lOMoARcPSD|26582732
Exam 1 Content notes complex
Adult Health (Chamberlain
University)
- Assess ABC’s (priority) Always
• A- Airway
• B- Breathing
• C- Circulation
• D- Disability (decline in neuro status )
• E- Examine/Environment: assess the patient, remove their clothing to assess the body but
make sure you prevent hypothermia (cover the patient with a blanket). ( respiratory failure,
cardiac )
- Pneumonia: How to we treat it?
• Nursing Management- increase fluid intake, O2 therapy, physiotherapy, rest and activity,
ventilation management. HOB up
• Diagnostic testing- CXR, blood gasses, thoracentesis or bronchoscopy, sputum culture.
- COPD: How do we treat it?
• Nursing Management- medications, O2 BE CAREFUL!!, illuminate
Triggers, patient education, abgs, IV fluids or oral corticosteroids, possible intubation or
assisted intubation.
• Medications: anticholinergics are most effective for COPD (affect the muscles arounds the
large airways, preventing them from tightening).
Nebulizers like Atrovent FHA, SPIRIVA (long-acting inhalers).
• Teach: Rinse mouth out after use of inhalers, Educate on purse lip breathing.
A
b
g
s
1 12 A
1 30
B
A P
M M G
P P Ra
h: h: ng
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
7. 7. e
2 31 Va
4 pa lu
p co es
a 2: ph
c 52 :
o H 7.
2: C 35
O
6 -
3:
9 28 7.
Pa 45
H
C co
Pa
O 2:
co
3: 78
2:
3
35
0
-
P 45
a (L
o un
gs
2:
)
5
9 H
C
O
3:
22
-
26
(Ki
dn
ey
s,
Bi
ca
rb
)
Pa
o2
:
80
-
10
0
Patient comes in and looks crappy: MD says put patient on Bi-pap and repeat ABG- We are going to let
it go and not make any changes.
Downloaded by NELSON KIIRU ()
Exam 1 Content notes complex
Adult Health (Chamberlain
University)
- Assess ABC’s (priority) Always
• A- Airway
• B- Breathing
• C- Circulation
• D- Disability (decline in neuro status )
• E- Examine/Environment: assess the patient, remove their clothing to assess the body but
make sure you prevent hypothermia (cover the patient with a blanket). ( respiratory failure,
cardiac )
- Pneumonia: How to we treat it?
• Nursing Management- increase fluid intake, O2 therapy, physiotherapy, rest and activity,
ventilation management. HOB up
• Diagnostic testing- CXR, blood gasses, thoracentesis or bronchoscopy, sputum culture.
- COPD: How do we treat it?
• Nursing Management- medications, O2 BE CAREFUL!!, illuminate
Triggers, patient education, abgs, IV fluids or oral corticosteroids, possible intubation or
assisted intubation.
• Medications: anticholinergics are most effective for COPD (affect the muscles arounds the
large airways, preventing them from tightening).
Nebulizers like Atrovent FHA, SPIRIVA (long-acting inhalers).
• Teach: Rinse mouth out after use of inhalers, Educate on purse lip breathing.
A
b
g
s
1 12 A
1 30
B
A P
M M G
P P Ra
h: h: ng
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
7. 7. e
2 31 Va
4 pa lu
p co es
a 2: ph
c 52 :
o H 7.
2: C 35
O
6 -
3:
9 28 7.
Pa 45
H
C co
Pa
O 2:
co
3: 78
2:
3
35
0
-
P 45
a (L
o un
gs
2:
)
5
9 H
C
O
3:
22
-
26
(Ki
dn
ey
s,
Bi
ca
rb
)
Pa
o2
:
80
-
10
0
Patient comes in and looks crappy: MD says put patient on Bi-pap and repeat ABG- We are going to let
it go and not make any changes.
Downloaded by NELSON KIIRU ()
