Review for exam 2 MDC 4
Hypothermia give warm IV fluids, thermal blankets, cardiopulmonary
bypass/ warm air thru bipap or vent, peritoneal lavage
- Can occur after surgery due to glucose metabolism being reduced
leading to metabolic acidosis
- Monitor urine output/ECG/ bp/abg/bun
- Warm patient 30 minutes before surgery
Asbestos s/s dyspenea/ perisitant dry cough/ mild to moderate chest pain.
Anorexia/ weight loss. Malaise/ clubbing of fingers
Spine anesthesia injection in side lying knees to chest after patient lies
supine
Streptococcal pneumonia s/ssudden chills, rapid fever, pleretic chest pain
aggravated by deep breathes/cough, tachypenea SOB w/ accessory muscle
use
Burns emergent to acute phase SATAurine output is better/ hemodynamic
stability sodium and potassium normalizes/ return or bowel and GI function/
decreased edema / diuresis begins, wound healing has started
Tuberculosisbloody sputum
Tension pneumothorax air in the lung or small opening
- S/s- pleuritic pain/ resp distress/ tachypnea/ hypotension/ air
hunger/ anxiety tachycardia diaphoresis
o Acutedyspnea/ air hunger central cyanosis hypoxemia
- Assesstracheal alignment/ chest expansion/ breath sounds and
percussion (hyperresonance(minor) or hyperresonant((severe))
- Txoxygen ASAP/pulse ox/chest tube or surgery, ERinsert needle
14 gauage 2nd intercoastal space
- Penetrating trauma-> thoracotomy 1500 ml of blood is aspirated or
chest tube greater then 200 ml/h output
o Open would use gauze impregnated with petrolatum then
chest tube and antibiotics
Hypopharyngeal obstruction tilting head back and pushing forward
on the angle of the lower jaw
Prevent contractions after surgery by splinting patient
Vomiting side lying position to prevent aspiration
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