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ESPNLSIII RESPIRATOR
ESPN LSIII RESPIRATORY
Question | Answer |
---|---|
What happens to air as it passes through the nose | Filtered Moistened Warmed |
What is sneezing | Forcefull expellation of air |
What is the purpose of sneezing | To dislodge irritants |
The nose is lined with what | Mucous membrane |
The purpose of the turbinates is to __________ which allows more time for ___ & ______ | cause the air to move over large surfaces warming and moisturizing |
The distal pharynxis is divided into the __, ____ & ______ | nasopharynx oropharynx laryngopharnx |
Explain why pharyngeal infections spread so easily to the ear, especially in children | Because inner lining of pharynx and eustachian tabe are continuous Mucous membrane continuous to eustachian tube |
What organ automatically connects the pharynx with the trachea | Larynx |
What protects the larynx when swallowing | Epiglottis |
The opening between the vocal chords is called | Glottis |
What is the fuction of cilia in the respiratory tracht | Sweep dust and debris upward toward the nasal cavity |
What normal physiological functions are lost when a patient has a tracheostomy | Speaking Talking, speech and nose breathing, smell Can't warm or mosten air so gets dry |
What problems might occur because of this (trach) | aspiration, local bleeding Infection decrease appetite with wt. loss decrease warming and filtering of air increase fluids |
****KNOW THIS Which lobe aspiration is pneumonia | Right lower |
Which bronchus (right or left)do foreign objects usually end up in | Right Bronchus why? left bronchus is smaller in diameter and slightly horizontal in position |
****KNOW THIS What is the function of the alveoli | Gas exchange diffusion of CO2 and O2 occurs Shaper and forms to lungs |
What artery provides the blood supply to the lung | Pulmonary artery |
The movement of gasses from an area of high concentration to an aarea of low concentration occurs by | Diffusion |
What are the physiological consequences of a pleural effusion | Pleural space becomes distended & puts pressure on the lungs, make it hard to breathe |
Which is longer inspiration or expiration | Expiration |
Inhaled air is __% oxygen and & exhaled air is __% oxygen | Inhaled = 21% Exhaled = 16% |
Normal respiratory rate is ___/minute | 12-20/minutes |
The parts of the brain responsible for controlling respiration | Medulla oblongata& pons |
Specialized receptors that are sensitive to blood CO2 levels are called _____and are located in the ______ & ________ | Chemoreceptors carotid and aortic bodies |
What part of the brain controls the cough reflex | a center in the medulla |
Carbonic acid is how what is carried in the blood | CO2 |
What are the 3 changes in the blood that will trigger the receptors | Higher acid Deviation of ph Carbon dioxide |
The more CO2 that is in the blood the more alkaline or acidic it is | Acidic |
List 3 subjective symptoms you should assess in a client in respiratory distress | Shortness of breath dyspnea on exertion cough |
List 3 objective symptoms you should assess in a client in respiratory | patients expression Chest movements Respiration Flaring,nostrils, anxious face, pulse ox, grunting, drooling |
Cyanosis is an early or late sign of hypoxia | Late |
Yellowish green, cloudy, thick mucous is often an indication of a _______pneumonia | bacterial or broncopneumonia |
Rusty or dark colored mucous is usually an indicative of _____ | Pneumococcal pneumonia |
Hemoptysis (Blood in sputum) is usually associated with | Pulmonary edema, Lung cancer, TB or erroded tumor |
Respiratory stridor usually indicates | Upper respiratory obstruction |
List 5 specific respiratory conditions tat canbe diagnosed by chest x ray | Pneumotorax Pneumonia Pleural effusion pulmonary edema, pulmonary tuberculosis |
Lsit 4indications for a thoracentesis | Removal of fluid for diagnostic purposes Biopsy of the pleura removalof fluid when it is a threat to patient safety or comfort Instillation of medication into the pleural space |
***KNOW THIS What position should the patient be in for thoracentesis | Patient at edge of bed with head and arms resting on pillow on overbed table Orthopenic position - breath better |
KNOW THIS What do you do for a patient with a nose bleed | Apply pressure |
True or False Apatient with a pulse ox of 89% will always feel dyspneic | False |
True or False ABGs measure respiratory & metabolic status | True used to check O2 and CO2 and bicarbonate levels, serum ph |
True or false An SaO2 below 90 is considered lifethreatening | False Below 70 is life threatening normal is 95% |
How does packing the nose with epinephrine help stop the bleeding? | Promotes local vasoconstriction |
How can a foley catheter be used to control epistaxis | Traction is placed on the catheter so the vessel in the area is compressed |
Why might a patient who's had an epistaxis be prone to infection | Open area/Breakin skin, Breach in mucous membranes to cause infection with koodies |
What are 2 things you can teach your patient to do to prevent further nosebleeds | Do Not pick, scratch, or irritate nares Not to blow nose vigoursly and to avoid dryness of the nose No foreign objects inserted in the nose Use vaporizer to keep nasal mucous membranes moist |
What is the medical treatment for Legionnaire's disease | Ventilation, temporary Renal dialysis, antibiotics(erythroomycin) early in disease O2therapy,IV Fluidtherapy to main. hydration & electrolyte status |
What population see a high incidence of TB | Hispanic & African Americans - Urban area, poor people, older person, AIDS |
Why is TB seen so frequently in patients with AIDS? | TB occurs in individuals with incompetant immune systems as in HIV infected people (Affectsolder adults , people receiveing immunosuppressants the the malnutritions) |
Are aids patients exposed to TB more frequently than the general population | NO |
True or False Most people who are exposed to TB will become infected | False |
True or False Persons who have a positive PPD test are infected with TB, but don't necessarily have the disease | True |
True or False A negative reactionto a PPD testrules out a TB infection | False |
True or False Acid fast staining is a good way to diagnose TB since the mycobacterium that casues it is the only organism that stains acid fast | False |
True or False Sputum cultures are a quick way to confirm a diagnosis of TB | False it takes awhile before you can get it to grow w/sputum |
True or False The TB organism can only infect lung parenchyma | False Can go other places than lymph |
Why is TB treated with more than 1 drug | To prevent the emergence of organisms resistant to the other, thus increase therapeutic effectiveness of treatment |
What is the single most effective to prevent TB from spreading from one person to another | Handwashing Patient cover their nose and mouths when coughing or sneezing patient in isolation |
How long can the tubercle bacilli survive in human tissue before actually causing the disease? | Greater than 50 years |
***KNOW THIS How is pneumonia diagnosed | Chest X ray |
Wht causes the crackles heard in the patient wiht pneumonia | Respiratory passage narrowed by fluid mucous, pus, air passing thru mucous (exudate) |
When might a chest tube be indicated for the patient with pneumonia | If an accumulation of (empyema) pus in the pleural space occurs |
**** Know this Crackles sound like | Crackling or bubbling sounds |
What is the name of the surgery done to correct a deviated nasal septum | Nasoseptoplasty |
how can otis media develop in the patient with allergies | Ciliary actioon slows, mucosal gland secretion increase leukocyte (eosinophil) infiltration occurs local tissue edema Build up of mucous in eustachian tubes Complain of ear fullness, ear popping or decreased hearing |
What are somecommon causes of upper airway obstruction | Dentures,aspiration of vomit or secretions, most common in unconscious person - the tongue |
***KNOW THIS List 5 risk factors for laryngeal cancer | Tobacco use, heavy alcohol use, chronic laryngitis, vocal abuse & family history - Male at higher risk |
**KNOW THIS When is a "Radical Neck Dissection" Indicated | Extension of the tumor becomes affixed to one of the cords or extends upward or downward from the larynx |
***KNOW THIS What should you do immediately if a trach tube becomes completely occluded with mucous and the patient is unable to breath | SUCTION Take inner cannula out |
Why do patients with a trach commonly lose their appetitie | Senseof smell is gone |
Ture or false Patients with acute rhinitis should be treated with antibiotices | False because it is viral |
**KNOW THIS What sign or symptom is a reliable indicator that a post T & A patient is hemorrhaging? | Seeing blood Frequent swallowing |
Why is mouth care important following a T & A | Promotes comfort and assist in combatting infection |
What are 6 complications that can occur with tonsillitis | sore throat, fever, chills, anorexia, tonsils become enlarged and contain purulent exudate (Become Kreptic) |
Sinusitus is often a complication of ??? & ??? | Pneumonia or nasal polyps |
What are 3 serious complications of Legionnaire's disease tha can precipitate death | Respiratory failure, Renal failure Bacteremic shock |
***KNOW THIS What promotes comfort after a T & A for the patient | Use of an ice bag |
***KNOW THIS How do chest percussion (vibrates loose) and postural drainage help in the treatment of pneumonia | To encourage cough and deep breath to maximize ventilatory capabilities |
How is viral pneumonia treated | Analagesics and anti pyretics, expectorant and broncho dilators are often presecibed . Humidication with humidifier or nebulizer if secretion are tenacious and copiriusis useful. O2 if less than 91% |
List the 4 physiological processes that occur with pneumonia | Secretions become infected, inflammed, cilia cannot remove accumulated secretions, decrease O2 & CO2 exchange |
What is the term for dyspnea that occurs when a person is lying down | Orthopnea |
Orthopnea is a symptom of what kind of heart failure | Left ventricular heart failure |
Paroxysmal nocturnal dyspnea is a sudden acute type of dyspnea commonly seen in patients with what | Left sided CHF |
What organ is most susceptible to an oxygen deficit | Brain |
Why is the brain most susceptible to an oxygen deficit | It has little storage capacity for O2 and yet had a constant demand |
What are 3 ways our body compensates for hypoxia d/t respiratory impairments | Increase Cardiovascular activity eg tachycardia, Increase BP Erythropoetin secretions is increased stimulating bone marrow to produce RBC Stimulation of sympatheric Nervous system |
What acid/base imbalance is likely to occur in pts. with respiratory disorders | Reapiratory acidosis d/t excess CO2 is more commmon and results from impaired expiration Resp. alkalosis occurs when resp. rate increases usually because of acute anxiety or excessive intake of aspirin |
What is the organism most commonly involved in epiglottitis | H influenza Type B |
What is the treatment for influenza | Symptomatic (pallitive) |
Briefly describe the pathophysiology involved in bronchiolitis | necrosis and inflamed in sm. bronchi and bronchioles with edema, Increased secretion and reflex bronchospasm leads to ibstruciton of sm, airways |
In what lobe does bronchopneumonia often occur | Lower Lobes |
Describe what caseation necrosis looks like | Cheese like substance |
List 2 reasons why incidence of TB is increasing | Number if increasing AIDS patient Multi drug resistant |
The mucous membrane of the nose secretes an average of how much fluid each day | 1 liter |
***KNOW THIS Post precedure for a patient having a thoracentesis you should monitor for what | Monitor for signs of pneumothorax Air embolism Pulmonary edema |
***KNOW THESE Regarding ABGs What are normal pH PCO2 HCO2 PO2 O2saturation What is | pH = 7.35 - 7.45 PCO2 = 35 - 45 mmHG HCO2 = 22 - 27 mEq/l PO2 = 80 - 100 mmHG O2 saturation = 96-100% |
***KNOW THIS Normal ratio between bicarb and carbonic acid is | 20:1 20 base to 1 acid |
**KNOW THIS Describe the chest tube drainage system | Returns negative pressure to the intrapleural space Used to remove abnormal accumulations of air and fluids from the pleural space |
***KNOW THIS What is tidaling | water oscillates (moves up as the client inhales and moves down as the client exhales |
**Know this What is constant bubbling in the water seal chamber of chest tube drainage system an indication of | An air leak |
**KNOW THIS If a patient is in respiratory alkalosis what what you use for a treatment | Sedation or breath into a paper bag to rebreath CO2 that is exhaled Give a paper bag to breath into |
***KNOW THIS If an emphasema patient goes home on O2 do not turn off O2 for ABGs unless ABGs ordered on Room air | |
**KNOW THIS In regards to Intermittent Positive pressure Breathing waht is negatrive pressure | |
**KNOW THIS Where do you put a pulse oximetery to avoid a false high or false low | |
In regards to the patient with a chest tube drainage system what are a couple imperative nursing interventions | Encourage cough and deep breathing Keep a clamp and a sterile occlusive dressing at the bedside at all times |
***KNOW THIS What is PEEP and when is it used | PEEP = Positive end expiratory pressure Applies positive pressure to airways and alveoli furing exhalation Used when patient has decreased lung compliance such as AARDS Pneumonia, Fibrosis, Pulmonary edema |
Aperson with a Epistaxis (nose bleed) will have a high blood pressure What should a nurse do for this | Apply pressure for 10 -15 minutes by pinching the nose |
Waht is laryngeal cancer | malignant turmor of the larynx metastasos to the lung is common Causes include cigarette smoking, alcohol abuse, exposure to pollutants, voice strain |
What should you check post op of the patient with Laryngeal Cancer | Assess gag and cough reflex and ability to swallow |
What should you teach laryngeal cancer patient about what not to do | Teach clean suction technique avoid swimming, showering, and using aerosol sprays Advise to obtain Medic alert bracelet |
In order to help prevent SIDS what should you teach new parents | Lay infant in Supine position |
Your patient had a tonsillectomy He is having an increased pulse and restlessness this is an indication of ?? | 1st sign of hemorrhage |
Tonsillectomy patient post op what do you the nurse do | Check for bleeding - visualize the throat, Fluids no red stuff or acidic stuff Ice collar |
Patient has a rib fracture | Impaired ventilation and inadequate cough and deep breath |
One way to diagnose Rib fracture | Pain with movement Fractures seen on chest x ray |
What is a pneumothorax | Accumulation of atmospheric air in the pleural space, loss of negative intrapleural pressure resulting in a collapsed lung. you want negative pressure. Diagnosed with a chest xray |
What are signs andsymptoms of pneumothorax | Absent breath sounds on affected side Cyanosis Hypotension Subcutaneous emphysema |
What are some nursing interventions for pneumothorax | Administer O2 ASAP High fowlers to breath better prepare for chest tube placement apply pressure dressing over an open chest wound |
What is ARDS (Adult Respiratory Distress Syndrome | A serious complication caused by a diffuse lung injury, leading to extravascular lung fluid |
In regards to ARDS what do the ABGs identify | Respiratory Acidosis |
What are signs and symptoms of ARDS | Tachypnea Dyspnea, Decreased breath sounds Hypoxia even with High doses of O2 Decreased oukmonary compliance, pulmonary infiltrates show on exray |
Treatment for ARDS includes | Identify and treat Administer O2, High fowlers, restrict fluid intake, provide respiratory treatments, administer diureticsm anticoagulants or steroids, MS Expect intubation and mechanical ventilation |
What is prognosis for ARDS | 40% mortality rate with organ failure death is 100% |
What is pneumonia | Inflammator process involving the interstitial spaces, the alveoli and the bronchioles, inflammation stiffens the lung community acquired or nosecomeal infection (hospital acquires) |
How do you diagnose pneumonia | chest exray WBC's abd erythrocyte sedimentation rate ar elevated |
What core measures are done in hospital with pneumonia | oxygen assessment within 24 hours ABG's or pulse ox pneumocccal screening and or vaccination smoking cessation counseling arrival time to first antibiotic is 4 hours |
Signs and symptoms of pneumonia | chills, elevated temperature, pleuritic pain, crackles, rhonchi, and wheezes use of accessory muscles, cyanosis, mental status changes |
What is rusty green or bloody sputum a sign of | pneumococccal pneumonia |
What is yellow green sputum a sign of | bronchopneumonia |
What are some very key interventions for pneumonia | Prevent the spread of infection by handwashing and th e proper disposal of secretions high calorie high protein diet wiht small frequent meals encourage fluids to 3 liters a day increase activity gradually |
What is pleurisy | Inflammation of the visceral and parietal membranes These memebranes rub together during repiration and cause very painful pain |
What data is collected for pleural effusion | chest eray, pleuritic pain, tachycardia |
How do we treat pleural effusion | treat underlying cause encourage cough and ddep breath, prepare for thoracentesis to get rid of fluid so lung can reexpand |
What is pleurectomy | Consists of surgically stripping the parietal pleura away from the visceral pleura Produces an anflammatory reaction that promotes adhesion formation between the two layers during healing |
What is pleurodesis | involves the instillation of a sclerosing substance into the pleural spae via a thoracotomy tube. Creates an inflammatory response that scleroses tissues together |
**KNOW THIS What is empyema | Pus within the pleural cavity |
What are the 4 major types of lung cancer | Small cell - (Oat cell) epidermal (squamous cell) adnocarcinoma large cell anaplastic carcinoma |
What is curative surgery | the removal of a tumor when it appears to be confined to one area |
What is palliative surgery | makes the patient more comfortable laser surgery for the removal of an obstruction or opening of an airway |
What are some nonsurgical implementations for lung cancer | Radiation therapy for localized intrathoracic lung cancers Chemotherapy to promote tumor regression immunotherapy interferon or interleukin |
What do you do for the patient with an pneumonectomy | Avoid turining client onto the operative side |
What is the prognosis for the lung cancer patient | not so good only 10 - 15% ive 5 years or longer only 20 % ar early detected |
What patients are at risk for pulmonary embolism | Those at risk for deep vein thrombosis eg, surgery, obesity, pregnancy, CHF, A-fib,, Age, prior history of |
**KNOW THIS what is treatment for pumonary embolism | Aimed at preventing venous stasis and includes Early ambulation spirometer, RM, blood thinners, ted hosem scd's heparin, lovenox |
pulmonary emphysema aka Pink puffer What happens to make a barrel chest | |
Blue Boater aka chronic bronchitis Is it irreversible | |
What are normal ABG's Pao2 Paco2 Sao2 Hct | Pao2 = 45 - 60 mm Hg Paco2 = 50-60 mm Hg Sao2 = less than 90% Hct = |
What is the dilator Albuterol or proventil used for | Good for acute attacks |
What is the dilator Alupent used for | Good for exercise induced asthma |
What is the dilator Serevent used for | Has a slow onset and is not good for acute attacks |
What is the dilatorxopenex HHN used for | Lasts up to 8 hours |
What is the dilator epinephrine or adrenalin, sus Phrine used for | side efects increase heart rate |
***KNOW THIS Which dilator is used for long acting | Serevent, Salmeterol |
***KNOW THIS What do mucolytic do | Mucomyst inhalation helps break up secretions (Tylenol OD) |
***KNOW THIS How and what is Flonase | Flonase is a nasal spray IV = is Solumedrol PO = Prednisone |
***KNOW THIS What much you watch for in the elderly patient taking theopphylines | Increase heart rate and increase in seizures |
***KNOW THIS Where can you place the pulse ox to obbtain a reading if doesn't work on finger | Can place on ear lobe |
***KNOW THIS If your patient has COPD what is the safe leel to set there O2 at | Must be low doses 1 -2 LPM |
***KNOW THIS Is COP reversible | No COPD is irreversible |
***KNOW THESE What are the signs and symptoms of ASthma | DOE Wheezes Tachynpea, use of accessory muscles nasal flaring, increased anxiety |
**KNOW THIS What is Statis Asthmaticus | Severe unrelenting attack that fails to respond to treatment Respiratory Failure Death if not reversed |
**KNOW THIS What is the intervention for asthma and COPD to help with breathing | Purse lip breathing |
***Know these What is TB | Ahighly communicatable disease casued by Mycobacterium tuberculosis |
**KNOW this What is (MDR - TB) multi drug resistant | Goal is to prevent transmission control symptoms prevent progression of disease |
**KNOW What are risk factors for TB | alcoholism, IV drug use, malnutrition infection, elderly,homeless, refuges, minority children under 5, individ livingin crowded cond, long term care,prisons, frequent contact with untreated individuals HIV, unpast milk if cow infected |
**KNOW How is TB transmitted | aerosolization, airborne cough, laugh, froplet |
**KNOW After infected individual has received TB meds for 2 to 3 weeks the risk of transmission greatly reduced | |
What are th clinical manifestations of TB | May be asymptomatic in primary infection fatigue anorexia, wt. loss chills and low grade fever night sweats persistant cough, dull achy chest pain |
**KNOW how do you make a confirmed diagnosis of TB | SPUTUM CULTURE POSITIVE FOR TB BACILLI |
*** KNOW WHAT is Matoux's test | A small amount of purified protein derivative is administered intradermally in forearm a positive reaction does not mean that active disease is present but indicates exposure to TB'Once positive result always a positive result in future |
***KNOW THIS How do you read a Mantoux's Test | An area of indur. meas. 10mm or more in diam, 48-72 hours after inject. indicates exposure to TB For indiv with HIV or immunosuppressed a 5mm or more is consid + Once a + test a chest Xray must be done to rule out act TB or to detect old, healed lesions |
**KNOW THIS What must the nurse wear when attending to a person with TB | The nurse must wear a particulate repirator not a surgical mask A gown when theres a possibility of contamination of clothing N-95 Hands must always thoroughly washed before and after caring for the client |
**KNOW THIS What is the standard treatment to take for 2 months for TB | Isoniazid rifampin ethambutol and pyrazinamide |
After 2 months - 4 months meds for TB | fewer meds and watch for up to 9 months |
**KNOW this Re: the hospitalized patient with TB When are they no longer considered infectious | After the infected indiv has received TB meds for 2-3 weeks greatly reduced When the results of 2 sputum cultures are negative the patient is no longer considered infectious |
What is Epiglottitis | Abacterial form of croup most commonly caused by Haemophilus influenzae Type B or Streptoccocus pneumonia. Usually ages 3 - 7 considered and emergency situation |
Waht are Signs and symptoms of epiglottitis | High fever red or inflammed throat difficult swallowing, drooling, Inspiratory stridor Absence oif cough |
What are the nursng actions for Epiglottitis | Monitor airway status Monitor nasal flaring, and the presence of stridor Do not upset the child NOattempts should be made to look at the throat |
What other nursing actions for Epiglottitis | Administer analagesisc and antipyretics Tyelnol Provide cool mist oxygen therapy Do nothing to upset child until resusicitation equipment nearby |
**KNOW THIS What is laryngotracheobronchitis - CROUP | Inflammation of larynx, trachea, and bronchoi |
**KNOW THIS What are signs and symptoms of laryngotracheobronchitis - CROUP | fever, irritability, restlessness, hoarse voice Seal bark and brassy cough, Inspiratory stridor and laboed respirations |
Name some nursing actions for Laryngotracheobronchitis - CROUP | keep patent airway Prov hum O2 - cool mist tent Avoid cough syrups & cold med. may dry & thick secret Admin bronchodilators to relax smooth muscle & relive stridor admin antibiotics if bacterial admin corticosteroids if ordered for anti inflamm effect |
What is bronchiolitis | An inflammation of the bronchioles that causes production of a thick mucous that occludes bronchiole tubes and small bronchi |
What causes Bronchiolitis | RSV (Respiratory syncytial virus )is a common cause |
What is RSV | While RSV is not airborne it is highly communicable and is usually transferred by the hands |
***KNOW THIS What is the main nursing action for Bronchiolitis | Maintain patent airway Monitor VS Provide cool humidified oxygen Assess for dehydration |
What do you do for the child with RSV | Isolation Don't care for these kids along with other high risk kids Wear gowns when soiling of clothing may occur Ribavirin(Virazole) respiratory med No Vaccine |
What is Cystic Fibrosis | A chronic multisystem disorder affecting Exocrine gland function |
****KNOW THIS How is Cystic Fibrosis transmitted | A person with CF must inherit two defective CF genes - one from each parent it is Heritary |
****KNOW THIS What is the SWEAT TEST | Sweating is stimulated on the child's forearm with pilocarpine, and the amount of sodium and chloride is measured skin taste salty |
How do you prevent Cystic Fibrosis | There is NO WAY to prevent Cystic Fibrosis |
What is the term for bubbling sound through alveole | Crackles |
What part of lung gas is exchanged | Alveoli |
What is the number 1 risk factor for COPD | Cigarette Smoking |
What is pneumectomy | Lung surgery |
What is a common complication of the flu | Pneumonia |
What rate do you set the oxygen for the COPD patient | 1 -2 liters |
Name 2 breathing techniques for the COPD patient | Pursed lips and abdominal breathing |
What does ABG's show | Respiratory status |
what is blue bloaterh with bronchitis | Thick mucous and occ of broc |
Waht position is used for post pneumectomoy | laying down on back slightly 30 degree |
What are the primary muscles of respiratory | intercostals, diapram |
What is risk factor for cancer | Smoking |
How is TB diagnosed | Sputum culture |
What is the # killer of men and women | Lung cancer |
What is the term for bubbling sound through alveole | Crackles |
What part of lung gas is exchanged | Alveoli |
What is the number 1 risk factor for COPD | Cigarette Smoking |
What is pneumectomy | Lung surgery |
What is a common complication of the flu | Pneumonia |
What rate do you set the oxygen for the COPD patient | 1 -2 liters |
Name 2 breathing techniques for the COPD patient | Pursed lips and abdominal breathing |
What does ABG's show | Respiratory status |
what is blue bloaterh with bronchitis | Thick mucous and occ of broc |
Waht position is used for post pneumectomoy | laying down on back slightly 30 degree |
What are the primary muscles of respiratory | intercostals, diapram |
What is risk factor for cancer | Smoking |
How is TB diagnosed | Sputum culture |
What is the # killer of men and women | Lung cancer |