Herzing University NSG 223 Med Surg II Exam 2
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What is the pathophysiology of pulmonary embolism ? -
Answer-Occlusion in the pul artery normally caused by
small emboli that get stuck in the arterioles causing
necrosis of the area its in.
what do symptoms depend on in pulmonary embolism? -
Answer--Size and type of embolism
-Location of embolism
How do you treat unstable PE? - Answer--Begin
emergency procedure to regain respiratory and
cardiovascular system
-start on thrombolytic therapy to lysis the embolism
(Dissolve) and prevent.
How do you treat stable PE? - Answer-Immediate
anticoagulation to prevent reoccurrence 10 days - 6
months anticoagulation (Warfarin) and Heparin.
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*A pt who just had surgery can do ______________
Exercises like _____ __________ while they are in bed to
prevent PE's. - Answer-Isometric, Leg pumps
What are the main clinical manifestations of ARDs? -
Answer-Severe dyspnea, hypoxemia doesn't respond to
O2, nasal flaring, tachycardia, change in mental,
retraction, hyperventilation and tachypnea.
*If a patient has a 140 Heart rate is this is sign of ARDs? -
Answer-Yes
*What does PEEP do? - Answer-Keeps alveoli open at
end of expiration; prevents alveolar collapse. Helps to
recruit more and more alveoli for gas exchange and
decrease work of breathing (improves compliance).
How do you care for a patient on a ventilator? - Answer-
Full assessment Q4 hrs, Make sure tube is in right position
and check vent settings, Maintain hob at 30 degrees, oral
care Q2 hrs, Picture board for communication.