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Med Surg 2
Unit 9 Med Surg2
74
Nursing
Undergraduate 3
03/25/2014

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Cards

Term
What is an important symptom of Pleurisy?
Definition
severe,sharp,knife like pain in the affected area
Term
Who are at risk of Tuberculosis?
Definition
immunocompromised,inadequate health care,malnourished,overcrowded housing,poor,substance abusers
Term
What are the symptoms of TB disease?
Definition
pain/night sweats,cough,weakness/fatigue,anorexia,chills/low grade fever
Term
What drug do you use to treat a TB infection?
Definition
(INH)Isoniazid
Term
What must patient do while nurse auscultates?
Definition
sit up,breathe normal
Term
What are the causes of Laryngitis?
Definition
complication from infection,smoking,excessive use of voice
Term
What treatment is used for Laryngitis?
Definition
voice rest,remove cause,warm/cool mist humidifier
Term
What are the causes of Epistaxis?
Definition
trauma,nasal spray abuse,spontaneous,hypertension (elderly),leukemia,anticoagulants
Term
What do you expect after nasal surgery?
Definition
swelling/bruising,black eyes,teach to mouth breathe,black tarry stool if blood swallowed,spit out blood,no nose blowing
Term
How should patient be positioned after nasal surgery?
Definition
side-lying or semi-prone position to keep patient from aspirating or swallowing blood
Term
What are the complications of throat surgery?
Definition
excessive swallowing/bleeding,respiratory distress,hemorrhage
Term
What diagnostics are used for Laryngeal Cancer?
Definition
Biopsy,CT,MRI,Laryngoscopy (Direct=scope) (Indirect=mirror)
Term
What are the early symptoms of Laryngeal Cancer?
Definition
persistent hoarseness,sensation of a lump in throat,pain and burning
Term
What is a total Laryngectomy?
Definition
if tumor involves entire larynx,epiglottis,and supportive cartilages
Term
What is the most common form of transmission of Tuberculosis?
Definition
respiratory droplet
Term
How long are patients with TB on treatment?
Definition
6-24 months
Term
What are the symptoms of TB disease?
Definition
cough,weakness/fatigue,anorexia,chills/low grade fever,pain/night sweats
Term
when is best time for sputum analysis?
Definition
early in morning before eating,brush teeth and wash mouth before test
Term
What drugs are used to treat Influenza?
Definition
Symmetrel,Tamiflue
Term
What are complications of Strep?
Definition
rheumatic fever (3-5wks after),glomerulonephritis (7-10days after)
Term
What is the best diagnostic test for TB?
Definition
Sputum Culture and Sensitivity
Term
What drugs treat TB disease?
Definition
INH,Ethabutol,Rifampin,Pyrazinamide
Term
What are the side-effects of INH?
Definition
anorexia,N&V,abdominal pain,drug induced hepatitis,fever,peripheral neuritis
Term
What are the side-effects of Rifampin?
Definition
reddish orange secretions,can affect ssoft contact lenses,photosensitivity,birth control not as effective,interferes w/ beta blockers/anticoagulants
Term
After having TB what must you have before returning to work or school?
Definition
2 or 3 consecutive negative sputum cultures
Term
What is emphysema?
Definition
abnormal accumulation of air in body tissues
Term
What is the best test used to diagnose Emphysema?
Definition
PFT-Pulmonary Function Test
Term
What is a physical symptom of Emphysema?
Definition
barrel chest
Term
What type of breathing must you do to treat Emphysema?
Definition
purse-lipped breathing,keeps alveoli open longer
Term
What is a pulmonary embolism?
Definition
clot breaks loose and lodges in some area of the lung
Term
What are the symptoms of Pulmonary Embolism?
Definition
tachypnea, crackles, acute unexplained dyspnea, syncope, restlessness, low grade fever, shock, diaphoresis, cyanosis, blood tinged sputum, chest pain
Term
What is the first thing they do in ER for patient with Pulmonary Embolism?
Definition
apply O2
Term
What is the best non-invasive diagnostic test for Pulmonary Embolism?
Definition
VQ scan
Term
What is a Pneumothorax?
Definition
collection of air in pleural space
Term
What is a open pneumothorax?
Definition
caused by opening into the thorax, "sucking" chest wound, flutter dressing
Term
What is a Tension Pneumothorax?
Definition
mediastinal shift,medical emergency
Term
What is a Closed Pneumothorax?
Definition
bleb forms on outside of lung, may rupture and allow air into the pleural space
Term
What are the symptoms of Lung Cancer?
Definition
recurring pneumonia/bronchitis, persistent muco-perulent cough, hemoptysis, fatigue, dyspnea, pain, weight loss
Term
What is a Pneumonectomy?
Definition
removal of the lung
Term
Symptoms of Hypoxia?
Definition
dyspnea, cyanosis, tachycardia, anxiety, pain
Term
Orthopnea
Definition
dyspnea relieved by sitting
Term
Surfactant
Definition
lipoprotein which prevents alveolar collapse
Term
Tachypnea
Definition
rapid respiratory rate
Term
Pneumothorax
Definition
a collection of air or gas in the pleural cavity
Term
Vital Capacity
Definition
volume or air exhaled after a maximal inspiration
Term
Apnea
Definition
absence of respirations
Term
Wheeze
Definition
continuous sounds produced by air passing through constricted bronchial tubes which is narrowed by thick mucus
Term
Crackle
Definition
adventitious lung sound;produced by air passing over retained airway secretions of the sudden opening of collapsed airways
Term
Tidal Volume
Definition
volume of air in single inspiration or expiration
Term
Flail Chest
Definition
caused by fracture of ribs or sternum
Term
Cheyne-Stokes
Definition
cycles by periodic breathing where cycles increase gradually then progressively decrease
Term
Stridor
Definition
high pitched crowing
Term
Postural Drainage
Definition
positioning body to facilitate drainage
Term
Eupnea
Definition
normal respiratory rate
Term
Percussion
Definition
tapping of chest wall with cupped hands to loose drainage
Term
Dead Space
Definition
portion of tracheo-bronchial tree which doesn't participate in gas exchange
Term
Hypoxia
Definition
decrease oxygen in tissue
Term
Bradypnea
Definition
slows breathing
Term
Kussmaul Breathing
Definition
air hunger;deep respirations
Term
Arterial Blood Gases
Definition
measurement of pH,PCO2,PO2
Term
Hyperpnea
Definition
abnormally deep breathing;rate increased
Term
Hemoptysis
Definition
coughing up blood
Term
Subcutaneous Emphysema
Definition
accumulation of air of gas
Term
Paroxysmal Nocturnal Dyspnea
Definition
comes on suddenly during the night;early symptom of CHF
Term
Epistaxis
Definition
nosebleed
Term
Hypoxemia
Definition
deficiency of oxygen in blood
Term
What is Theophylline?
Definition
treats status asthmaticus, monitors blood vessels
Term
When is suctioning needed?
Definition
tachycardia, increased respirations, restlessness,noisy respirations
Term
What are the nursing interventions for Status Asthmaticus?
Definition
monitor respirations, high fowlers, O2 nasal cannula (4-6L/min), reassure and remain with patient during acute attack, education, chest physiotherapy(mobilizes secretions)
Term
What foods can you not have while taking INH?
Definition
Tyramine-aged cheese etc....
Term
What does it mean if a chest tube stops bubbling?
Definition
indicator of full expansion or obstruction
Term
Post op care for tonsillectomy?
Definition
monitor V/S and excessive bleeding, no coughing, no straws, analgesics, ice collars
Term
What does the ER give for Asthma attacks?
Definition
bronchodilation, O2, mechanical ventilation as needed
Term
What is the O2 flow for patients with Emphysema?
Definition
no more than 3L/min
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