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Nursing Study Guide: Respiratory and Skin Conditions, Study notes of Nursing

notes on various nursing topics

Typology: Study notes

2022/2023

Uploaded on 04/24/2023

jayme-eaton
jayme-eaton 🇺🇸

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49 questions, 61 points
Things for test
**know the 3 stages of inflammation (help answer quite a few questions)
- Stage I (Vascular): change in blood vessels, redness and warmth
- Stage II (cellular exudate): neutrophilia, pus
- Stage III (tissue repair and replacement): WBC trigger new blood vessel and growth and
scar tissue formation
**oxygen and the different percentages
- 21% is room air
**perioperative steps
- Obtain consent
- Baseline vitals
- Med rec
**care for a patient with a tracheostomy (specially when its brand new)
- Infection control, check ABC’s,
**know the different types of oxygen admin masks and cannulas and what they are used for
- Nasal cannula
- Flow rates 1 -6 L/min
- 24-44% O2 concentration
- Simple Face mask
- Delivers O2 up to 40-60%
- Minimum of 5 L/min
- Partial rebreather
- Provides 60-75%
- Flow rate 6-11 L/min
- Non-rebreather mask
- Highest level of O2
- Used for unstable clients who may require intubation
**want to know who would be at risk to develop pressure ulcers, know the risk factors
- Older populations
- In bed for a long time
- Tape on skin (ex: ng tube)
- Anything pressing on the skin
**Know labs (specifically: CBC, what is a normal WBC)
- WBC: 5,000 - 11,000
- Hgb:
- Men: 13.5 - 17.5
- Women: 12 - 16
- Hct:
- Men: 41-53%
- Women: 36-46%
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49 questions, 61 points Things for test **know the 3 stages of inflammation (help answer quite a few questions)

  • Stage I (Vascular): change in blood vessels, redness and warmth
  • Stage II (cellular exudate): neutrophilia, pus
  • Stage III (tissue repair and replacement): WBC trigger new blood vessel and growth and scar tissue formation **oxygen and the different percentages
  • 21% is room air **perioperative steps
  • Obtain consent
  • Baseline vitals
  • Med rec **care for a patient with a tracheostomy (specially when its brand new)
  • Infection control, check ABC’s, **know the different types of oxygen admin masks and cannulas and what they are used for
  • Nasal cannula
  • Flow rates 1 -6 L/min
  • 24-44% O2 concentration
  • Simple Face mask
  • Delivers O2 up to 40-60%
  • Minimum of 5 L/min
  • Partial rebreather
  • Provides 60-75%
  • Flow rate 6-11 L/min
  • Non-rebreather mask
  • Highest level of O
  • Used for unstable clients who may require intubation **want to know who would be at risk to develop pressure ulcers, know the risk factors
  • Older populations
  • In bed for a long time
  • Tape on skin (ex: ng tube)
  • Anything pressing on the skin **Know labs (specifically: CBC, what is a normal WBC)
  • WBC: 5,000 - 11,
  • Hgb:
  • Men: 13.5 - 17.
  • Women: 12 - 16
  • Hct:
  • Men: 41-53%
  • Women: 36-46%
  • Rbc: 4.5 - 5.5 million
  • Platelet: 150,000 - 400, **Know how to read an ABG (bicarb will be obvious)
  • Ph 7.35-7.
  • PaCO2 35-
  • HCO3 21- **Review skin biopsies (know the types of biopsies)
  • Skin biopsy: inject with local anesthesia, shaved area performed on surface lesions, thinly slice or shave the lesion
  • Punch biopsy: hallowed circular blade, remove small cylinder of skin (all layers of skin)
  • Incisional biopsy: used for cancer, deep as is necessary to remove all visibly affected, closed with stitches
  • Wood lamp examination: using the lamp to look at sun damage on the skin, cover their eyes and room must be completely dark, used in trauma situations if piece of metal in their eye
  • Diascopy: usually done by doctor, using a clear piece of plastic to see if skin blanches out or not, scrape it across the wound **Review what to do if you find a wound on somebody

**ABC’s

  • Airway, breathing, circulation **Sleep apnea
  • Obstruction of airway during sleeping
  • Uses cpap to help push air in
  • People stop breathing during sleep **how to care for someone who has psoriasis -what flares it up?
  • How do you treat it? -genetic, smoking, stress -psychosocial **(in reading) laryngectomy, removing larynx, how would you like to communicate
  • Trauma (tracheostomy), before surgery find ways to communicate with patient (patients preferred) **allergic reaction, gave herself epi, go to the hospital because it is short acting

**know how to care for a patient with influenza

  • Seasonal
    • Handwashing
    • Antiviral agents may be effective if started within 24-48 hours of symptoms
  • Pandemic
    • Contact and airborne precautions
    • Early recognition and quarantine **what angioedema is
  • Painless swelling under the skin
  • Sudden from an allergic reaction **different types of hypersensitivity
  • Type I: reaction mediated by IgE antibodies
  • Someone who is exposed to things such as pollen or animal dander
  • Type II: cytotoxic reaction mediated by IgG or IgM antibodies
  • When our body starts attacking itself, random anemias, sickle cell disease
  • Type III: reaction mediated by immune complexes
  • Really big diseases and nasty on the body such as RA and lupus
  • Type IV: delayed reaction mediated by cellular response
  • Antibodies and complement are not involved
  • Local collection of lymphocytes, macrophages cause edema **different stages of a wound
  • Stage 1: non-blanchable skin
  • Stage 2: non-blanchable, small superficial abrasion
  • Stage 3: subcutaneous tissue
  • Stage 4: muscle and bone
  • Unstageable: eschar or slough **care for someone with pneumonia
  • Improve gas exchange (oxygen therapy)
  • Prevent airway obstruction
  • Prevent sepsis
  • Prevent/manage emphysema
  • Education on prevention (immunizations) Look up medications for TB Rifampin: turns urine orange

**math skills (similar to last exam)