NUR 218 Exam 2 Purdue Questions with Latest Update
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Course
Nur 218
Institution
Nur 218
Objective Data - Answer-What you observe
- Vital signs
- Inspect nose, mouth, neck, thorax, etc.
- Auscultate
Subjective Data - Answer-What is said, interviews
- Past health history
- Medications
- Surgeries/Other treatments
Major muscle of respiration - Answer-Diaphragm
Examples of ...
High Flow Nasal Cannula - Answer-- Run up to 15 L
- Utilize humidity
- Enhanced faceplate
Venturi Mask - Answer-- Correct Liter Flows
- Many different designs
- No humidity
Non-rebreather mask - Answer-- Not for chronic lung patients w/ chronic CO2 retention
- No humidity
- Valve system
- Keep bag inflated at all times
- Usually run at 10-15 LPM
OxyMask - Answer-- Use when nasal packing, mouth breather, patient's request,
bronchoscopy
- Uses no humidity
Heated High Flow Nasal Cannula - Answer-- Heated high flow oxygen
- High flows meet total respiratory demand
- Flushes out exhaled air
- Patient rebreathes less CO2
- Used for patient with increased work breathing (asthma, COPD, pneumonia, CHF)
- Heated flow
, - Audible alarms
Hand Held Nebulizers - Answer-- Administer bronchodilators to help with reducing lung
infections to reduce cough to help with shortness of breath
- Side Effects:
- Increased Heart Rate
- Shakiness, Dry Mouth, Muscle Cramps
- Nervous Tension, Headaches
Pep-Therapy (EZPAP) - Answer-- Expands the lungs
- Prevention and treatment of atelectasis
- Easily connects to flowmeter
- Utilizes mouthpiece of mask
Incentive Spirometry - Answer-- Hyperinflation therapy
- Prevents/treats atelectasis
- Proper instruction is important
Capnography - Answer-A noninvasive method for monitoring the level of carbon dioxide
in exhaled breath to assess a patient's ventilatory status
Opiates - Answer-causes brain to be unaware of accumulating levels of CO2 and under
stimulate the lungs (Hypoventilation)
CPAP - Answer-Constant Positive Airway Pressure
- obstructive sleep apnea
- constant pressure to keep airways open to help with oxygenation
BiPAP - Answer-Bilevel Positive Airway Pressure
- Uses 2 pressures (Inspiratory and Expiratory Pressure)
- Provides assistance with ventilation and oxygenation
- "Blows off" CO2
- Improves oxygenation
- Treats hypercapneic respiratory failure
General Survey of Patient - Answer-- Age
- Race
- Sex and gender orientation
- Clothing
- Hygiene and grooming
- Affect and mood
- Safety
- Speech
- Gait
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