NURS 621 Exam 2
Diagnosis of DVT - ANSVenography
Diagnosis of PE - ANSPulmonary angiography and D-Dimer
S/S of arterial insufficiency - ANSIntermittent claudication, pain at rest, pale to dependent, dull to
bright red color, takes on environmental temperature, diminished to absent pulses, no edema,
skin is shiny
S/S of venous insufficiency - ANSChronic dull ache that progresses throughout the day, normal
to cyanotic, normal skin temperature, edema present, pulses normal, statis dermatitis, flaky, dry,
scaly skin
S/S of varicosities - ANSDark purple-blue veins, "twisted", swelling, achy/heaviness in legs,
worsened pain after standing
S/S of DVT - ANSSwelling, muscle tenderness, pain in calf muscle, warmth, fever, tachycardia
Modifiable risk factors for arterial insufficiency - ANSSmoking, obesity, hypertension,
cholesterol, DM, sedentary lifestyle
Nonmodifiable risk factors for arterial insufficiency - ANSAge, gender, race, genetics
S/S of emphysema - ANSPink puffers, barrel chest, pursed lip breathers, distant quiet breath
sounds, wheezes, pulmonary blebs on radiograph
S/S of chronic bronchitis - ANS-generalized cyanosis
-"blue boaters"
-R side HF
-JVD
-crackles
-expiratory wheezes
S/S of asthma - ANS--wheezing
--chest tightness
--SOB
--coughing fits
CURB-65 - ANSRisk stratification for community acquired pneumonia
1) Confusion
2) BUN>19
, 3) RR>30
4) BP<90/60
5) 65yo
One or less indicates patient can be treated outpatient, 2= inpatient/close outpatient monitoring;
>3 =hospitalization/possible ICU
S/S of COPD - ANS-Dyspnea
-SOB
-Clubbing of finger nails
-Barrel chest
-Cough
-Crackles and wheezing
-Low O2 sat
-shallow respirations
-Orthopnea
-Pale, ashen skin color
Common organisms associated with community-acquired pneumonia - ANSViral- influenza
A&B, RSV
Bacterial- Strep PNA, chlamydia PNA
Mild intermittent asthma - ANS-S/S no more 2x week
-Nocturnal s/s no more 2x month
-PEFR < 20% variability
-Normal between attacks
-Exacerbation brief with variable intensity
-No daily medication needed
Mild persistent asthma - ANS-S/S > 2x week, but < 1x daily
-Nocturnal s/s > 2x month
-PEFR 20% - 30% variability
-Exacerbation may or may not affect ADLs
-One medication daily (low-dose corticosteroid or -slow release theophylline)
Moderate persistent asthma - ANS-S/S daily
-Nocturnal s/s > 1x week
-PEFR > 30% variability
-Exacerbations 2x daily
-Exacerbations affect ADLs
-One or two daily medications (med-dose corticosteroid &/or inhaled bronchodilator)
Severe persistent asthma - ANS-S/S continuous
-Nocturnal s/s frequent
-PEFR > 30% variability
Diagnosis of DVT - ANSVenography
Diagnosis of PE - ANSPulmonary angiography and D-Dimer
S/S of arterial insufficiency - ANSIntermittent claudication, pain at rest, pale to dependent, dull to
bright red color, takes on environmental temperature, diminished to absent pulses, no edema,
skin is shiny
S/S of venous insufficiency - ANSChronic dull ache that progresses throughout the day, normal
to cyanotic, normal skin temperature, edema present, pulses normal, statis dermatitis, flaky, dry,
scaly skin
S/S of varicosities - ANSDark purple-blue veins, "twisted", swelling, achy/heaviness in legs,
worsened pain after standing
S/S of DVT - ANSSwelling, muscle tenderness, pain in calf muscle, warmth, fever, tachycardia
Modifiable risk factors for arterial insufficiency - ANSSmoking, obesity, hypertension,
cholesterol, DM, sedentary lifestyle
Nonmodifiable risk factors for arterial insufficiency - ANSAge, gender, race, genetics
S/S of emphysema - ANSPink puffers, barrel chest, pursed lip breathers, distant quiet breath
sounds, wheezes, pulmonary blebs on radiograph
S/S of chronic bronchitis - ANS-generalized cyanosis
-"blue boaters"
-R side HF
-JVD
-crackles
-expiratory wheezes
S/S of asthma - ANS--wheezing
--chest tightness
--SOB
--coughing fits
CURB-65 - ANSRisk stratification for community acquired pneumonia
1) Confusion
2) BUN>19
, 3) RR>30
4) BP<90/60
5) 65yo
One or less indicates patient can be treated outpatient, 2= inpatient/close outpatient monitoring;
>3 =hospitalization/possible ICU
S/S of COPD - ANS-Dyspnea
-SOB
-Clubbing of finger nails
-Barrel chest
-Cough
-Crackles and wheezing
-Low O2 sat
-shallow respirations
-Orthopnea
-Pale, ashen skin color
Common organisms associated with community-acquired pneumonia - ANSViral- influenza
A&B, RSV
Bacterial- Strep PNA, chlamydia PNA
Mild intermittent asthma - ANS-S/S no more 2x week
-Nocturnal s/s no more 2x month
-PEFR < 20% variability
-Normal between attacks
-Exacerbation brief with variable intensity
-No daily medication needed
Mild persistent asthma - ANS-S/S > 2x week, but < 1x daily
-Nocturnal s/s > 2x month
-PEFR 20% - 30% variability
-Exacerbation may or may not affect ADLs
-One medication daily (low-dose corticosteroid or -slow release theophylline)
Moderate persistent asthma - ANS-S/S daily
-Nocturnal s/s > 1x week
-PEFR > 30% variability
-Exacerbations 2x daily
-Exacerbations affect ADLs
-One or two daily medications (med-dose corticosteroid &/or inhaled bronchodilator)
Severe persistent asthma - ANS-S/S continuous
-Nocturnal s/s frequent
-PEFR > 30% variability
