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Pro Pract II- Exam 2
Chapter 27 Lewis
40
Nursing
Undergraduate 3
02/21/2011

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Term
Deviated septum
Definition
deflection of the normally straight nasal septum. Commonly caused by trauma or congenital disproportion,
Term
Symptoms of deviated septum
Definition
Patient may experience obstruction to nasal breathing, nasal edema, or dryness of the nsala mucosa with crusting and bleeding.
Term
treatment of nasal edema
Definition
nasal allergy control as in allergic rhinitis. Patient with severe case may have a septoplasty performed.
Term
Complications of a nasal fracture
Definition
airway obstruction, epistaxis, meningeal tears, septal hematoma, and cosmetic derformity.
Term
Unilateral nasal fracture
Definition
Fracture causes little to no displacement of the nose.
Term
Bilateral Nasal Fracture (most common)
Definition
This nasal fracture gives the nose a flattened look.
Term
Complex Nasal Fractures
Definition
powerful blows cause these type of nasal fractures, may involve subsequent damage to adjacent facial structures such as teeth, eyes or other facial bones.
Term
Nursing management of a nasal fracture
Definition
Maintain airway, reduce edema, prevent complications, and provide emotional support. Keep pt in an upright position to assure proper breathing, and ice may be used to reduce edema. Then it is treated with a open or closed reduction (septoplast, rhinoplasty)
Term
Rhinoplasty
Definition
surgical reconstruction of the nose, is performed for cosmetic reasons or to improve airway function when trauma or developmental deformities result in nasal obstruction.
Term
treatment of epistaxis (nose bleed)
Definition
Simple first aid procedures: keep pt quiet, place the pt in a sitting position, leaning forward, or if not possible in high fowlers position; apply direct pressure by pinching the entire soft lower portion of the nose for 10 to 15 minutes; apply ice compresses to the nose; partially insert a small gauze pad into the bleeding nostril, and apply digital pressure if bleeding continues; and obtain medical assistance if bleeding does not stop.
Term
allergic rhinitis
Definition
reaction of the nasal mucosa to a specific allergen.
Term
Intermittent rhinitis
Definition
means symptoms are present less than 4 days a week or less than 4 weeks of the year.
Term
Persistent Allergic Rihinits
Definition
means symptoms are present more than 4 days a week and for more than 4 weeks per year.
Term
Clinical manifestations of allergic rhinitis
Definition
sneezing, watery, itching eyes and nose, altered sense of smell, and think watery nasal discharge that can lead to a more substained nasal congestion. Nasal turbinates appear pale, boggy, and swollen.
Term
medication therapy for allergic rhinitis
Definition
focuses on reducing inflammation and reduce nasal symptoms. Antihistamines, intranasal corticosteriods and leukotriene receptor antagonists (LTRA's) may be used to manage symptoms.
Term
Acute viral rhinitis
Definition
is caused by an adenovirus that invades the upper respiratory tract and often accompanies an acute upper respiratory infection (URI) It is spread by airborne droplet sprays emitted by the infected person while breathing, talking, sneezing or coughing or by direct hand contact.
Term
Treatment of acute viral rhinitis
Definition
rest, fluids, proper diet, antipyretics, and analgesics are recommended. Complications include: pharyngitis, sinusitis, otis media, tonsillitis, and lung infections. And unless complications are present anitbiotics are not prescribed because it is a virus.
Term
Influenza Manifestations
Definition
onset is typically abrupt, with systemic symptoms of cough, fever, and myalgia often accompanied by a headache and sore throat. Important diagnostic factors include the patient's health history, clinical findings, and the presence of other cases in the community.
Term
Sinusitis
Definition
ostia (exit) from the sinuses are narrowed or blocked by inflammation or hypertrophy (swelling) of the mucosa.
Term
nasal polyps
Definition
benign mucous membrane masses that form slowly in repsonse to repeated inflammation of the sinus or nasal mucosa. Appear as bluish, glossy projections in the naris.
Term
clinical manifestations of nasal polyps
Definition
nasal obstruction, nasal discharge (usually clear mucous) and speech distortion. Recoccurence is common and they may be relieved with endoscopic or laser surgery but topical or systemic corticosteriods may slow growth.
Term
acute pharyngitis
Definition
an acute inflammation of the pharyngeal walls, may include the tonsils, palate and uvula.
Term
Fungal pharyngitis
Definition
ex: candidiasis can develop with prolonged use of antibiotics or inhaled corticosteriods or in immunosupressed patients, especially those with HIV.
Term
Manifestations of acute pharyngitis
Definition
"scratchy throat" to pain so severe that swalloing is difficult. Both viral and strep infections appear as a red edematous pharynx, with or without patchy yellow exudates.
Term
peritonsillar abscess
Definition
complication of acute pharyngitis or acute tonsilitis when bacterial infection invades one or both tonsils. Tonsils may enlarge sufficiently to threaten airway patency. Intravenous antibiotic therapy is given along wiht needle aspiration or incision and drainage of abscess.
Term
hypopnea
Definition
characterized by shallow (30% to 50% reduction in airflow) respirations.
Term
sleep apnea
Definition
is a condition characterized by partial or complete upper airway obstruction during sleep.
Term
apnea
Definition
cessation of spontaneous respirations lasting longer than 20 seconds.
Term
Hypoxemia
Definition
decreased PaO2 or SpO2 (may be caused during sleep apnea)
Term
hypercapnia
Definition
increased PaCO2 (may be caused during sleep apnea)
Term
Clinical manifestations of sleep apnea
Definition
frequent awakening at night, insomnia, excessive daytime sleepiness, witnessed apneic episodes. Morning HA's, personality changes, and irritability.
Term
Symptoms of airway obstruction (partial?)
Definition
stridor, use of acessory muscles, suprasternal and intercostal retractions, wheezing, restlessness, tachycardia, and cyanosis.
Term
Interventions to reestablish a patent airway
Definition
Heimlich manuever, cricothyroidotomy, endotracheal intubation, and tracheostomy.
Term
Tracheotomy
Definition
surgical incision into the trachea for the purpose of establishing an airway
Term
tracheostomy
Definition
the stoma (opening) that results from the tracheotomy.
Term
immediately attempt to replace it
Definition
If tube of a tracheostomy is dislodged the nurse should....
Term
Laryngeal Polyps
Definition
develop on the vocal cords from vocal abuse or irritation. Most common symptom is hoarseness.
Term
Head and neck cancers
Definition
arise from mucosal surfaces and is typically squamous cell in origin; catgory or tumors includes: paranasal sinuses, the oral cavity, and the nasopharynx, oropharnyx, and larynx.
Term
Clinical manifestations of late stages of neck and head cancers
Definition
pain, dysphagia, decreased mobility of the tongue, airway obstruction, and cranial nerve neuropathies.
Term
esophageal speech
Definition
involves swallowing air, trapping it in the esophagus, and releasing it to create sound. Air causes vibration of the pahryngoesophageal segment and sound (initially similar to a belch.)
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