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Chapter 20
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Alveoli Asthma Bronchi Bronchiectasis Bronchitis Chest percussion Chronic obstructive pulmonary disease COPD Emphysema Expiration Hemoptysis
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Inspiration Lungs Multi-drug-resistant TB MDR-TB Oxygen therapy Pneumonia Respiration Sputum Trachea Tuberculosis
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Dyspnea Apnea Trachea Epiglottis Pharynx Larynx Nostrils Pleura Diaphragm
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http://www.youtube.com/watch?v=Hat0_VDQ ACA http://www.youtube.com/watch?v=Hat0_VDQ ACA
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Listen to your lungs Count your patient respirations for 1 min
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Right main bronchus is wider and straighter than left one, so inhaled subjects usually get stacked in a right bronchus. Bronchoscopy is required to remove an object: https://www.youtube.com/watch?v=FWcftjjCnE4 https://www.youtube.com/watch?v=FWcftjjCnE4 Prevention – toilet paper roll rule: No object which can pass the toilet roll opening should be accessible to kids younger than 4 years old.
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1. COPD – chronic obstructive pulmonary Disease 2. CXR – chest X-ray 3. TB – tuberculosis 4. Lung Ca – lung cancer 5. RR – respirations rate 6. O 2 SAT – oxygen saturation 7. SOB – shortness of breath 8. PNA - pneumonia
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Chronic incurable condition of difficulty breathing due to obstruction of the airways Causes – smoking, living and working in polluted areas, chronic bronchitis http://www.youtube.com/watch?v=aktIMBQS XMo http://www.youtube.com/watch?v=aktIMBQS XMo Patient http://www.youtube.com/watch?v=TJvmdKiG fRk&feature=relmfu http://www.youtube.com/watch?v=TJvmdKiG fRk&feature=relmfu
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Pierced-lip breathingSitting position http://www.spiriva.co m/living-with- copd/breathing- exercises.html http://www.spiriva.co m/living-with- copd/breathing- exercises.html
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A resident suffers from chronic obstructive pulmonary disorder (COPD). Which of the following can the nursing assistant expect as a result of this? A. The NA can expect to adjust the resident’s oxygen level periodically. B. The NA can expect that the resident will be anxious about not being able to breathe. C. The NA can expect that with proper treatment, the resident’s COPD will be reversed. D. The NA can expect that the resident’s ability to walk will decline.
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Swelling of air passages due to allergic reaction to irritants – dust, smells, pollen, cold air, etc. http://www.youtube.com/watch?v=7EDo9pUYvPE http://www.youtube.com/watch?v=7EDo9pUYvPE Inhaler - http://www.youtube.com/watch?v=51Zjwcx7Zbs http://www.youtube.com/watch?v=51Zjwcx7Zbs Nebulizer - http://www.youtube.com/watch?v=svG5S2wn4x Q http://www.youtube.com/watch?v=svG5S2wn4x Q Advair Disc Powder - http://www.youtube.com/watch?v=g3Vvz0dvpCg &feature=related http://www.youtube.com/watch?v=g3Vvz0dvpCg &feature=related
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Inflammation of the lungs http://www.youtube.com/watch?v=cWQ14x1 URXo&feature=related http://www.youtube.com/watch?v=cWQ14x1 URXo&feature=related
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One room houses both a healthy resident and a resident who has pneumonia. Which of the following is an infection prevention example for Link 3 (portal of exit) in the chain of infection? A. The healthy resident should get a vaccine to prevent getting pneumonia. B. The sick resident should cover his nose and mouth when sneezing. C. The sick resident should get a vaccine to prevent transmitting pneumonia. D. The healthy resident should keep his bedside table and overbed table clean and dry.
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http://www.youtube.com/watch?v=u7o93nm gp1E&feature=related http://www.youtube.com/watch?v=u7o93nm gp1E&feature=related
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http://www.youtube.com/watch?v=VHN5zPa w96w http://www.youtube.com/watch?v=VHN5zPa w96w
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http://www.youtube.com/watch?v=tBUjR5HD qNs&feature=related http://www.youtube.com/watch?v=tBUjR5HD qNs&feature=related Three things to remember for the Nursing Assistant: 1. Never adjust oxygen flow yourself 2. never allow open flames or smoking around the oxygen – oxygen feeds fire 3. Check for pressure wounds behind the ears in patients with chronic oxygen use
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Which container does it go in? http://www.youtube.com/watch?v=ojr yi1uzOmI
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. A resident in subacute care is lying in bed and suddenly becomes short of breath. Which of the following is the best response by the nursing assistant? A. The nursing assistant should place the resident in the semi-Fowler’s position. B. The nursing assistant should place a pad or towel under the resident’s chin. C. The nursing assistant should begin deep breathing exercises. D. The nursing assistant should notify the nurse immediately.
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1. What acts like a lid to shut off the larynx during the swallowing process? 2. Where voice cords are located? 3. what is the primary function of the larynx? 4. What is respiration? Inspiration? Expiration? 5. What is the best position for the patient with COPD? 6. What is not allowable around the oxygen?
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