Linda S. Williams / Paula D. Hopper Copyright © F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 30 Nursing Care of Patients with Upper Respiratory Disorders

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Epistaxis  Causes  Trauma  Hypertension  Hemophilia  Medications

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Interventions  Positioning  Direct Pressure  Ice  Nasal Packing  Nasal Balloon Catheter  Vasoconstrictive Agent  Electrocautery

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nasal Packing

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nasal Polyps  Usually Benign  Occur More Often with Allergies  Treatment  Control Allergies  Surgery  Avoid Aspirin Post-op

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Deviated Septum  Symptoms  Stuffy Nose  Blocked Sinus Drainage  Headaches  Treatment  Nasoseptoplasty

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Care Post Nasoseptoplasty  Monitor Vital Signs/Bleeding  Report Excess Swallowing  Monitor Dressing  Teach  Avoid Activities that Increase Pressure  Avoid Aspirin

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Sinusitis  Inflammation of Sinus Mucosa  Bacterial  Allergic  Signs and Symptoms  Pain Over Affected Sinus  Fever  Nasal Discharge

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Interventions  Saline Irrigation Corticosteroids  Decongestants  Hot Packs  Acetaminophen/ Ibuprofen  Humidification  Oral Fluids  Positioning  Antibiotics  Surgical Drainage

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Infectious Disorders  Rhinitis  Pharyngitis  Laryngitis  Tonsillitis

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Prevention of Influenza  Yearly Vaccination  At-risk Individuals  Health-care Workers  Handwashing  Avoidance of Infected People

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Influenza  Signs and Symptoms  Fever  Chills  Myalgia  Sore Throat  Cough  Malaise  Headache  Therapeutic Interventions  Acetaminophen  Avoid Aspirin  Antiviral Agents  Rest  Fluids

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition New Viruses  Bird Flu  SARS  Swine Flu (H1N1)  West Nile

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Diagnoses: Upper Respiratory Infection  Impaired Comfort  Hyperthermia  Risk for Infection: Transmission to Others

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Cancer of the Larynx  Pathophysiology  Primary Tumor of Mucosal Epithelium  Metastasizes to Lungs, Liver, Lymph Nodes  Etiology  Associated with Smoking, Alcohol  More Common in Men

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Signs and Symptoms  Hoarseness  Change in Voice  Pain  Dyspnea  Cough  Dysphagia  Airway Obstruction

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Diagnosis  Laryngoscopy  CT  MRI

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Therapeutic Interventions  Radiation  Chemotherapy  Laryngectomy

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Postoperative Nursing Diagnoses  Ineffective Airway Clearance  Acute Pain  Impaired Verbal Communication  Imbalanced Nutrition  Impaired Swallowing  Grieving  Disturbed Body Image

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Speech