Term
|
Definition
| surgical reconstruction of the nose |
|
|
Term
| mustache dressing and 2x2 gauze |
|
Definition
| what kind of dressing is used for a rhinosplasty? |
|
|
Term
| observe for excess bleeding |
|
Definition
| what do you want to observe on a rhinoplasty pt? |
|
|
Term
|
Definition
| what would indicate bleeding on a rhinoplasty patient? |
|
|
Term
| remain in semi-fowlers, cool compress, avoid valsalva maneuver, avoid NSAIDS |
|
Definition
| what are the post surgical instructions for a patient with a rhinoplasty? |
|
|
Term
|
Definition
|
|
Term
| cauterized with silver nitrate, nose is packed |
|
Definition
| if a nosebleed does not respond to emergency care, what is done? |
|
|
Term
|
Definition
| benign grape-like clusters of mucus membranes and connective tissue |
|
|
Term
|
Definition
| this is the treatment of choice for nasal polyps |
|
|
Term
|
Definition
| these occur because of HTN, BLOOD DYSCRASIAS, PICKING BLOING CHRONIC COCAINE USE NASOGASTRIC SUCTIONING |
|
|
Term
|
Definition
| if a nosebleed occurs in the posterior nasal area, what is put in? |
|
|
Term
|
Definition
| MAIN TX FOR NASOPHARYNGEAL CANCERS |
|
|
Term
| cancer of the nose and sinuses |
|
Definition
Symptoms-nasal obstruction, pain, bloody discharge
Onset is slow, and manifestations resemble sinusitis. |
|
|
Term
|
Definition
| Asian Americans have a higher incidence of this |
|
|
Term
| maintaining a patent airway |
|
Definition
| this is the number one priority after the cancer is romoved from the nose |
|
|
Term
Observe for airway obstruction
SOB, anxiety, dyspnea, restlessness, hypoxia
hypercarbia, cyanosis, LOC, decreased 02 sat
Soft tissue damage, fractures, symmetry,
***Spinal fluid through ears or nose
Vision & eye movement |
|
Definition
| nursing assessment for facial trauma |
|
|
Term
|
Definition
| nasoethmoid complex fracture |
|
|
Term
|
Definition
| maxillary and nasoethmoid complex fracture |
|
|
Term
|
Definition
| nasoethmoid, maxillary and orbital zygoma fracture |
|
|
Term
| check behind ears in the mastoid region for extensive bruising |
|
Definition
| what is the "battle sign" for facial trauma? |
|
|
Term
| method of securing a mandibular fracture |
|
Definition
| what is an inner maxillary fixation? |
|
|
Term
| teach use of waterpick, liquid diet, aspiration precautions, wirecutters |
|
Definition
| what are some nursing considerations for an IMF? |
|
|
Term
|
Definition
| breathing disruption during sleep that lasts at least 10 seconds and occurs a minimum of five times in an hour |
|
|
Term
| change of sleep position, weight loss, CPAP |
|
Definition
| what are some nonsurgical ways to manage sleep apnea? |
|
|
Term
| adenoidectomy, uvulectomy, or uvuloplatopharyngoplasty |
|
Definition
| what are some surgical managements for sleep apnea? |
|
|
Term
|
Definition
| main symptom of vocal cord paralysis |
|
|
Term
|
Definition
| what is the primary intervention for vocal cord paralysis |
|
|
Term
|
Definition
| what psosition do you put a person with vocal cord paralysis in? |
|
|
Term
|
Definition
| if dyspnea and stridor occurs with a pt who has vocal cord paraylsis, what do you do? |
|
|
Term
| hold breath during swallowing, tuck chin down, tilt head forward during swallowing |
|
Definition
| becuase the patient with open vocal cord paralysis is at risk for aspiration because the airway may not close during swallowing, what do you teach them? |
|
|
Term
| maintain patent airway, VSs every 15 minutes or as ordered, O2 humidity, check O2 saturation every 15 minutes, manage anxiety, observe for red flags (sternal retractions, dyspnea, stridor, decreased LOC, tachypnea |
|
Definition
| what are the nursing interventions for laryngeal trauma? |
|
|
Term
|
Definition
| life-threatening emergency in which an interruption in airflow through the nose, pharynx, or larynx occurs |
|
|
Term
| thick secretions, angiodema, head/neck cancer, smoke inhalation, facial, tracheal, laryngeal trauma, foreign-body aspiration, anaphylaxis, occlusion of tongue, loss of gag reflex |
|
Definition
| what are some causes of airway obstruction? |
|
|
Term
|
Definition
| what is an early sign of head and neck cancer? |
|
|
Term
| most start from mucous membranes and skin, but they can start from salivary glands or the thyroid |
|
Definition
| where do most head and neck cancers start? |
|
|
Term
|
Definition
| these are white patchy lesions on the vocal cords in head and neck cancer |
|
|
Term
|
Definition
| these are red, velvety patches on the vocal cords in head and neck cancer |
|
|
Term
| carcinoma in situ and well differentiated |
|
Definition
| what are the early stages of head and neck cancer called? |
|
|
Term
| moderately differentiated, then to poorly differentiated |
|
Definition
| if not treated what is it called when head and neck cancer progress? |
|
|
Term
|
Definition
| where does head and neck cancer metasticize to? |
|
|
Term
| tobacco and alcohol, voice abuse, GERD, chronic laryngitis, poor oral hygiene, exposure to environmental factors |
|
Definition
| what are some risk factors for head and neck cancer? |
|
|
Term
| pack years, occupation, alcohol, hoarseness, SOB pain, laryngitis, pharyngitis oral sores, nutrition, labs-liver enzymes, chronic repiratory issues, palpate head and neck and feel for enlarged nodes |
|
Definition
| if someone with head and neck cancer came in, what would you get for their H and P? |
|
|
Term
| difficulty swallowing, oral lesions that do not heal in two weeks, oral bleeding, complaints of burning when citrus juice or hot liquids are consumed, persistent sore throat, SOB, Lump in mouth, throat or neck |
|
Definition
| warning signs of H and N cancer |
|
|
Term
| CBC, bleeding time, US, Albumin level, Renal and liver function, CT scan to evaluate tumor location, MRI, nuclear (bone,brain, liver) |
|
Definition
| what diagnostics would you look at for H and N cancer? |
|
|
Term
| dependent on location and extent of lesion-radiation |
|
Definition
| what is the tx for H and N cancer? |
|
|
Term
| hoarseness for 4-6 weeks, xerostomia, sore throat, skin red and tender |
|
Definition
| what should a pt with H and N cancer expect after radiation? |
|
|
Term
| cordectomy, vocal cord stripping, patial or total laryngectomy, nodal neck dissection with tumor removal "radical neck" |
|
Definition
| what is the treatment for laryngeal cancer? |
|
|
Term
| airway maintenance and ventilation |
|
Definition
| what are the first priorities after head and neck surgery? |
|
|
Term
| observe for carotid artery rupture, if there is a leak, stay with pt, pressure on area, transfer to OR |
|
Definition
| when a laryngectomy is done STSGs are placed over artery for protection, what do you need to do then for post op care? what if there is a leak? |
|
|
Term
|
Definition
| if a patient has had a total laryngectomy are they at risk for aspiration? |
|
|
Term
| suture line care Q 1-2 hours, suction away from side of surgery, hemorrhage (usually uncomon, but check drainage, stoppage of draining may indicate clot obstructing the drain) |
|
Definition
| what are some post op care for a laryngectomy? (cont.) |
|
|
Term
| wound breakdown is commonly caused by poor nutrition, wound contamination, smoking hx, previous radiation therapy |
|
Definition
| what is would breakdown r/t a laryngectomy? |
|
|
Term
| shower with a stoma shield, cover stoma while shaving, lean forward while coughing or sneezing, increase humidity at home with plants, pans of water, humidifiers |
|
Definition
| what do you teach a patient about stoma care? |
|
|
Term
| medical alert bracelet and a caard that instructs the reader about providing an emergency airway or resuscitating someone who has a stoma |
|
Definition
| when patient leaves the hospital, what do they need on them for communication? |
|
|
Term
|
Definition
| what pressure do you want to keep the tracheal cuff at to prevent tissue injury? |
|
|
Term
| they use esophageal speech, and they "burp" the words out |
|
Definition
| if someone has had a total laryngectomy, how to they speak? |
|
|
Term
| tracheoesophageal fistula |
|
Definition
| what may be used for speech if esophageal speech is ineffective? |
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