Nursing 1245 oxygenation
Partial rebreather mask liter flow
10-15L/min
Non-rebreather mask liter flow
15L/min
Venturi mask liter flow
4-10L (usually)
Simple mask liter flow
6-10L/min
How many liters can you go up to on NC?
6L
Arterial PCO2
<45mmHg
Suppressant
A drug or other substance that acts to stop or restrain something (more for acute pt like upper respiratory infection) Codeine - Dextromethorphan (Robitussin DM)
Expectorant
A drug that breaks up mucus and promotes coughing Guaifenesin - (Robitussin)
Incentive spirometer
A resistive breathing device that helps patients exercise their breathing muscles Can prevent pneumothorax Expands the lungs
Suction
Always ensure to have suction set up in each of your patients room
Endotracheal tube main concept
Always have replacement at the bedside
Steroids
Anti-inflammatory
Large risk for what post op
Atelectasis
What does an incentive spirometer prevent?
Atelectasis Pleural effusion
A nurse provides care for a client receiving oxygen from a nonrebreather mask. Which nursing intervention has the highest priority? A. Posting a "no smoking" sign over the client's bed B. Measuring the client for the appropriately sized mask C. Assessing the client's respiratory status, orientation, and skin color D. Collaborating with respiratory therapy to determine the flow rate
B. Measuring the client for the appropriately sized mask
Arterial PO2
Between 80 -100mmHg
The nurse teaches a client to perform deep-breathing exercises after surgery. Which statement by the client best reflects that the teaching has been effective? A. "These exercises will help prevent pneumonia." B. "I will heal faster if I perform deep-breathing exercises." C. "If I do these exercises, it will keep me from getting an infection." D. "I will require more pain medication if I do deep-breathing exercises."
C. "If I do these exercises, it will keep me from getting an infection."
Which respiratory side effect does the nurse teach the client who is now prescribed an angiotensin-converting enzyme (ACE) inhibitor to expect? A. Wheezing on exertion B. Increased secretions C. Persistent dry cough D. Orthopnea
C. Persistent dry cough
A client tells the nurse he is experiencing dyspnea. Which position will the nurse place the client in? A. Trendelenburg position B. Sims' position C. high Fowler's position D. supine position
C. high Fowler's position
Which mask is the safest? A: Nasal cannula B: Simple mask C: Venturi D: Nonrebreather
C: Venturi
Atelectasis
Collapsed lung; incomplete expansion of alveoli
Promote proper breathing
Deep breathing (DO NOT TELL A PT WITH KUSMALL TO SLOW DOWN BREATHING) Cough Incentive spirometer Purse lip breathing Sitting Walking Abdominal breathing
Hypercapnia
Excessive carbon dioxide in the blood
How would you know that patient is not tolerating suctioning?
Pulse ox tanks
Incentive spirometer helps whats?
Reinforces Deep Breathing Promotes Cough Maximize lung inflation Reduce atelectasis Optimal gas exchange
Hypoxia side effects
Restlessness (early sign) Altered LOC Dizziness Behavioral changes PO2 < 80 mm Hg
Oxygen doses
Room air = 21% 1L = 24% 2L = 28% 3L = 32% 4L = 36% 5L = 40% 6L = 44%
First thing you should do if your pts pulseox starts to decrease
Sit them up
Lozenges
Solid preparations containing one or more medicinal agents in a flavored, sweetened base intended to dissolve or disintegrate slowly in the mouth, releasing medication generally for localized effects (cough drops)
Bronchoscopy
The visual examination of the bronchi using a bronchoscope Extremely high risk
Chest physiotherapy (CPT)
Therapy used to remove bronchial secretions, improve ventilation, and increase the efficiency of the respiratory muscles; types include postural drainage, chest percussion, and vibration
Bronchodilators
Use first Open narrowed airways
Thoracentesis
Usually performed at bedside Needle or catheter inserted into intrapleural space to aspirate fluid Monitor respirations after -Improve -Distress Pneumothorax can occur after
