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Details

PJC ADH-II final review Part 1
Respiratory batch
33
Medical
Not Applicable
06/22/2008

Additional Medical Flashcards

 


 

Cards

Term

Thoracentesis

Definition

Removes air or fluid from the plueral space

Term
Anteriorly at the 2nd intercostal space
Definition

A thoracentesis that removes air from the plueral is performed where?

Term
Semi-fowlers
Definition

Positioning for thorancentesis for removing air?

Term
posteriorly, 8-9th intercostal space, mid axillary
Definition

A fluid removing thoracentesis is performed where on the body?

Term
epistaxis
Definition
Bleeding of the nose
Term

frequent swallowing

vomitting

 

Definition
what should the nurse monitor a client for suffering from epistaxis?
Term
suctioning to maintain open airway
Definition
what is the priority nursing intervention for a client suffering from epistaxis
Term
plueral effusion
Definition
abnormal accumulation of fluid/exudate in the potential space
Term
glucose level
Definition
what would the nurse monitor (q6h) on a client receiving solu-medrol?
Term
10-20mg/ml
Definition
therputic range for theophylline
Term

no sudden movements

avoid coughing

Definition
what client teaching should the nurse instruct to the client pre-thoracentesis?
Term

monitor for changes in cient status

 

perform post procedure assessment

 

record amount and characteristics of fluid withdrawn

 

obtain chest xray after procedure

Definition
post care of a client under going thoracentesis includes what?
Term

low potassium (hypokalemia)

 

if taking digoxin (potentiates effects)

Definition
avoid giving Albuterol (Proventil, Ventolin) in clients that have low ___________ and if they are also taking __________.
Term

increased heart rate

 

jitteriness

 

dizzy

 

**this drug is given early during the day**

Definition
what are the side effects of Albuterol?
Term
Xopenex (Levalbuterol)
Definition
what bronchodialator is reserved for those patients with a cardiac disorder?
Term

jitteriness & dizzy

 

but NO INCREASE IN HEART RATE!!

 

(Same as albuterol)

Definition
What are the side effects of Xopenex (Levalbuterol)?
Term

seizure's

 

cardiac, renal or liver disease

 

Definition
avoid giving theophylline in clients with:
Term
digoxin
Definition

theophylline must be monitored for _________ toxicity of this drug if given concurently

Term

broken down in liver

 

converted to caffiene

Definition
Theophylline is broken down in the _______ and converted to ________.
Term
hypotension and arrhytmias
Definition

theophylline toxicity causes ____________ and _________.

Term

widen QRS complex

 

(0.04 - 0.12 seconds) is normal

Definition
theophylline toxicity can cause cause what to happen to the client's EKG strip?
Term
tobacco
Definition
what increases metabolization of theophylline?
Term
acute allergic rhinitis
Definition

outside allergans such as pollen, trees, grass, weeds cause ___________.

Term
chronic allergic rhinitis
Definition
indoor allergans such as dust mites and pet dandor cause _____________.
Term
Decongestants and Antihistamines
Definition
what drugs can be given for acute/chronic rhinitis?
Term
phenylephrine, psuedoehedrine are common
Definition
what decongestants do we give for rhinitis?
Term
rebound congestion and habit forming
Definition
what are side effects of decongestants?
Term

increase HR

increase BP

Definition
what will decongestants do to the cardiac system?
Term

Clients with:

  

hypertension & chronic heart disease

Definition
what clients should the nurse avoid giving decongestants to?
Term
Benedryl
Definition
what antihistamine is given for rhinitis patients?
Term

Asthma

 

glaucoma

 

heart disease

 

Urinary tract obstruction

Definition
what client(s) is benedryl contraindicated for?
Term

drowsiness

 

dry mouth

Definition
what are the side effects of antihistamines?
Term

1st gen = Benedryl

 

2nd gen = claritin, allegra, zyrtec

Definition

The 1st generation antihistamines are ___________.  The 2nd generation antihistamines are _________, _________ and ________. (TV commercials)

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