NUR 265 EXAM 2 RESPIRATORY

PULMONARY EMBOLISM - blood clot that gets caught in the lungs PE R/F - DVT immobility estrogen therapy increased age large bone fracture obesity PE TX - heparin coumadin (starting day 2) tPA to dissolve massive clot PE SX - sudden onset dyspnea decreased O2 cyanosis tachycardia respiratory alkalosis sense of impending doom apprehension s3 or s4 sounds petechiae over chest pleural friction rub PE PREVENTION - range of motion exercise ambulate post op ASAP SCD hose compression stockings increase physical activity fluids prevent pressure in lower extremities (avoid crossing legs, restrictive clothing, placing pillows beneath knees) reposition Q2H smoking cessation anticoagulation and antiplatelet therapy avoid massaging legsFLAIL CHEST - two or more fractured ribs or ribs that have separated from the cartilage FLAIL CHEST SX - paradoxical chest movement SOB dyspnea cyanosis tachycardia hypotension anxiety increased work of breathing