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Chap

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by

Nikolay Zhelev

on 10 October 2016

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Transcript of Chap

Tuberculosis
N95, PAPR, AFB isolation
PPD Mantoux
Impoverished
#1 cause of Death in the world from ID

Atelectasis
Pneumonias
Aspiration







Lung injury
sudded and progressive
will likely require intubation
Hypoxemia that does not respond to oxygen therapy
Prone positioning
Pleural Effusions
Fluid accumulation
difficulty laying flat
Chest tube
Absent lung sounds or diminished
Types of
PNEUMONIAS
CAP, HCAP, HAP, VAP
Nosocomial
Best Ways to prevent:
Vaccinations
Smoking Cessation
Hand Hygeine
Positioning
Pneumonia Complications

Sepsis, shock
Respiratory Failure
Atalectasis
Pleural Effusion
Confusion
Chapter 23 & 24






Chest & Lower Respiratory Disorders

Prevention measures:

IS
TCDB
Early mobilazation,
HOB and Positioning
Atalectasis can lead to Pneumania
Aspiration is a type of Pneumonia
Nursing Diagnosis:
Ineffective airway clearance
Activity Intolerance
Knowledge deficit
Acute Respiratory
Distress Syndrome (ARDS)
Pulmonary Emboli
obstruction of Pulmonary Artery
s/s: mimics angina
pain that goes way at rest
Prevention
Early ambulation
SCDs
Tx: 02, Anticoagulation INR 2-3
COPD
Chronic Bronchitis + Emphasema
CO2
progressive inflammatory
Decrease elastic recoil/compliance
d/t Skar tissue
Barrel Chest
Alveoli changes
Smoking cessation
SABA vs LABA
Inhaled Corticosteroids
ASTHMA
More Oxygen not CO2
Hyperesponsiveness to allergens
Known triggers
Peak Flow Monitoring
forced expiration
Asthma Action Plan
SABA at all times
Emergency of Status Asmathicus
Medications
COPD & Asthma

1st SABA= albuterol
Last Corticosteroids = thrush - rinse
Anticholinergics- Cut mucus
Spiriva
LABA- salmeterol
Leukotriane midifiers- Singulair
empty stomach
Combinations: Steroid +LABA.
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