINAGE WITH DECONGESTANTS, MUCOLYTICS AND CORTICOSTERIODS
IF ALLERGIES ARE THE CAUSE OF SINUSITIS
REMOVE CAUSE OF ALLERGIES
TREATMENT OF ACUTE SINUSITIS INCLUDES
ANTIBIOTICS (AMOXYCILLIN, BACTRIM OR ERYTHROMYCIN FOR 10-14 DAYS
TREATMENT OF CHRONIC SINUSITIS
BROAD SPECTRUM ANTIBIOTICS USED FOR 4-6 WEEKS
WAYS TO IMPROVE SINUS DRAINAGE
DECONGESTANTS
CORTICOSTEROIDS
MUCOLYTICS
STEAM VAPORIZER
HOT SHOWERS
HUMIDIFIER
NASAL SALINE SPRAY
IF MEDICINAL THERAPY DOES NOT WORK FOR CHRONIC SINUSITIS
NASAL ENDOSCOPIC SURGERY IS INDICATED TO REPAIR DEVIATED SEPTUM
INCREASE FLUIDS
TO LOOSEN SECRETIONS
PARTIAL OR UPPER AIRWAY OBSTRUCTION DURING SLEEP
OBSTRUCTIVE SLEEP APNEA
OSA OCCURS MORE IN
MEN THAN WOMEN
CESSATION OF SPONTANEOUS RESPIRATIONS LASTING LONGER THAN 20 SECONDS
APNEA
APNEA CAUSES
HYPOXEMIA AND HYPERCAPNIA
SIGNS AND SYMPTOMS OF OSA
FREQUENT AWAKENING AT NIGHT
INSOMNIA
DAYTIME SLEEPINESS
OBSERVED EPISODES OF BREATHING CESSATION DURING SLEEP
DRY MOUTH
SORE THROAT
MORNING HEADACHE (HYPERCAPNIA CAUSES VASODILATION OF CEREBRAL VESSELS)
LOUD SNORING
WHAT IS USED TO DIAGNOSE SLEEP APNEA
POLYSOMNOGRAPHY
DIAGNOSIS OF SLEEP APNEA REQUIRES
DOCUMENTATION OF APNEIC EVENTS (10 EVENTS AN HOUR)
COMPICATIONS OF SLEEP APNEA
HYPERTENSION
RIGHT SIDED HEART FAILURE
CARDIAC DSRHYTHMIAS
MILD SLEEP APNEA TREATMENT
AVOID SEDATIVES/ALCOHOL 3 TO 4 HOURS BEFORE SLEEP

WEIGHT LOSS PROGRAM

ORAL APPLIANCES TO KEEP AIRWAY OPEN
MODERATE TO SEVERE APNEA TREATMENT
CPAP
BIPAP
SURGERY MAY BE REQUIRED UPPP OR GAHM
UPPP
REMOVAL OF OBSTRUCTING TISSUE (TONSILS, PALATE, UVULA)
GAHM
ADVANCING ATTACHMENT OF THE MUSCULAR PART OF THE TONGUE ON THE MANDIBLE (MOST LIKELY DONE WITH A UPPP)
RISK FACTORS FOR HEAD AND NECK CANCER
>50 YRS
PROLONGED USE OF ALCOHOL AND TOBACCO
DIET POOR IN FRUIT AND VEG
HPV INFECTION
GREATER IN MALES (2 TO 5 TIMES)
PROLONGED USE OF OTC MEDS FOR SORE THROAT, DECONGESTANTS
CHRONIC LARYNGITIS
INDUSTRIAL CHEM/HARDWOOD DUST
VOICE ABUSE
MARIJUANA USE
WHAT IS AN EARLY SYMPTOM OF LARYNGEAL CANCER
HOARSENESS
SYMPTOM OF LARYNGEAL CANCER
LUMP IN THROAT
LATE STAGES OF LARYNGEAL CANCER
PAIN
DYSPHAGIA
DECREASED MOBILITY OF THE TONGUE
AIRWAY OBSTRUCTION
CRANIAL NERVE NEUROPATHIS
LARYNX AND VOCAL CORDS ARE VISUALLY INSPECTED FOR LESIONS AND TISSUE MOBILITY
LARYNGOSCOPY
USED TO DETECT LOCAL OR REGIONAL SPREAD
CT SCAN OR MRI
TO DETERMINE EXTENT OF CANCER
BIOPSY
STAGING
T-TUMOR SIZE
N-NODES INVOLVED
M-EVENTS OF METASTIC
USED TO CURE EARLY STAGES OF CANCER, SUCH AS VOCAL CORD LESIONS
RADIATION
BEING INVESTIGATED FOR LATER STAGES
CHEMOTHERAPY
SIDE EFFECTS OF CHEMOTHERAPY
NAUSE VOMITING
LOSS OF HAIR
MOUTH SORES
DECREASED BLOOD COUNT
INCREASED SUSCEPTIBILITY TO INFECTION
REMOVAL OF STRUCTURES ABOVE THE TRUE CORDS-FALSE CORDS AND EPIGLOTTIS
AT HIGH RISK FOR ASPIRATION
TEMPORARY TRACH
SUPRAGLOTTIC LARYNGECTOMY
PARTIAL REMOVAL OF ONE VOCAL CORD
CORDECTOMY
REMOVAL OF ONE VOCAL CORD AND REQUIRES TRACH
HEMILARYNGECTOMY
ADVANCED LESIONS
PERMANENT TRACH
TOTAL LARYNGECTOMY
EXCISION OF THE CERVICAL NODES FROM THE CLAVICLE TO THE MANDIBLE, THE STERNOCLEIDOMASTOID MUSCLE, THE INTERNAL JUGULAR VEIN, AND THE ACCESSORY NERVE
DECREASES LYMPHATIC SPREAD
RADICAL NECK DISSECTION
RESULTS IN SIGNIFICANT CO-MORBIDITY FOR THE PATIENT (LEADING TO SHOULDER PAIN AND A REDUCED RANGE OF UPPER LIMB MOVEMENT AS WELL AS POOR COSMESIS OR APPEARANCE)
RADICAL NECK DISSECTION
IS THE PREFERRED ALTERNATIVE TO RADICAL NECK DISSECTION. THE DISSECTION SPARES AS MANY STRUCTURES AS POSSIBLE TO LIMIT DISFIGUREMENT AND FUNCTIONAL LOSS (PRESERVE NERVES AND MUSCLES)
MODIFIED RADICAL NECK DISSECTION
INVOLVES PRESERVING ONE OF MORE OF THE LYMPH NODES
SELECTIVE NECK DISSECTION
BRACHYTHERAPY
LOCALIZED RADIATION PLACED NEAR OR INTO TUMOR