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Med Surge - Respiratory - Chapter27

AB
ARD - acute respiratory distresscondition that occurs following other clinical conditions
When ARD occurs - examplesaspiration drowning transfusion smoke inhalation shock trauma
ARD can lead to ____ and ____R failure and death
ARDS onset and s/s8-48 hrs - R shallowed, cyanosis anxiety restlesness confusion drowsy
ARDS Dxevidence of ARF, x-ray, no sign HF
ARDs treatmentmaintain airway, mechanical vent, adequate nutrition
asthma causesincreased airway obstruct, bronchospasm, broncho constriction, inflamm edema
asthma s/ssob cough thick sputum WHEEZE
asthma during attackincreased work to breath, suffocation, classic sitting position
atelectasiscollapse of alveoli
COPD at great risk foratelectasis
chronic bronchitis complicationschronic cough, hypersecretions of mucus and infection
chronic bronchitis formsplugs - which causes infection and tissue death
chronic bronchitis can causeR sided heart failure
why R sided HF w/bronchitisheart not getting blood, so heart beats faster 2 get ox
why chest tubesto remove air/fluid and to re-expand lungs
chest tube may cease islung re-expand, tube gets clogged (milk), wall suction malfunction, kink
chest tube should have ___ ___ bubblessmall intermittent
if excessive bubbles, check forleaks
if transporting pt w/chest tube, keepbelow check level
fractured ribs they breathopposite of normal,



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