Respiratory Medsurg

for maintenance of asthma:

• cromolyn sodium-- an anti-inflammatory agent
• prednisone -- will promote anti-inflammatory effects… give following an acute asthma attack
• ^^fluticasone^^/@@salmeterol@@-- a ^^glucocorticoid^^ + @@long-acting beta 2-adrenergic agonist@@

**Continuous bubbling in a water seal chamber suggests an air leak… notify HCP

^^constant bubbling in the suction control chamber is expected

what a nurse should do during a thoracentesis procedure:

• wear goggles + mask
• cleanse the area with an antiseptic solution
• %%apply pressure to the site after the procedure--- will decrease the risk of bleeding at the site%%
• advise the pt to remain still ie. no deep breaths during the procedure to decrease the risk of puncturing the pleura or lung

low flow O2 delivery device refresher:

nasal cannula 1-6 L/min ~ 24-44%

simple face mask 6-12 L/min. ~ 40-60%

partial nonrebreather 6-11 L/min ~ 60-75

nonrebreather 10-15 L/min ~ >90%

venturi 4-12 L/min

aerosol at, at least 10 L/min

*endotracheal suctioning is a sterile procedure

^^==rotate the suction of the catheter during withdrawal to remove secretions from the sides of the airway==

^suction endotracheal tube first then the nonsterile oropharyngeal cavity to prevent cross-contamination

^suction endotracheal tube only when needed

*pursed-lip breathing is an EXPECTED finding for COPD people

*respiratory acidosis expect decreased RR, hypoventilation

*a nurse should have a container of sterile water at the bedside for easy access if the tubing of a chest tube disconnects, put into sterile water to prevent pneumothorax

EXPECTED findings of emphysema:

• diminished breath sounds-- because of chest excursion + air trapping
• barrel-shaped chest
• rhonchi