ch 22 MGT PTS UPPER RESP DISORDER
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| APHONIA | impaired ability to use one's voice due to disease or injury to larynx
🗑
|
||||
| APNEA | cessation of breathing
🗑
|
||||
| dysphaGia | difficulties SWALLOWING
🗑
|
||||
| EPISTAXIS | nose bleed / nasal blood vessel hemorrhage
🗑
|
||||
| MEDICAMENTOSA | rebound nasal congestion commonly assoc. w. overuse of OTC nasal decongestants
🗑
|
||||
| NUCHAL RIGIDITY | neck stiffness / inability to bend neck
🗑
|
||||
| RHINITIS | inflammation of nasal mucus membranes
may be: infectious, allergic, or inflammatory in origin
Acute - Chronic
🗑
|
||||
| RHINORRHEA | large amount of nasal drainage
🗑
|
||||
| RHINOSINUSITIS | 'SINUSITIS' inflammation of nares and/or paranasal sinuses
🗑
|
||||
| XEROSTOMIA | DRYNESS of the MOUTH
from a variety of causes
🗑
|
||||
| URI | upper airway infection / Upper Respiratory tract Infection
common cold = most common
average = adult, 2-4/yr
🗑
|
||||
| most common reasons for missing school/work and seeking health care... | URI
🗑
|
||||
| Common INDOOR allergens: | dust mite (feces)
dog/cat dander
cockroach droppings
molds
🗑
|
||||
| Common OUTDOOR allergens: | Tree pollen
Weeds
Grasses
Molds
🗑
|
||||
| URI special condsiderations in ELDERLY: | -more serious w. other conditions
-influenza exacerbates COPD
-use antihistamines cautiously (SE & Rx-Rx)
-Laryngitis common in elderly, 2ndary to GERD
🗑
|
||||
| CRS | CHRONIC RHINOSINUSITIS
chronic sinusitis
(benefit-endoscopic sinus surgery)
🗑
|
||||
| S/S RHINITIS: | rhinorrhea, nasal congestion, sneezing, pruritis of nose, mouth, throat, eyes, ears, headache
🗑
|
||||
| Rx for Rhinitis (allergic/non-allergic)= symptom relief: | Antihistamines
Antihistamine/Decongestant
Corticosteroids
Oral / Nasal spray
🗑
|
||||
| RN Mgt/Care Allergic Rhinitis: | -avoid allergens
-Rx education & read OTC @ Rx-Rx
-Saline spray to sooth membranes
-proper nasal spray admin (p520)
🗑
|
||||
| RN Mgt/Care Infectious Rhinitis: | -same as allergic +
-teach hand hygiene
-encourage yearly flu vaccine
🗑
|
||||
| COMMON NAME FOR VIRAL RHINITIS | COMMON COLD
🗑
|
||||
| 3 MOST COMMON TIMES VIRAL RHINITIS EPIDEMICS: | -September / start of school (fall)
-late January (winter)
-late April (spring)
🗑
|
||||
| S/S VIRAL RHINITIS: | -low grade fever
-all symptoms of 'allergies'
-cough
-herpes simplex (cold sores) in some pts
🗑
|
||||
| RN Mgt of Viral Rhinitis: | -fluid intake -rest -prevention of chills -expectorants PRN -warm salt water for throat -NSAID's for pain/fever -antihistamines -teach hand hygiene & breaking infection chain
🗑
|
||||
| ABRS AVRS | Acute Bacterial RhinoSinusitis
Acute Viral RhinoSinusitis
🗑
|
||||
| Patients with NG or NASOTRACHEAL tubes are at risk for developing... | NG OR NT tubes = risk for
SINUS INFECTION
Remove tube as soon as permitable
🗑
|
||||
| RN mgt of Acute Rhinosinusitis | -promote sinus drainage, humidifier, warm compresses, decongestants
-avoid swimming, diving, air travel
-correct admin of nasal spray
-Rx for pain
-complete antibiotic regimen
🗑
|
||||
| GABHS / GAS common name... | Strep throat (bacterial/streptococcal)
🗑
|
||||
| most Acute Pharyngitis cause is... | viral: adenovirus, influenza, epstein-barr, herpes simplex
🗑
|
||||
| RSAT = | RAPID STREPTOCOCCAL ANTIGEN TEST
🗑
|
||||
| S/S ACUTE PHARYNGITIS | -Sore throat
-Fiery red pharyngeal membrane
-Swollen tonsils/pillars
-Fever w/o chills
-nausea / vomiting
-headache
🗑
|
||||
| RX for Acute Pharyngitis Viral / Bacterial | Viral - treat sysmptoms - resolves itself 5-10 days
Bacterial - oral Penicillin V potassium X 5days OR Azithromycin 3-10 days
🗑
|
||||
| RN mgt Acute Pharyngitis | -bed rest while fever
-teach hygiene
-assess for Rash
-warm saline or saltwater gargles
-mouth care
-complete antibiotic therapy
-replace toothbrush
🗑
|
||||
| Trismus | inability to open mouth
🗑
|
||||
| odynophagia | severe sensation of burning squeezing pain while swallowing
🗑
|
||||
| otalgia | pain in the ear
🗑
|
||||
| Peritonsillar Abscess "quinsy" | most common major suppurative complication of sore throat. May develop after tonsilitis. Can progress to life threatening state.
🗑
|
||||
| s/s peritonsillar abscess | -appears acutely ill
-sore throat, fever, trismus, drooling, dysphagia, otalgia, rancid breath
-purulent tonsil, eyrthema oropharynx
🗑
|
||||
| Med treatment of peritonsillar abscess: | -antibiotics/corticosteroids
-needle aspiration or incision & draining
🗑
|
||||
| RN mgt peritonsillar abscess: | -surgical prep/support
-assists with topical anesthetics
-throat irrigations/ gargles
-encourage cool fluids
-recovery/discharge instructions
🗑
|
||||
| Laryngitis | inflammation of the larynx
assoc. with GERD sometimes
May be viral, bacterial, or occupational
🗑
|
||||
| aphonia | complete loss of voice
🗑
|
||||
| s/s laryngitis | -hoarseness, aphonia, severe cough
-may be sudden onset, worse by cold/wind
-worse in morning or evening
-tickle in throat
🗑
|
||||
| Treatment of laryngitis: | if bacterial = antibiotics
resting voice/throat
eliminating irritants (smoking, etc)
🗑
|
||||
| RN mgt of laryngitis: | -instruct pt to rest voice
-use humidifier
-encourage fluids (expectorant if indicated)
-resolves 7-10 days
🗑
|
||||
| RN intervention to maintain patent airway with URI | -increase fluids = thin mucus
-room vaporizor
-encourage position for drainage
🗑
|
||||
| RN intervention to promote comfort/reduce pain with URI | -encourage analgesics as prescribed
-hot packs relieve congestion & promote drainage
-warm water gargles relieve throat
-promote good hygiene
🗑
|
||||
| Complications of URI: | -Sepsis
-Meningitis
-brain abscess (from severe peritonsillar abscess)
-otitis media & rhinosinusitis
🗑
|
||||
| S/S of Obstructive Sleep Apnea (OSA) | -excessive daytime sleepiness
-frequent nocturnal wakening
-insomnia / loud snoring
-morning headaches
-personality changes / irritability
-systemic hypertension
-dysrhythmias / polycythemia / enuresis
🗑
|
||||
| CPAP BiPAP | CONTINUOUS POSITIVE AIRWAY PRESSURE
BILEVEL POSITIVE AIRWAY PRESSURE
🗑
|
||||
| CPAP is used to prevent... | airway collapse, thereby preventing apnea
🗑
|
||||
| RN mgt of OSA | -educate pt @ condition and risk of untreated OSA
-encourage, eval therapy adherence
🗑
|
||||
| Most common body fracture? | Nasal fracture is the most common facial and body fracture
🗑
|
||||
| Dextrostick 'dipstick' | used to verify leakage of CSF
🗑
|
||||
| 1/2 of all head and neck cancers are what type/location? | Larynx cancer / squamous cell carcinoma
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
rtcdavis
Popular Nursing sets