Term
| COPD characterized by 3 things / 2 interventions |
|
Definition
rales an ronchi , wheezing
Interventions : give bronchodilators (wheezing)
O2 treatment( L per min) and O2 stat |
|
|
Term
|
Definition
progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases.
Alviole collapse then they become overinflated and cant clear mucus
Alviole collapse then they become overinflated and cant clear mucus |
|
|
Term
| goals of treatment for COPD |
|
Definition
Prevent disease progression
Relieve symptoms and improve exercise tolerance
Prevent and treat complications
Promote patient participation in care
Prevent and treat exacerbations
Improve quality of life and reduce mortality risk
Collaborative care includes yearly influenza vaccine and pneumococcal vaccine (Pneumovax)per recommended guidelines. |
|
|
Term
|
Definition
Breathing retraining: Pursed lip breathing to prolong exhalation, prevent bronchiolar collapse and prevent air trapping.
Airway clearance techniques are taught by respiratory therapists. This technique involves the use of a bronchodilator followed by effective coughing (huff coughing) in order to remove secretions from the lungs.
Chest physiotherapy: Percussion and vibration are used to loosen secretions and is followed by coughing to remove secretions from the airway. |
|
|
Term
|
Definition
| inflamation of the lungs caused by a micro organism Normally the airway distal to the larynx is sterile due to the presence of defense mechanisms.Pneumonia most often develops when the defense mechanisms incompetent or overwhelmed with the virulence or quantity of the infectious agent |
|
|
Term
| clinical manifestations of pnemonia |
|
Definition
| Usually sudden onset including fever/chills, shortness of breath, cough which is usually productive ( sometimes rust colored depending on organism) and chest pain. On auscultation of the chest crackles are often heard. |
|
|
Term
| cardiac cathederzation pre diet |
|
Definition
| NPO for 4-6 hours before-procedure; Generally no solid foods after midnight night before procedure |
|
|
Term
|
Definition
Clear Liquids incudes:
1. Water 2. Popsicles (but not frozen fruit bars) 3. Carbonated beverages 4. Non-citrus juice without pulp or solid material. Apple juice [not cider], white & purple grape juice, and cranberry juice are examples of juices without pulp. Gatorade type sports drinks are OK, too. 5. Tea without milk and without creamer products 6. Coffee without milk and without creamer products 7. Jello gelatin, but ONLY if it is home-made (and w/o fruit, of course). Most store-bought pre-made Jello contains material to impede dissolving at room/body temperature. 8. Clear so-called "protein drinks" such as Kellogs "K2O" and others. 9. Bullion cube broth, or Consume’ broth (but not canned chicken broth with fat in it) |
|
|
Term
| cardiac cath nursing interventions care |
|
Definition
Post-op: Monitor vital signs, I&O, cardiac rhythm, assess/treat pain, advance diet as tolerated/ordered, encourage oral fluids as tolerated
Monitor site for complications - Assess puncture site for bleeding, swelling, hematoma formation – apply pressure to the site, notify physician.
Site care: change bandage over insertion site daily every 3 days; observe for excessive tenderness or swelling, redness.
Patient/parent teaching: signs and symptoms bleeding or swelling at catheter site, bathing – older child/adult may shower usually next day; under 3 - sponge bath for 3 days post-procedure
manual or adhesive closure methods
Instruct patient/caregiver to call nurse and to apply pressure to site if bleeding or swelling occurs or B/4 sneezing, coughing, laughing or valsalva.
Strict bedrest for 6-8 hours with affected leg straight. Patient may logroll to side if needed. Must be taught to notify RN before repositioning self.
Prevention of infection – site care, site prep/hibiclens pre op, site prep before adhesive closure/preclose, clipping not shaving hair, antibiotics for high risk patients |
|
|
Term
| signs/symptoms of coronary artery disease |
|
Definition
Pain usual symptom but may experience dyspnea
May have irregular heart rate
Normal ECG when pain free or
Ischemic changes - ST segment depression during angina episodes or exercise
N/V may also accompany the other symptoms |
|
|
Term
|
Definition
The pain of stable angina usually:
Occurs after activity or stress
May be predictable
Lasts an average of 1 - 15 minutes
Is relieved with rest or a medicine called nitroglycerin |
|
|
Term
|
Definition
| persistent, even at rest, unpredictable, unrelieved after NTG |
|
|
Term
|
Definition
| variant, and may occur without atherosclerosis |
|
|
