Respiratory Exam

This procedure is to look at airways with a camera probe directly and is used to treat various lung conditions like infections, tumors and remove blockages

Bronchoscopy

How long should a pt going for a Bronchoscopy be NPO And what will they be given beforehand (2 things)

8-12hrs

local anisthetic and atropine to decrease secretions

After the pts bronchoscopy, what should the assess for.

What are some s/s the nurse should report to the doctor (3 things)

gas reflex (start with ice chips)

infection, hemoptysis, tachy

Normal Tidal volume

5-10 mL/kg or 500 ml for a healthy adult

The amount of air that moves in or out of the lungs during normal breath

tidal volume

T/F ventalation is greater than perfusion

TRUE

How often should a pt with a chest tube do an Xray

EVERY MORNING

What are some example of LOW flow systems

Nasal cannula

Simple mask

Partial rebreather

The Dr ordered a 6L nasal cannula for the pt what are some nursing interventions for the pt

Add humidification and cushion behind the ear

This type of mask is the MOST PRECISE and is good for COPD pts

Venturi

This is a one way valve that prevents you from breathing any other air

Non rebreather mask

This mask does the same as a non rebreather but has a two way valve

Partial rebreather

What are precautions for patients with a trach suction and what should the nurse assess for (3)

Sterile technique to remove suction

If you suction too much, give them 100% O2

Asess for bleeding inflammation, infection

The nurse noticed bubbling in the chest tube what can this indicate

Air leak/pneumothorax

The nurse should notify HCP if the chest tube...

- is bright red
- draining over 100ml/hr

Where should the nurse put the chest tubes

Below chest level

If the nurse sees drainage what should they check for

note amount, color, consistency

Why are coughing and deep breathing important

To prevent atelectasis

What is step 1 to diagnosis pnumonia

Put a pulse OX and measure o2

What is step 2 to diagnosis pneumonia

Check for pneumonia vaccine status

What is step 3 to diagnosis pneumonia (how many times should they do it and how long should they wait)

2 sets of Blood cultures each 15 min apart

What lab data might the nurse see if a pt had pneumonia

elevated WBC

What is the gold standard to diagnosis pneumonia

CHEST XRAY!!

What does a chest xray show when a pt has pneumonia

Inflammation and infiltrates (white patches)

How do you treat pneumonia

Antibiotics

This type of pneumonia is when you get it from home and bring it to the hospital

community

This type of pneumonia is when you were at a rehab center and you bring it to the hospital

healthcare acquired

This type of pneumonia is when you get it at the hospital after being there for more than 48 hrs

Hospital acquired

This type of pneumonia is when the pt is intubated and they get it

Ventilator

Nursing interventions for a pt on sedations (think of the beach)

SEDATION VACATION

When a pt is on a ventilation what should you give them to prevent pneumonia

peptic ulcer prophylactic and oral care

To prevent DVT in patients on a ventilator what should you give them

heprain

Pts on a feeding tube and do not get sit up during the feeding are at risk for…

Aspiration pneumonia

How long should the nurse check for gastic residue in a tube feeding pt

every 4 hrs

Pt teaching for ppl over 65 abt pneumonia

get vaccinated!!

some CM of pneumonia( 4 SWOT)

Tachypnea

Weak muscles

Orthopnea

Sputum

When should the nurse give antibitoics

AFTER blood cultures

When should the nurse DC IV

when vitals are good

The pt getting treated for pneumonia appears confused what should the nurse check

O2 status

Complications for patients who are NOT treated for pneumonia properly

sepsis

Nursing interventions for patients that have pneumoina (3)

cough/deep breathe/suction

change positions

Drink water/ eat

What should you give the pt to prevent crackles

diuretics