NUR 257 final study guide
Insidious
Low-grade fever
Cough
Night sweats
Fatigue
Weight loss
Hemoptysis - answer tuberculosis main symptoms
generalized tiredness/weakness
weight loss
fever
loss of appettie - answer tuberculosis main symptoms of the central nervous system
coughing
pleurisy
coughing up of sputum
SOB - answertuberculosis main symptoms lungs
Night sweats - answertuberculosis main symptoms skin
airborne - answerhow is tuberculosis transmission
N95 - answerwhat kind of mask must be worn with TB
negative airflow room - answerwhat kind of room does a TB pt need to be in
postive skin test - answerexposure equal
redness - answerMeasure the induration - not the of TB test
10 or greater - answerpostive TB is how many mm
sputum - answeruse for AFB to confirm active TB
- answerHow do you collect the specimen?
3 negative AFB sputum specimens - answerWhen can you discontinue TB precautions
C-spine - answerbe aware of this when opening a pt airway
, Endotracheal Intubation with or without mechanical ventilation - depends on if it is just
airway control or the need for ventilatory support as well. - answerWhat if you cannot
maintain an open/clear airway with physical maneuvers?
Rate
Pattern (Cheyne-Stokes, Kussmal)
Accessory muscles - answerassessment of respiratory (work of breathing)
wheezing
crackles
absent - answerassessment of respiratory (breath sounds)
bronchoconstriction - answerwheezing can mean
left sided heart failure - answercrackles can mean
pneumothorax - answerabsents breath sound can mean
airway irritation - answerclear sputum
pulmonary edema - answerpink-frothy sputum
infection - answerthink yellow sputum
TB
pulmonary emboli - answerbloody sputum
drinking plenty of liquids - answerthis thin secretions, unless contraindicated in HF
hypoventilation - answerRespiratory Acidosis
Increase ventilation - Incentive Spirometry, manually assist
Explore the reason why - Pain? Lack of knowledge? Sedation? - answerwhat can you
do in respiratory acidosis
hyperventilation - answerRespiratory Alkalosis
Encourage normal rate/depth
Explore the reason why - Anxiety? - answerWhat can you do in respiratory alkalosis
- answerwhat is the flow rate with nasal cannula
- answerwhat is the flow rate with high flow nasal cannula
10-15l/min (as close to 100% as we can get without a ventilator - answerwhat is the flow
rate with non-rebreather mask
Insidious
Low-grade fever
Cough
Night sweats
Fatigue
Weight loss
Hemoptysis - answer tuberculosis main symptoms
generalized tiredness/weakness
weight loss
fever
loss of appettie - answer tuberculosis main symptoms of the central nervous system
coughing
pleurisy
coughing up of sputum
SOB - answertuberculosis main symptoms lungs
Night sweats - answertuberculosis main symptoms skin
airborne - answerhow is tuberculosis transmission
N95 - answerwhat kind of mask must be worn with TB
negative airflow room - answerwhat kind of room does a TB pt need to be in
postive skin test - answerexposure equal
redness - answerMeasure the induration - not the of TB test
10 or greater - answerpostive TB is how many mm
sputum - answeruse for AFB to confirm active TB
- answerHow do you collect the specimen?
3 negative AFB sputum specimens - answerWhen can you discontinue TB precautions
C-spine - answerbe aware of this when opening a pt airway
, Endotracheal Intubation with or without mechanical ventilation - depends on if it is just
airway control or the need for ventilatory support as well. - answerWhat if you cannot
maintain an open/clear airway with physical maneuvers?
Rate
Pattern (Cheyne-Stokes, Kussmal)
Accessory muscles - answerassessment of respiratory (work of breathing)
wheezing
crackles
absent - answerassessment of respiratory (breath sounds)
bronchoconstriction - answerwheezing can mean
left sided heart failure - answercrackles can mean
pneumothorax - answerabsents breath sound can mean
airway irritation - answerclear sputum
pulmonary edema - answerpink-frothy sputum
infection - answerthink yellow sputum
TB
pulmonary emboli - answerbloody sputum
drinking plenty of liquids - answerthis thin secretions, unless contraindicated in HF
hypoventilation - answerRespiratory Acidosis
Increase ventilation - Incentive Spirometry, manually assist
Explore the reason why - Pain? Lack of knowledge? Sedation? - answerwhat can you
do in respiratory acidosis
hyperventilation - answerRespiratory Alkalosis
Encourage normal rate/depth
Explore the reason why - Anxiety? - answerWhat can you do in respiratory alkalosis
- answerwhat is the flow rate with nasal cannula
- answerwhat is the flow rate with high flow nasal cannula
10-15l/min (as close to 100% as we can get without a ventilator - answerwhat is the flow
rate with non-rebreather mask