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Med Surge - Respiratory - Chapter 26 - (copy)

AB
rhinitis spread byinhalation and direct contact
rhinitis treatmentrest, lots fluid, saline gargles and nasal spray
sinusitis treatmentsaline irrigation vasoconstrictors
sinusitis dxnasal smear
repeated swallowing is a sign ofpossible hemorrhage
pharyngitis isthroat infection - strep most common
tonsillectomy and adenoidectomy teachingsliquid & soft diet, no spicy or rough texture foods, no milk
laryngitis isedema - vocal cords - sore throat, dry cough
persistent hoarsness is a signlaryngeal cancer
peritonsillar abscessdifficult pain when swallowing, ear pain
epistaxis isnose bleed
epistaxis treatmentpressure nares 5-10, ice head tiled slightly forward to keep blood in throat - don't swallow
nasal obstructiondeviated septum, nasal polyps, hypertrophied turbinates
nasal obstruction teachingprepare edema, discolor eyes, nose,
nasal obstruction do notsbend over, blow nose, heavy lifting, asa, boose smoke
fracture of nose, check forclear liquid drainage - halo test - ceberal fluid
laryngeal trauma usually caused bymva - serious life threatening -
laryngeal trauma treatmaintain airway, heimlic maneuver, intubatin, tracheostomy
sleep apnea causesobstruction, CNS, misc.
sleep apnea most common inolder obese men who often have htn - greater risk for CVA, MI
sleep apnea - s/sawake suddenly - usually w/loud snort, loud snoring
other s/s for sleep apnearestless sleep, no energy, irritability, mood changes, no sex drive
sleep apnea treatmentsleep study, loose we, no smoke boose, DPAP, BIPAP
laryngeal cancer s/shoarsness, pain when talking, bad breath, burning of throat w/hot or citrus drinks
esophageal speech isburping speech
trachoeosophageal puncture (TEP) iscover stoma w/finger to talk
tracheotomysurgical opening in trachea - tube inserted
common trachcuffed trach - inflated w/air to fit snug
suctioning trachsterile, pre ox pt 1-2 minutes, 10 secs slowly w/draw and roatate - allow pt to rest
nursing trachlung sounds, change position 2 HRS, ORAL Care



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