Complex Med Surg- Respiratory Questions With Correct Answers

Epinephrine {Ans: is beta adrenergic stimulator and may cause vasdilation}What can cause an exacerbation in a normally stable COPD patient {Ans: obesity, heart disease, infection, environmental triggers}Pneumothorax {Ans: a partial to complete collapse of the lung due to accumulation of air in the pleural space}FIRST action when removing a chest tube is {Ans: to place an occlusive dressing over the removal site}Causes of loss of base {Ans: diarrhea & pancreatic or small bowel fluid loss}S/S of respiratory failure {Ans: restlessness, decreased LOC, anxious, somnolence, comatose, increased respirations & depth, increased BP & HR, pour skin turgor, weight loss, abdominal distension, N/V and eventually a decrease in HR & BP, chest pain, cardiac arrest}Causes of respiratory alkalosis (hyperventilation) {Ans: hypoxemia, anxiety, fear, pain, fever, stimulants, CNS irritation (central hyperventilation), excessive ventilatory support.}Suctioning procedure {Ans: -15 second passes -suctioning when coming out -hyper oxygenate throughout the procedure -avoid normal saline instillation!!}Asthma exacerbation S/S {Ans: wheezing, dyspnea, chest tightness, use of accessory muscles, nonproductive cough, initial hyperventilation, peak expiratory flow reading <50% of normal values}Barotrauma pathophysiology {Ans: the alevoli rupture or tear which causes air to escape into various parts of the thoracic