Describe Venous insufficiency - ANS Swelling of legs & ankles, leg cramps, shallow wounds,
varicose veins, normal pedal pulses, increase edema, normal skin temp., skin dry & flaky, pain is
mild to moderate, elevation lessens pain
Describe the face tent mask - ANS Used when a standard type mask is not tolerated well by
patient varying O2 concentrations; Delivers 4-8 L/min
Describe the venture mask - ANS Allows for precise O2 concentration & liter flow delivers 4-
10 L/min
Describe the simple face mask - ANS Standard face mask; delivers 5-8 L/min
Describe the partial rebreather mask - ANS Simple face mask w/ O2 reservoir bag attached
allows pt to rebreathe the first 1/3 of exhaled O2
Define Eupnea - ANS normal respirations quiet, rhythmic, effortless
Define Tachypnea - ANS rapid respirations seen w/ fever, hypoxemia, metabolic acidosis
Define Apnea - ANS Absence of breathing
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, Define Hyperventilation - ANS Increased air movement more CO2 is eliminated than
produced
Define Kussmaul's breathing - ANS Metabolic acidosis, body attempts to compensate for
increased metabolic acid in form of CO2
Define Bradypnea - ANS Abnormally slow respiratory rate seen in pt who took morphine or
sedatives, pt w/ metabolic acidosis, pt w/ increased inter-cranial pressure from TBI
Define hypoventilation - ANS Inadequate alveolar ventilation caused by slow or shallow
breathing, may occur due to disease of respiratory muscle, drugs or anesthesia
How do we implement care for cardia patients? - ANS Positioning, ambulation, exercise, I/O,
medications, prevent venous stasis
Define Orthopnea - ANS Inability to breathe easily unless sitting upright or standing
Define cheyne stokes respirations - ANS Marked rhythmic waxing & waning of respirations
from deep to very shallow w/ short periods of apnea commonly caused by chronic disease, TBI
or overdose
What is the risk assessment tool for skin impairment? - ANS Braden Scale for predicting
pressure sore risk
Pressure area risk assessment form scale
Define non-modifiable risk factos - ANS Cannot be reduced; heredity, age, gender
What do we do for patients in respiratory distress? - ANS Assess, administer meds(inhalers),
monitor vitals, place in high flowers, place O2 on patient, call provider
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