Ati Pn Comprehensive Exam #2: Studyguide-2023

lOMoARcPSD|22696389ATI PN COMPREHENSIVE EXAM #2: STUDY GUIDE-2023 ASTHMA Characterized by exacerbations of acute airway inammation Airway obstruction occurs d/t bronchoconstriction, mucous, or inammation whenexposed to a trigger Clinical Manifestations: High-pitched, wheezing lung sounds Cough SOB Chest tightness Worsens at night or when triggers are present Medications: Short Acting= Albuterol, Proventil, Ventolin Long Acting= Serevent Corticosteroids= Serevent, Advair Education: Avoid triggers Stop/avoid smoking Teach which inhaler is rescue Exacerbation Interventions: Give short-acting beta agonist IV corticosteroids depending on severity O2 via nasal cannula High-fowlers position Calm atmosphere Questions: If a pt. is having an asthma attack how would you expect it to affect their VS? At rst RR increased then decreased as attack progresses Tachycardia >120lOMoARcPSD|22696389Decreased BP 1 If you give a pt. Albuterol, what type of side effects would you expect to see? Increased HR Tremors What are rescue medications for Asthma? Short-acting beta agonists (Albuterol) EPITAXIS Nose bleed - d/t trauma, allergies, drug use Most frequent ED complaint Interventions & Treatment: Anterior portion of nose = apply direct pressure for 5-10 while leaning forward Apply silver nitrate Apply lidocaine/ep with cotton pledge for 5-10 minutes Nasal packing for 2-5 days Educate on prevention - Vaseline, humidierslOMoARcPSD|226963892 COPDlOMoARcPSD|22696389ATI PN COMPREHENSIVE