Blue Print Quiz 5 Respiratory.docx

Blue Print Quiz 5 Respiratory.docx - NUR 226 Respiratory...

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NUR 226 Respiratory Blue Print Medications: Know therapeutic levels where appropriate, adverse reactions, implications, how to determine if drug is effective; expected outcome, dietary concerns, when to call the provider: Centrally acting antitussives (opioids) Acetylcysteine, a mucolytic Beta-adrenergic agonist: how does it work Albuterol: side effects, adverse reactions Glucocorticoid inhaler: medication admin, nursing considerations Mast cell inhibitors (stabilizers) Diphenhydramine, first generation antihistamine: nursing considerations, adverse reactions Intranasal glucocorticoid (Flonase) adverse reactions Oxymetazoline (Afrin) Antitussive medication Glucocorticoid (prednisone) Nursing education for discontinuation of medication Diagnosis: signs and symptoms, associated lab values, treatments, medications prescribed Hypoxia – First sign is restlessness Status Asthmaticus – Acute episode Persistent severe attack of asthma Does not respond to usual therapy, Medical emergency May be fatal due to severe hypoxia and acidosis Hospitalization Bronchodilators, IV Glucocorticoids, Oxygen Cystic fibrosis – Inherited disorder Tenacious mucus from exocrine glands Primary effects seen in lungs and pancreas S/Sx – o Meconium ileus occur at birth o Salty skin
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o Signs of malabsorption o Chronic cough and freq resp infections o Failure to meet normal growth milestones Asthma – Extrinsic - triggered by type 1 hypersensitivity reactions Intrinsic – onset during adulthood Airways inflame, mucus (usually white), bronchoconstriction Albuterol and steroid inhalers Bacterial pneumonia – Lobar pneumonia Community-based, Streptococcus pneumoniae Localized in one or more lobes Inflammation of vascular congestion, exudate forms in the alveoli, contains fibrin and forms consolidated mass Rusty sputum Sudden onset, systemic signs (high fever, chills, fatigue, leukocytosis) Dyspnea, tachypnea, tachycardia, Pleural pain, Productive cough Confusion and disorientation Sputum colors (diagnosis & treatment) Yellowish-green, cloudy, thick – often indicates bacterial infection Rusty or dark-colored – usually pneumococcal pneumonia Very large amnts with purulent sputum/foul odor – bronchiectasis Thick, tenacious mucus – asthma or cystic fibrosis; blood tinged sputum may result from
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  • Spring '17
  • reed
  • adverse reactions, productive cough, persistent severe attack

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