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Mantoux Test

Test which indicates exposure to TB with a positive result - does not diagnose active TB

acid-fast bacillus, 3

The __________ _________ sputum culture diagnosis and confirms TB infection. Specimen obtained each morning for ___ days.

48-72

Mantoux test must be read within ___ - _____ hours for accuracy

10, 5

When reading the Mantoux test, an induration of ___ or greater (or ___ or greater in immunosuppressed pts) is considered positive

gag reflex

After a bronchoscopy, client must remain NPO until ____ _____ returns

4, 70

In patients with emphysema, O2 flow rate must be no higher than ____ L or ___% delivery

emphysema

Destruction of alveoli, narrowing of bronchioles, and trapping of air resulting in loss of lung elasticity "pink puffer"

Chronic bronchitis

Excessive mucus secretion within the airways and recurrent cough "blue bloater"

Asthma

Condition of abnormal bronchial hyper-reactivity to certain triggers

Asthma

Epinephrine hydrochloride (Adrenalin) and aminophylline (Theophylline) are used to treat _________

40

% O2 delivered via nasal cannula

60

% O2 delivered via mask

100

% O2 delivered via rebreather mask

O2

Due to chronic retention of CO2, the brain uses low ___ levels to determine breathing (causing high levels to cause respiratory arrest)

Tension

Type of pneumothorax causing mediastinal shift (all major organs and vessels in chest cavity) due to build-up of pressure

open

type of pneumothorax resulting from trauma such as a gunshot or stab wound to the chest cavity

Air, fluid

During a thoracentesis to treat a pneumothorax, a tube is inserted in the upper chest for evacuation of ___ and in the lower chest for evacuation of _____

suction control

This chamber of a chest tube system should be continuously bubbling at a "gentle roll"

water seal

Tidaling may be observed with respirations in this chest tube system chamber - may not occur if lung has fully expanded

water seal, chest

Continuous bubbling in the __________ chamber of a chest tube system indicates a leak. Start at the tubing closest to the _____.

sterile water

If chest tube is disconnected from the water seal, place the end in ______ _______ until the system can be replaced

Rifampin

TB med which can cause GI distress, shock, acute renal failure, thrombocytopenia, and discoloration of body fluids

Isoniazid

TB med which can cause peripheral neuritis (without vitamin B6), increases liver enzymes, increases sz in clients with sz do, and has tyramine toxicity

2-3

TB patients are considered noninfectious after _______ weeks of continuous medication therapy

6-12

TB patients must take medication therapy for __-___months, even if all tests are within normal limits

pneumonectomy

Chest tubes are required for all lung surgeries except a _______________ to prevent mediastinal shift

Chest physiotherapy

Percussion and vibration of thorax to loosen secretions in the affected areas of the lung using cupped hands (CPT)

morning, 1, 2

Perform CPT or PD in the ___________ and __ hour before meals or __hours after meals

Pulmonary toilet

T,C&DB; CPT; incentive spirometry; and ambulation are all part of _____________

bronchodilators

Respiratory meds that can stimulate the sympathetic system and have anti-cholinergic effects (e.g. Albuterol, Ipratropium, Terbutalilne, Salmeterol)

last

Administer steroids ________ when administering inhalers

15

Apply suctioning for a maximum of _________ seconds

cardiac dysrhythmia

Suctioning can cause hypoxia, bronchospasm, infection, and _________ __________

48

Atelectasis, hypostatic pneumonia, hypoxia, nausea, shock, and wound hemorrhage occur within ____ hours postoperatively

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