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Med-surg ATI / ATI LS RN: Respiratory System Alterations & Disorders Updated Q & A 2024

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Med-surg ATI / ATI LS RN: Respiratory System Alterations & Disorders Updated Q & A 2024 Bronchoscopy NPO 8-12 hr Local anesthetic throat spray Position upright Mantoux test Postive = exposure Sputum culture must be confirmed with presence of acid-fast bacillus (AFB) Assess for reaction 48-72 hours following injection Induration (hardening) of 10 mm or greater is a positive test Thoracenteesis Remove fluid or air from the plueral space Obtain chest x-ray (CXR) Asthma medication **Admin bronchodilators BEFORE anti-inflammatory meds Bronchodilators (shortacting inhaled--aluberol for fast relief, methylxanthines--theophylinne; monitor therapeutic range for toxicity) Anti-inflammatory (Corticosteroids--fluticasone, prednisone, leukotrine antagonists: montelukast)

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