NUR 2790 / NUR2790 Professional Nursing III / PN 3 Final Exam Review | Highly Rated Complete Guide | Latest 2021 / 2022 | Rasmussen College
1. RACE
... [Show More] (fire)
- R-rescue
- A-alarm
- C-confine
- E-extinguish/evacuate
2. PASS (fire)
- P-pull
- A-aim
- S-squeeze
- S-sweep
3. ARDS (acute respiratory distress syndrome)
- respiratory insufficiency marked by progressive hypoxia
- decreased pulmonary compliance
- dyspnea
- noncardiac associated pulmonary edema
- glass appearance on Xray
- can result of SEPSIS, PE, or BURN TRAUMA
- PRIORITY= recognize pt at high risk for this syndrome
- vitals = hypotension, tachycardia, dysrhythmias
- INTUBATION or VENT
- *antibiotics used to treat infection underlying
- *fluid therapies (isotonic sln = 0.9% saline, LR, blood products)
- *PRONE OR REPO*
4. hypoxemia
- decreased level of oxygen in the blood
- related to problems of circulation and breathing or circulation
- can result in SOB
5. pulmonary embolism (PE)
- Blocking of a pulmonary artery due to a blood clot
- RX:
- prolonged immobility
- CVC
- surgery
- obesity
- thromboembolism
- smoking
- pregnancy
- estrogen therapy
- HF, stroke, cancer
6. Pulmonary embolism s/s
- dyspnea
- tachypnea
- tachycardia
- increased temp
- anxiety
- sharp chest pain
- crackles pleural friction rub
- S3 and s4 heart sound
- Cough
7. Pulmonary Embolism Treatment
- Heparin and warfarin started and bridge to warfarin lovenox
- INR 2.03.0
- oxygen
- high fowlers
- IV access
- pulse ox
- assess respiratory status every 30 mins
8. Pulmonary embolism lab values
- D-dimer blood test >500
9. thrombophlebitis
- inflammation of a vein associated with a clot formation
- treatment:
- NSAIDS
- heat application
- SCDs legs
- compression socks
10. pulmonary edema
- fluid in the air sacs and bronchioles usually caused by failure of the heart to pump enough blood to and from lungs
- rhonchi = occurs when secretions obstruct the ariways
- COPD, Pneumonia, Cystic fibrosis
11. pulmonary edema s/s
- Severe dyspnea and air hunger
- Cough productive of frothy, blood tinged sputum
- Tachypnea and tachycardia
- Cold, clammy skin
- Cyanosis
- Extreme apprehension
- Confusion, stupor
12. pulmonary edema risk factors
- *Cardiovascular causes*
o Coronary artery disease (CAD), Acute MI
o Left ventricle (LV) failure
o Hypertension
o Heart valve disease
- *Noncardiogenic causes*
o Fluid overload
o Drug overdose
o Postpneumonectomy
o ARDS
o Neurological dysfunction
o High altitude
o Inhalation of toxic gases
13. Pulmonary edema treatment
- Lasix (diuretic)
- morphine [Show Less]