UNIT 2 REVIEW - 118

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What is the term for normal respiration rate, and what is the rate?

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BEAST MODE!!!!!!!!!!!!!!!!!!!!!

202 Terms

1

What is the term for normal respiration rate, and what is the rate?

Eupnea, 12-20 breaths per minute

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What is Tachypnea?

Fast Respiration Rate,

>24 breaths per minute

pt could have:

  • Pneumonia

  • Pulmonary Edema

  • Metabolic Acidosis

  • Sepsis

  • Pain

  • Fractures

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What is Bradypnea?

Slow Respiration Rate

<10 breaths per minute

pt could have:

  • head injury

  • drug overdose

  • C02 >45

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What is Dyspnea?

Difficulty Breathing, SoB.

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What is Orthopnea?

Difficulty Breathing WHEN SUPINE.

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What is Apnea?

Absent, no breathing

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What is Kussmaul’s Respirations?

Fast & abnormally deep respiration,

(?) metabolic acidosis

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What is Biot’s Respirations?

Irregular Cycles, Fast & Shallow USUALLY FOLLOWED WITH APNEA.

Brain Injury = Neuro

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What is Cheyne-Strokes Respirations?

REGULAR CYCLES, FAST DEEP RESPIRATION THEN DECREASES DEPTH TO APNEA.

damage to respiration center

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What is Stridor?

is a high-pitched, noisy breathing sound caused by narrowing or obstruction of the upper airway, such as the larynx or trachea

IT IS AN EMERGENCY IF HEARD

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What are some ways to assess respiratory effort?

  • Nasal Flaring

  • Retractions

  • Use of Accessory Muscles

  • Grunting

  • Body Positioning

  • Conversational Dyspnea

  • Stridor

  • Wheezing

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How do you auscultate lung sounds?

move from right to left or left to right, comparing BOTH SIDES!

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What should lungs usually sound like?

Lung sounds should usually be clear.

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Where can you find normal lung sounds?

  • Bronchial

  • Broncho-vesicular

  • Vesicular

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15

What does rales (crackles) sound like?

Air bubbling through moisture/fluid in ALVEOLI

Usually heard on inspiration

remember rales in the tails (Alveoli are in the “tail end” of the lung)

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What does Rhonchi sound like?

Rumbling snoring sound, air moving through mucous in large TUBULAR AIRWAYS.

Often heard on expiration

usually with pts that have

  • pneumonia

  • bronchitis

  • COPD

  • secretions

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What does Wheezing sound like?

Narrow/constricted small airways from partial obstruction. very high pitch.

Usually on Expiration

usually with pts that have:

  • asthma

  • bronchospasms

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What does Stridor do?

UPPER AIRWAY PARTIAL OBSTRUCTION! IS AN EMERGENCY. CAN LEAD TO FULL OBSTRUCTION

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19

What does Pleural friction rub sounds like?

like leather rubbing togethers or fingers rubbing together.

Inflammation
Low Pleural Fluid

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20

What does Grunting sound like?

Trapped air that is forced out on expiration

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21

What WBC indicates an infection?

If the WBC are > 10,000

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22

What is Hemoglobin?

A vital protein in red blood cells.

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What is a Sputum C&S?

It identifies the actual infective agent

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What does a Chest X-Ray do?

Shows images of the lungs & detect Pneumonia, infiltrates, COPD, atelectisis

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Why do you have a sleep study for?

To check for sleep apnea

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What is a Pulmonary Function Test?

is a series of non-invasive tests that assess lung function by measuring parameters including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF), total lung capacity (TLC), residual volume (RV), and diffusion capacity, providing valuable diagnostic information for various respiratory conditions.

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What is a pulse oximetry test?

non-invasive test that measures the oxygen saturation level in the blood by shining light through a pulsating capillary bed (e.g., fingertip) to assess the percentage of hemoglobin that is saturated with oxygen, commonly used to monitor respiratory status in clinical and home settings.

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What is a Bronchoscopy?

is a medical procedure in which a thin, flexible tube equipped with a camera and light is inserted through the mouth or nose into the airways to visually examine the lungs, obtain tissue samples for biopsy, or perform treatments to diagnose and manage various lung conditions.

<p>is a medical procedure in which a thin, flexible tube equipped with a camera and light is inserted through the mouth or nose into the airways to visually examine the lungs, obtain tissue samples for biopsy, or perform treatments to diagnose and manage various lung conditions.</p>
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What is Arterial Blood Gases?

Arterial blood gases (ABGs) refer to a blood test that measures the levels of oxygen (O2), carbon dioxide (CO2), and pH (acidity) in arterial blood, providing critical information about respiratory and metabolic function.

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What is a Peak Flow Meter

A peak flow meter is a handheld device used to measure the peak expiratory flow rate (PEFR), which is the maximum speed at which a person can exhale air from their lungs. This measurement helps assess the function of the airways and is commonly used in the management of asthma to monitor lung function and track changes in airflow.

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What do the colors mean on a Peak Flow Meter?

Green - all clear

Yellow - caution - take bronchodilator

Red - severe reduction in peak flow - go to ED

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What is a Incentive Spirometer?

is a medical device used to help improve lung function by encouraging deep breathing and preventing lung complications, particularly after surgery or during illness.

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What is the purpose of an incentive spirometer?

  • Facilitate sustained slow deep breath

  • prevent and reverse atelectasis when used regularly and appropriately

  • helps to liquefy, loosen, and prevent pneumonia

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How often should you use an incentive spirometer?

10 to 20 times PER HOUR

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What are some interventions to manage and improve respiratory function?

  • Position for MAXIMUM ventilation

    • High Fowler’s - Orthopneic position

  • Mobilize Secretions

    • Coughing, deep breathing, chest PT

    • Maintain hydration - increase fluids to thin secretions

  • Assist with incentive spirometry

    • Use to encourage patients to deep breath by reaching goal directed volumes of air

  • Respiratory medications

    • Promote ventilation and oxygenation, some need a prescription some do not.

      • ex - bronchodilators, anti-inflammatory agents (corticosteroids), cough suppressants

  • Teaching - help promotion (diet & exercise)

  • Provide oxygen therapy if needed

  • Suction if needed (remove excess secretions from airways)

  • Support Smoking Cessation (end smoking)

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what are some interventions you can teach patients about managing respiratory function?

  • Weight Reduction

  • Diet - Low NA+, cholesterol

  • Exercise

  • Stress Reduction

  • Occupational Safety

  • Vaccines - influenza, pneumonia

  • Teach infection control

  • Limit exposure to crowds

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What is “Hypoxemia”?

  • Low arterial blood oxygen levels

  • Poor diffusion across alveolar membranes

  • oxygen in the blood

Etiology:

  • Heart Failure

  • COPD

  • Sleep Apnea

  • Anemia

  • Asthma

  • pneumonia

  • Pulmonary edema (accum of fluids in the lungs)

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What are some S/S of Hypoxemia?

  • Headache

  • SoB

  • Tachycardia

  • Tachypnea

  • Confusion

  • Cyanosis of skin finger lips

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What are some treatments for Hypoxemia?

  • Raise O2 blood levels

  • Give medications to treat underlying causes

  • stop smoking

  • deep breathing

  • pursed lip breathing

  • H2O

  • eat healthy

  • walking

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What is “Hypoxia”?

Inadequate oxygenation of organ or tissues

Etiology

  • Hypoxemia

  • circulatory/resp. disorders

  • Low Hemoglobin

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What is Hypercarbia?

Excess of CO2 in the blood

Etiology -

hypoventilation, COPD sleep apnea

S&S

confusion, coma, arrhythmias, loss of consciousness, seizures

DX - ABG, XRAY, CBC, BMP, PFT

anesthetic effect

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What can high blood levels of carbon dioxide do to you? (hypercarbia)

Can have an anesthetic effect on the nervous system, causing somnolence progressing to coma and death.

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What is Hypocarbia?

Low level of CO2 in blood

Etiology

hyperventilation

low blood levels of carbon dioxide have a stimulating effect on the nervous system and lead to muscle twitching or spasm (esp in hands or feet)

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What are signs of Hypoxia?

Early S/S - Restlessness, Anxiety/Apprehension, Confusion

Normal S/S

  • Tachycardia
    Tachypnea

  • SoB

  • Cyanosis (look at tongue and oral mucosa)

  • Decreased level of consciousness

  • abnormal lung sounds (adventitious)

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Best place to look for clubbing & cyanosis

CLUBBING of FINGERS = SEEN WITH CHRONIC HYPOXIA D/T CHRONIC PULMONARY & CARDIAC DISEASE

•Nail bed sponginess

•Excessive rounding of the nail plate

•Flattening of the angle between the nail plate and the proximal nail skin fold

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What are some Hypoxia interventions?

  • Rapid Assessment - happens simultaneously

  • HoB - High Fowler’s

  • Call for Help

  • Count Respirations

  • Pulse Oximetry Stat

  • Apply Oxygen if Pulse Oxy <90%

  • Check vital signs

  • Listen to lung sounds

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47

What is Chronic Bronchitis?

Inflammation and hypersecretion of mucus in bronchi & bronchioles caused by chronic exposure to irritants - causing airway obstruction

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What are some causes of chronic bronchitis?

Smoking (90% of cases)

Occupational exposures

Air pollution

Asthma

Cystic Fibrosis

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What are some S&S of Chronic bronchitis?

Chronic cough

Thick, tenacious sputum

Rhonchi in the Bronchi

Wheezing

Hypoxemia & Hypoxia = Dusky - Cyanosis

Tachycardia

Tachypnea

Dyspnea, SoB

Peripheral edema

Orthopnea

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What are some ways to treat chronic bronchitis, AND COPD Emphysema?

  • Bronchodilators

  • Corticosteroids

  • Expectorant (loosens and expel mucus and secretions from respiratory tract)

  • Anti Infectives (if r/t infection)

  • Controlled Oxygen delivery or BiPAP (Bilevel positive airway pressure)

  • Pulmonary Rehabilitation

  • Stop Smoking

  • Get Vaccinations

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What is COPD Emphysema?

Destruction of alveoli, narrowing of bronchioles, and air trapping of air resulting in loss of lung elasticity

Etiology:

Smoking (90% of cases) Occupational exposures, air pollution, asthma, CF

S&S

  • Difficulty exhaling

  • Barrel Chest

  • Weight Loss

  • Clubbing - from chronic hypoxia

  • Tripod positioning

  • Infrequent cough

  • Hypoxia

  • Dyspnea

  • Accessory muscle use

  • Purse lipped breathing

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What is CNS stimulations to breath?

ASK FOR EXPLANATION. THIS IS WHAT SLIDE SAYS FUCK IT

Normal Person:

Increased levels of CO2

COPD=chronic bronchitis, emphysema

Decreased levels of O2

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What is Hypoxic Drive? Talk about the amount of oxygen we can give them.

Refers to people with COPD

  • chronic bronchitis

  • emphysema

**THEIR STIMULUS TO BREATHE IS LOW ARTERIAL O2 LEVELS

There are limits to the amount of supplemental O2 we can give the patient, if we give them too much oxygen we can cause harm and death because it will worsen hypoxia.

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What is Sleep Apnea?

A periodic interruption in breathing during sleep—an absence of air flow through the nose or mouth during sleep.

• Pauses that last 10 to 30 seconds. Episodes may occur several or a hundred times a night and may last up to 1 minute or longer.

• During periods of apnea, the oxygen level in the blood drops, and the carbon dioxide level rises, causing the person to wake up.

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What is Obstructive Sleep Apnea (OSA)

• Typically, the soft tissue of the pharynx and soft palate collapse, tongue falls into the back of the throat, and obstructs the upper airway.

• OSA is diagnosed clinically by reports of at least five witnessed breathing interruptions or awakenings due to gasping or choking events per hour.

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What are some treatments that can help patients with sleep apnea?

  • Continuous positive airway pressure (CPAP)

  • Bi-level positive airway pressure (BiPAP)

  • Lateral positioning

  • Dental Appliances

  • Weight loss

  • No Smoking

  • No alcohol

  • Nose tapes

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What are some nursing interventions for sleep apnea?

•Assessment- recognizing symptoms

•Promoting-Teaching

•side lying positioning for sleep, to allow full relaxation and avoid blockage of airway

•weight loss of at least 10% of the patient's current body weight

•Use of oral mouth guards that push the tongue down and pull the jaw forward to open more space at the back of the throat

•Continuous positive airway pressure (CPAP) therapy.

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What is Suctioning?

a medical procedure used to clear airway secretions and maintain breathing by removing mucus, fluids, or foreign objects using a suction catheter and negative pressure.

only done as needed, PRN

independent nursing intervention

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What is a yankauer?

a type of suction catheter used for oral suctioning during medical procedures or to clear secretions from the mouth and airway.

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How do you suction clean the upper airway?

Secretions in mouth or back of throat that can not be expectorated

•May be heard as gurgling, moist conversations

•We can use yankauer to suction & clear

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How do you suction clean the lower airway?

•Will use suction catheter

•A sterile procedure

Pre-oxygenate with 100% O2

•Duration of each suction pass should be limited to ten seconds and only on way out

•The number of passes should be limited to three or less

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What are Electrolytes?

They are in lab tests refer to essential minerals or ions, such as sodium, potassium, chloride, bicarbonate, calcium, and magnesium, which carry electric charges and are vital for various physiological functions in the body.


Too much or too little of certain electrolytes affect cardiac function

Potassium (K+) levels have a very strong influence on the function of the heart, both too much or too little (K+ = heart function)

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What is PT/PTT?

Laboratory test that assess different aspects of the blood clotting process, helping to evaluate bleeding disorders or monitor anticoagulant therapy.


Both are used to assess the intrinsic system and the common pathway of clot formation

We will discuss in more detail when we discuss the anticoagulant drugs on your unit 2 drug list:  warfarin, heparin, enoxaparin

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What is CK-MB?

an enzyme found in the heart muscle that is measured in blood tests to diagnose and monitor acute myocardial infarction (heart attack).


A blood test used to diagnose a myocardial infarction and subsequent cardiac muscle damage

If the blood serum levels show an elevated creatinine kinase MB, this indicates cardiac muscle damage

Usually rises 3-6 hours after cardiac event

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What is Troponin?

a protein that is a biochemical marker for cardiac injury.

•They can become elevated as early as 2-3 hours after myocardial injury

•This test is faster than CK-MB

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What is BNP? (B-type natiuretic peptide)

is a hormone produced by the heart in response to increased pressure and volume, and its blood levels are used as a diagnostic marker for heart failure and to assess cardiac function.

•Used to identify and stratify patients with congestive heart failure (CHF)

•The more elevated BNP – the more severe the CHF


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What is an Electrocardiogram? (EKG)

looks for abnormalities in the heart's electrical impulses using electrodes

•Records the electrical impulses that stimulate the heart to contract

•Used to evaluate arrhythmias, conduction defects, myocardial injury and damage, left and right hypertrophy, and pericardial disease

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What is an ECHO Cardiogram?

is an ultrasound of the heart that provides moving pictures and provides information on the structure and function of the heart.

•A noninvasive ultrasound procedure used to evaluate the structure and function of the heart & how they move blood through the heart

•Used to detect heart wall function, specifically left ventricle function

•Used to detect disease of heart valves

Determines cardiac output & ejection fraction

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What are some nursing interventions used for cardiovascular disease?

  • Patient Teaching

    • Diet

    • Weight loss

    • Exercise

    • Modifiable & non-modifiable risk factors

    • quitting smoking

    • substance abuse

    • reduce stress

What the nurse can do:

•Manage Anxiety

•Promote Venous Return

•Promote Peripheral Arterial Circulation

•Prevent Clot Prevention

•Administer Medications

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What is heart failure?

Heart becomes inefficient pump

Unable to circulate blood to organs & tissues

Leads to systemic and pulmonary edema

Results in fatigue and organ dysfunction

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What is Right Heart Failure?

This causes blood to build up in the veins (the blood vessels that carry blood from the organs and tissue back to the heart). The increased pressure inside the veins can push fluid out of the veins into surrounding tissue. This leads to a build-up of fluid in the legs, or less commonly in the genital area, organs or the abdomen (belly).

PERIPHERAL VENOUS CONGESTION

PERIPHERAL S/S

Peripheral Edema of lower extremities, feet

Ascites – edema of abdomen

Jugular vein distention (JVD)

Weight gain from build up of fluid

Fatigue* (any chronic heart disease)

weakness

Exercise intolerance

Lack of appetite

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What is Left Heart Failure?

•As a result, blood builds up in the pulmonary veins (the blood vessels that carry blood away from the lungs). This causes shortness of breath, trouble breathing or coughing – especially during physical activity.

LUNGS S/S

Cough, SOB

Wheezing, Crackles

Pink frothy sputum

Orthopnea, Dyspnea

PLUS THESE S/S

Tachycardia

Mental confusion, change in LOC

Fatigue* (any chronic heart disease)

weakness

Exercise intolerance

Lack of appetite

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What is Peripheral Arterial Disease? (PAD)

is a condition characterized by narrowing or blockage of the arteries in the limbs (usually the legs) due to atherosclerosis, leading to reduced blood flow and potential complications such as pain, numbness, or tissue damage.

ARTERIAL

Pale or bluish (cyanotic)Legs/feet

Weak or absent peripheral pulse

Cool Legs / Feet

Loss of hair in lower extremities

Thick toenails

Paresthesias

Un-healing wounds on toes, feet

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What is Intermittent Claudication?

pain in legs with exercise, especially walking, relieved with rest – tissue is ischemic, ischemic tissue is painful

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What are some interventions for Peripheral Arterial Disease (PAD)?

•Interventions: *keep legs down in dependent position, if legs are hanging down gravity helps blood flow to lower extremities

•If patient has intermittent claudication, have them sit and rest

•Patient Teaching:

pt has CAD

•Regular exercise

•Diet

•Weight Loss

•Exercise

•Modifiable & Non-modifiable Risk Factors

•Quitting Smoking

•Substance Abuse

•Reduce Stress

Foot care

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What is Peripheral Venous Disease? (Venous insufficiency)?

involves damaged or blocked veins that carry blood from the hands and feet back to the heart. While peripheral venous disease can occur anywhere in the body, it is most often seen in the arms and legs.

•Edema - Pitting or non-pitting

•Incompetent valves in veins (valves do not close and blood leaks back down and pools)

•Varicose veins (veins are enlarged, twisted, swollen, and overfilled with blood)

•Brownish red discoloration of lower extremities (hyperpigmentation due to poor blood flow, breakdown of blood hemoglobin [iron in rbc])

•Ulcers on lower extremities

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What are some interventions you can do for patients with PVD? (peripheral venous disease)?

•Promote Venous Return

•Encourage patient to ambulate – contracting leg muscles help to push venous blood back to heart

•When patient not ambulating, have patient elevate legs or sit in a recliner – keeping legs elevated or up uses gravity to help return blood to heart - Encourage leg/ankle exercises.

•Instruct not to cross legs

•Can use compression stockings, or possible venodynes (alternate compression devices)

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How to remember PAD?

•Keep legs DOWN to get more blood to lower extremities

Leg artery blockages, decreased blood flow, leg pain with walking.

Intermittent Claudication: leg pain during exercise due to reduced blood flow

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How to remember PVD?

•Keep legs ELEVATED (up) to facilitate venous return back to heart

•Regular exercise is beneficial – the exercise causes contraction of the leg muscles which helps to push venous blood back to heart

•If unable to walk or exercise encourage leg exercises

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How can you promote venous circulation and what does that do for you?

•Adequate circulation ensures that oxygenated blood reaches tissues and organs and that venous blood returns to heart

PROMOTE VENOUS RETURN

•Elevate legs above level of heart

•Encourage and support early and frequent ambulation

•Anti-embolism stockings, sequential compression devices

•Encourage or provide range of motion, ankle circles, “calf pumps”

•Teach patient not to cross legs

•Anticoagulant

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How can you promote arterial circulation?

•Teach smoking cessation

•Teach foot care

•Inspect feet daily for any signs of breakdown or potential breakdown

•Keep feet clean and dry

•Teach patient to wear well-fitting shoes with smooth dry socks

•Regular exercise improves circulation

•Prevent long periods of exposure to cold (causes vasoconstriction)

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What is Hypovolemia?

  • Fluid Deficit

Causes:

Inadequate fluid intake

Active fluid loss

Increased metabolic rate - Fever - Infection

Failure of regulatory mechanisms

Fluid shifts - Burns

could possibly be dehydration

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What is Hypovolemic shock?

a life-threatening condition characterized by a severe decrease in blood volume (hypovolemia) due to excessive fluid loss, leading to inadequate perfusion of vital organs and tissues, resulting in symptoms such as low blood pressure, rapid heart rate, altered mental status, and cold, clammy skin.

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What are some Hypovolemia S/S?

•Sensations of thirst

•Dry mucous membranes

•Weakness, dizziness

•Poor skin turgor

•^ capillary refill time - >3

•Changes in LOC

•Acute Weight Loss

•Elevated BUN

•Na+ increased (>145)

•^ Hematocrit

•^ Urine Specific Gravity

•Oliguria <400ML/24HR

Vital Signs

  • Weak, thread pulse

  • Tachycardia

  • Tachypnea

  • Hypotension

  • Elevated temp

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What are some nursing interventions for Hypovolemia?

Correct fluid volume status

IVF - Isotonic - 0.9% Normal Saline

Encourage Increased Intake of Oral fluids

Identify and treat cause - ie. Vomiting/diarrhea

Monitor VS & LOC

Daily weights

Monitor I&O

Monitor Lab values - Electrolytes

Medications

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What is Hypervolemia?

Fluid excess

too much fluid in intravascular spaces (the spaces within the blood & lymph vessels)

Edema – excess fluid volume in interstitial spaces (The space between blood vessels and cells)

Causes:

•Excessive fluid intake

•Excessive Na+ intake

•Decreased Cardiac Output conditions

•Renal failure -

•Liver failure - ASCITES

•Malnutrition - LOW ALBUMIN - CKD

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What is some Hypervolemia S&S?

S&S:

Weight Gain

Distended Neck Veins (JVD)

Dependent Edema or Pitting

Skin pale & cool

Crackles, dyspnea, ascites

Hemodilution: BUN, HCT, Urine Specific decreased

Mental status changes

LOW NA+ OR HYPOXIA

Vital Signs

  • Bounding pulse

  • Hypertension

  • raised RR rate

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What are some nursing interventions for Hypervolemia?

•Correct fluid volume status

•ID and treat underlying cause

•Monitor VS & I&O

•Monitor weight

•Monitor mental status

•Skin condition (positioning)

•Monitor cardiac status

•Labs

•Medications:  diuretics

•Electrolyte replacement

•Diet: 

•Decrease Na+

•Fluid restriction

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What could we teach the patient if they need a fluid restriction?

Reserve liquids for between meals, not with meals

Limit intake of foods that increase thirst

Offer Ice chips

Frequent oral hygiene

Bring liquids in for medications then take away

Do not leave liquids at bedside

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What is Isotonic Fluid?

are used intravenously to restore fluid balance in patients who are dehydrated or need hydration support.

SAME OSMOLARITY & TONE OF BLOOD

DOES NOT MOVE INTO OR PULL FLUID OUT OF THE CELLS OR BLOOD VESSELS

EXAMPLES = 0.9% NS & LR

WHEN GIVEN IV, THE FLUID REMAINS IN THE INTRAVASCULAR COMPARTMENT

AS A RESULT INTRAVASCULAR FLUID VOLUME INCREASES

PREFERRED FOR IMMEDIATE RESPONSE FOR HYPOTENSION & HYPOVOLEMIA

MUST ASSESS FOR FLUID VOLUME OVERLOAD.

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What is the normal concentration of sodium in the blood?

Sodium Na+ 135 – 145 mEq/L

Sodium -

  • Resides in extracellular fluid

  • Regulates Fluid volume and blood volume

  • Helps maintain muscle contraction

  • Stimulates conduction of nerve impulses

examples of food with sodium

  • table salt, soy sauce, processed foods, canned products, cheese

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What is Hyponatremia?

condition where the level of sodium in the blood becomes abnormally low, which can cause symptoms ranging from mild fatigue and confusion to more severe complications like seizures or coma.


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What is the range of sodium to be “Hyponatremia”?

Na+ < 135 

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What are the causes, S&S of Hyponatremia?

Causes:

  • Diuretics

  • GI Fluid loss

  • Excessive intake of hypotonic

  • solution: water

S&S

  • Behavioral changes - AMS

  • Confusion - disorientation

  • ANV - anorexia, nausea, vomiting

  • Weakness

  • Lethargy

  • muscle cramps

  • seizures

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What are some treatments of hyponatremia?

Treatment:

Increase oral sodium intake

Administer IV saline infusion

When sodium levels in the blood are too low, extra water goes into body cells causing them to swell. This swelling can be especially dangerous for brain cells, resulting in neurological symptoms such as headache, confusion, irritability, seizures or even coma.

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What is the range of sodium to become “Hypernatremia”?

Na+ > 145

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What are some causes of Hypernatremia?

Cause:

Excessive sodium intake

Water deprivation

Increase water loss through profuse sweating, heat stroke

Administration of hypertonic tube feeding

S/S

Thirst

^ temperature

Dry mouth, sticky mucus membranes

SEVERE!!!!!!!!!!!!!!!! S/S

  • Lethargy

  • Seizures

  • IRRITABILITY - DISORIENTATION - AMS

  • Hallucinations

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What are some treatments for Hypernatremia?

Restrict Na in diet

Increase water intake

Administer iv solutions that don’t contain sodium

D5W - HYPOTONIC

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What is the normal range of Potassium in the blood?

K+  3.5 – 5.0 mEq/L

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HOW!!! does a normal range of potassium benefit you?

Maintains ICF osmolality

Muscle contraction - helps muscles contract better

Regulates conduction of cardiac rhythm* -

Assists with acid-base balance

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