RESPIRATORY SYSTEM - NCLEX BOLA REVIEW

RESPIRATORY SYSTEM - NCLEX BOLA REVIEW

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184 terms nerdecastroPreview AKI & CKD practice 22 terms jmurph63Preview Neurocognitive Disorders VS Deliriu...13 terms donna62174Preview Saunde 15 terms bal Practice questions for this set Learn1 / 7Study using Learn Consent NPO Atropine Sulfate Proper positioning BronchoscopyVisualization of the bronchi Choose an answer 1Pre-bronchoscopy Nursing Interventions 2Bronchoscopy 3 If you're using the same catheter for suctioning for nose and mouth, whats the order of suctioning?4Complication of bronchoscopy Don't know?

Pre-bronchoscopy Nursing InterventionsConsent NPO Atropine Sulfate Proper positioning Atropine Sulfate is used to?dry excessive secretion if need and is kept at bedside Position for pre-bronchoscopy and the rationale Semi-fowlers to promote breathing Post-bronchoscopy Nursing InterventionsDo not give anything by mouth until gag reflex returns Blood tinge sputum, hoarseness and sore throat is normal after the procedure Complication of bronchoscopyPneumothorax Atelectasis Hemorrhage When is the best time to collect sputum?Upon rising in the morning Purpose of SuctioningTo clear the airway What kind of procedure is suctioning?A sterile procedure How much do you insert the catheter during suctioning? 3-5 inches How do you do suctioning?Apply suction with with drawing the catheter in a rotating manner What should you do before and after you suctioning? Hyperventilate with 100% oxygen before and after suctioning How long do you suction for?10-15 seconds If you're using the same catheter for suctioning for nose and mouth, whats the order of suctioning?Nose then Mouth If you're using the same catheter for suctioning for mouth and tracheostomy, whats the order of suctioning?Tracheostomy then Mouth Indications for suctioningCouching and choking on oral secretions Gurgling soun Decrease oxygen saturation Chronic Obstructive Pulmonary Disease (COPD) Limited airway disease causing improper exchange of air Greatest risk of COPDCigarette smoking EmphysemaDestruction of the alveolar walls and loss of elasticity of the lungs causing improper exchange of air.

Signs and symptoms of EmphysemaBarrel chest AKA hyper-inflated lung Dyspnea of exertion Purse lip breathing Productive cough - white or tan sputum Prolonged expiration Orthopnea What is Orthopnea?Difficulty breathing when laying down which require sitting up.Treatment for EmphysemaOxygen 1-2 liters Chest Physiotherapy Encourage patient to use a straw when drinking Positioning Best position for Emphysema and its rationaleHigh fowlers to promote breathing Chest Physiotherapy is for?Mobilize or loose secretions in the lungs and respiratory tract Chronic BronchitisIs the inflammation or infection of the bronchi Signs and symptoms of BronchitisClubbing of the nails Dyspnea on exertion Productive cough - white or tan sputum Corpulmonale (right sided heart failure) Rales/crackles Treatment for BronchitisOxygen 1-2 liters Chest physiotherapy Antibiotics Hydration Expectorant Antibiotics used for BronchitisTetracycline Penicillin When is Tetracycline taken?On an empty stomach Contraindication for TetracyclinePregnant and Lactating mothers Nursing intervention for patients taking Penicillin Monitor patient for allergic reactions (anaphylactic shock; swollen lips, eyes and airway closure) Patient should always wear allergy bracelet Expectorant to use for BronchitisGuaifenesin Nursing interventions for patients taking Guaifenesin Patient should avoid driving when taking tis medication due to drowsiness AsthmaBronchospasm or bronchoconstriction causing improper exchange of air

Signs and symptoms of AsthmaWheezing during expiratory Tachypnea Hypersensitivity restlessness anxiety Treatment for AsthmaOxygen 1-2 liters Chest Physiotherapy Epinephrine Bronchodilator Corticosteroid Why is Epinephrine used for Asthma patients? To relieve bronchospasm Bronchodilators used in AsthmaAminophylline Albuterol Theophylline Why are Bronchodilators used in Asthma?To promote breathing How do you know if Bronchodilators are effective? Theres an improvement in respiration Side effects in AminophyllineSweating, headache, nausea, vomiting, hypotension, tachycardia