Healthstream flashcards:
Respiratory QUESTIONS and
answers
Pleural Empyema Causes✔✔Blockage of pulmonary lymphatics, infected
wound, lung abscess/infection, thoracic surgery, lung cancer, connective tissue
diseases
Pleural Empyema S/S✔✔SOB, foul-smelling sputum, pleural friction rub, high
RR, altered breath sounds
Pleural Empyema Dx Tests✔✔Pleural fluid (high WBC, low glucose, purulent
appearance, culture positive), CXR, pulm fxn tests
Pleural Empyema Nsg Tx✔✔Maintain airway and oxygenation, IV access,
cough/deep breathing exercises, chest tube care, elevate HOB, reduce O2
demand, frequent rest periods
Pleural Empyema Med Tx✔✔Treat cause; O2, IV fluids, ABx, thoracentesis,
chest tubes; surgical decortication, pleural sclerosing, shunts, insertion for
pleural catheter
Pleural Empyema Watch For✔✔Atelectasis, chronic empyema, bronchopleural
fistula, pneumothorax
Pleural Empyema Diet✔✔High-calorie to support breathing efforts and
immune system
Pleural Empyema✔✔pus in the pleural space
, Obstructive Sleep Apnea Causes✔✔Obesity, enlarged airway structures, short
thick neck, low soft palate, deformities of facial or cranial bones,
hypothyroidism, nasal obstruction, smoking, sedatives
Obstructive Sleep Apnea S/S✔✔Severe snoring, repetitive episodic breathing
cessation 10 sec - 1 min, episodes result in desaturation, sleep deprivation
during the day
Obstructive Sleep Apnea Dx Tests✔✔Sleep study
Obstructive Sleep Apnea Nsg Dx✔✔Fatigue, Sleep pattern disturbance,
Ineffective breathing pattern
Obstructive Sleep Apnea Nsg Tx✔✔Monitor sleep patterns, educate about
sedatives before bedtime, alcohol and smoking habits, and weight loss
Obstructive Sleep Apnea Med Tx✔✔CPAP face mask at night, surgical
correction of any obstruction, modafinil (Provigil) stimulant
Obstructive Sleep Apnea Watch For✔✔CHF, HTN, depression, arrhythmias, cor
pulmonale
Obstructive Sleep Apnea Diet✔✔Well-balanced and conducive to weight loss
as needed
Obstructive Sleep Apnea Contra-indicated✔✔Weight gain, alcohol, smoking,
driving/operating heavy machinery during daytime fatigue, anesthesia
Respiratory QUESTIONS and
answers
Pleural Empyema Causes✔✔Blockage of pulmonary lymphatics, infected
wound, lung abscess/infection, thoracic surgery, lung cancer, connective tissue
diseases
Pleural Empyema S/S✔✔SOB, foul-smelling sputum, pleural friction rub, high
RR, altered breath sounds
Pleural Empyema Dx Tests✔✔Pleural fluid (high WBC, low glucose, purulent
appearance, culture positive), CXR, pulm fxn tests
Pleural Empyema Nsg Tx✔✔Maintain airway and oxygenation, IV access,
cough/deep breathing exercises, chest tube care, elevate HOB, reduce O2
demand, frequent rest periods
Pleural Empyema Med Tx✔✔Treat cause; O2, IV fluids, ABx, thoracentesis,
chest tubes; surgical decortication, pleural sclerosing, shunts, insertion for
pleural catheter
Pleural Empyema Watch For✔✔Atelectasis, chronic empyema, bronchopleural
fistula, pneumothorax
Pleural Empyema Diet✔✔High-calorie to support breathing efforts and
immune system
Pleural Empyema✔✔pus in the pleural space
, Obstructive Sleep Apnea Causes✔✔Obesity, enlarged airway structures, short
thick neck, low soft palate, deformities of facial or cranial bones,
hypothyroidism, nasal obstruction, smoking, sedatives
Obstructive Sleep Apnea S/S✔✔Severe snoring, repetitive episodic breathing
cessation 10 sec - 1 min, episodes result in desaturation, sleep deprivation
during the day
Obstructive Sleep Apnea Dx Tests✔✔Sleep study
Obstructive Sleep Apnea Nsg Dx✔✔Fatigue, Sleep pattern disturbance,
Ineffective breathing pattern
Obstructive Sleep Apnea Nsg Tx✔✔Monitor sleep patterns, educate about
sedatives before bedtime, alcohol and smoking habits, and weight loss
Obstructive Sleep Apnea Med Tx✔✔CPAP face mask at night, surgical
correction of any obstruction, modafinil (Provigil) stimulant
Obstructive Sleep Apnea Watch For✔✔CHF, HTN, depression, arrhythmias, cor
pulmonale
Obstructive Sleep Apnea Diet✔✔Well-balanced and conducive to weight loss
as needed
Obstructive Sleep Apnea Contra-indicated✔✔Weight gain, alcohol, smoking,
driving/operating heavy machinery during daytime fatigue, anesthesia
