Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Ed., Hinkle & Cheever |  Registered Nurse (RN) School Study Aid
Asthma Assessment
- Triggers (Cold air, Dander, Dust, Infection, Mold, Pollen, Smoke)
 - Shortness of Breath (SOB)
 - Tachypnea and Tachycardia
 - Wheezing
 - Diaphoresis
 - Accessory Muscles
 - Decreased Pulmonary Function Tests
 
Asthma Implementation and Education
- Oxygen
 - Corticosteroids
 - Ipratropium (Anticholinergic)
 - Albuterol
 - Inhaler/nebulizer
 - Pulse Oximetry
 - Pursed Lip Breathing
 - Carry Inhaler
 - Rinse Mouth after Inhaler
 - Identify Trigger (Cold Air, Dander, Dust, Infection, Mold, Pollen, Smoke)
 
Chronic Bronchitis Assessment
- Chronic Productive Cough
 - > 3 Months for 2 Years
 - Increased Mucus Production
 - Dyspnea
 - Cyanosis
 - Wheezes
 - Right Side Heart Failure
 - Jugular Venous Distention (JVD)
 - Peripheral Edema
 
Chronic Bronchitis Interventions
- Tripod Position
 - Humidified Oxygen
 - Pursed Lip Breathing
 - Increase Fluid Intake
 - ABGs
 - Early Detection of Exacerbation
 - Lowest O2 Therapy
 - Assisted Ventilation
 - Increased Infection Risk
 
COPD Overview (Chronic Obstructive Pulmonary Disease Overview)
- Inhaled Toxins
 - Smoking
 - AAT Deficiency
 - Emphysema
 - Chronic Bronchitis
 - Asthma
 - Spirometry
 - Slow Progression
 
Cystic Fibrosis Assessment
- Thickened Mucus
 - Recurrent Pulmonary Infections
 - Pulmonary Congestion
 - Pancreatic Insufficiency
 - Steatorrhea
 - Fat-Soluble Vitamin Deficiencies
 - Salty Taste to Skin
 - Meconium Ileus
 - Delayed Growth and Poor Weight Gain
 
Cystic Fibrosis Interventions
- Bronchodilators
 - N-Acetylcysteine (Mucolytics)
 - Inhaled Hypertonic Saline
 - Early Antibiotics
 - Dornase Alfa (Mucolytic Agent)
 - Postural Drainage with Percussion
 - Fat Soluble Vitamin Supplements
 - Pancreatic Enzymes with Every Meal
 - High Protein, High Calorie Diet
 - Added Dietary Salt
 - Glucose Monitoring
 
Emphysema
- Hyperinflation and Loss of Elasticity
 - Pursed Lip Breathing
 - Barrel Chest
 - Dyspnea on Exertion
 - Clubbing
 - Depression and Anxiety
 - Thin Appearance
 - CO2 Retention
 - Low Concentration of O2
 - High Fowler's Position
 - High Calorie, High Protein Diet
 
Prednisone (Glucocorticoids)
- Glucocorticoid
 - Inflammatory Conditions
 - Organ Transplant Rejection
 - Cataracts and Glaucoma
 - Cushing's Syndrome
 - Osteoporosis
 - Immunosuppression
 - Hyperglycemia
 - Ulcers
 - Adrenal Insufficiency
 - Taper Gradually
 
Albuterol (Proventil)
- Short-Acting Beta-2 Agonist
 - Bronchospasm
 - Asthma
 - Angina
 - Tachycardia
 - Tremor
 
Cromolyn (Mast Cell Stabilizers)
- Mast Cell Stabilizer
 - Asthma Prophylaxis
 - Bronchial Inflammation
 - Allergic Rhinitis
 - Cough
 - Bronchospasm
 - Fixed Schedule Administration
 
Montelukast (Singulair)
- Leukotriene Receptor Blocker
 - Allergic Rhinitis
 - Asthma Prophylaxis
 - Exercise Induced Bronchospasm
 - Fatigue
 - Headache
 - Mood Changes
 - Suicidal Thoughts
 - Increased Risk of Churg Strauss
 
Theophylline (Theo-24)
- Bronchial Smooth Muscle Relaxation
 - Asthma
 - Insomnia
 - Restlessness
 - Arrhythmias
 - Seizures
 - Narrow Therapeutic Range
 - Monitor Plasma Levels
 
Beta-2 Agonists
- Short-Term Treatment
 - Terbutaline
 - Asthma
 - Tocolysis
 - Albuterol
 - Asthma
 - Long-Term Treatment
 - Salmeterol
 - Asthma
 - Chronic Obstructive Pulmonary Disease (COPD)