Adult Health: Lower Respiratory
Terms in this set (12)
small cell carcinoma
Liver, Brain, Bones, Lymph nodes, Adrenal glands.
Rapid Growth, Most Maligant, Early Metastasis, Endo disorders, poor prognosis.
Reqiures Chemo & Radiation
Types of Pneumothorax
Open, Closed, Tension, and Chylothorax (leak).
Elevated pulmonary pressures resulting from an increase in pulmonary vascular resistance to blood flow. Beta Blockers, Leak in heart, lung issue
2 types Primary & Secondary
Start with DVT in legs. Blockage of pulmonary arteries by a thrombus (clot), fat or air embolus, or tumor tissue. Traid Position
Risk factors: pregnant, Smoking, Heart Surgery, 16-28 women taking birth control.
Health promotion: pt lays in a folwers or semi folwers.
Acute intervention: Heparin PTT or ATT and Warfin PT/INR, Lovaox.
Ambulatory and home care
Primary Pulmonary Hypertension
Severe and progressive disease
Unknown, rare & potentially fatal disease.
Edema in lungs. Dyspnea on exertion. Monitor Vital signs on exertion.
Tx: Calcium Channel Blocks
Diagnostic: EKG, X-Ray. Monitor Lung Sounds
Secondary Pulmonary Hypertension
Occurs when a primary disease causes a chronic increase in pulmonary artery pressures: find cause will go away. Right ventiules (small leak).
Find the cause, it will go away.
Right Ventiules leak
Enlargement of the right ventricle secondary to diseases of the lung, thorax, or pulmonary circulation.
Something wrong with the lungs.
SOB, Edema in extermities, Distend neck veins (GVD)
tension pneumothorax nurse findings
The nurse should recognize that deviation of the trachea to the unaffected side results from free air filling the chest cavity, causing the lung to collapse and forcing the trachea to deviate to the unaffected side. Persistent cough
Develops slow, Hemoptysis (Coughing Blood) Foul Smell, Foul Taste, Night Sweats, Weight Loss, Dyspena
Chronic, Brochopleural Fistula, Bronchiectesis, Emphysema, Brain
Test Needed: CXR, CT, PET Scan, Sputum Sample, Pleural Fluid & Blood Cultures, CBC
Non-Small Cell Lung Cancer
Squamous cell carcinoma: Early S/S, Slow Growing
Adenocarcinoma: Common in non-smokers
Large cell carcinoma: Rapid Growing, Highly Metastatic
Hemothroax or Chylothanx
Small: Mild Tachy, Dyspnea,
Large: Respiratory Distress, Rapid Respirations, Dyspena, O2 desaturation, Cough
Fx of 2 or more ribs in 2 or more separate location.
Pradoxiacal Attack (clot)
No Tx, CXR
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