Whittney Shared "OxProfusion" - 16 Picmonics
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OxProfusion
Oxygen Delivery Methods
- Nasal Cannula
- Simple Face Mask
- Non-Rebreather Mask
- Venturi-Mask
- Safety Precautions
- Oxygen In Use Sign
- No Electrical Sparks
- Six Feet Away from Open Flames
- Nursing Considerations
- Dry Nasal and Upper Airway Mucosa
- Skin Irritation
- Home Education
1 min
Hypoxia (Early Symptoms)
- Diaphoresis
- Restlessness
- Tachypnea
- Dyspnea on Exertion
- Tachycardia
- Hypertension
- Arrhythmias
- Decreased Urine Output
- Unexplained Fatigue
1 min
Hypoxia (Late Symptoms)
- Cyanosis
- Cool, Clammy Skin
- Use of Accessory Muscles
- Retractions
- Hypotension
- Arrhythmias
2 mins
Lung Sounds - Pleural Friction Rub
- Location
- Anterior Lateral Lung
- Description
- Dry, Rubbing, or Squeaking
- Sounds Like
- Rubbing a Balloon with Finger
- Cause
- Inflamed Pleura
50 secs
Pleural Effusion
- Excess fluid accumulation
- Treatment
- thoracentesis
- Types
- Transudate
- Congestive Heart Failure
- Nephrotic Syndrome
- Cirrhosis
- Exudate
- Malignancy
- Pneumonia
- Collagen vascular disease
- Trauma
- Lymphatic (Chylothorax)
- Thoracic duct injury
- Increased Triglycerides
Pleural Effusion - Character and Odor of Fluid
- Pus = Empyema
- Viscous = Mesothelioma
- Debris = Rheumatoid Pleurisy
- Turbid = Inflammatory Exudate or Lipid Effusion
- Anchovy Paste = Amebic Liver Abscess
- Putrid Odor = Anaerobic Empyema
- Ammonia Odor = Urinothorax
Causes of exudative pulmonary effusion
- Connective Tissue Disorders
- Infection
- Autoimmune disorder
- Neoplasms
- Pulmonary Embolism (PE)
Flail Chest
- Cause/Mechanism
- Trauma
- Assessment
- Shallow Respirations
- Chest Pain
- Paradoxical Chest Movement
- Interventions
- Mechanical Ventilation
- Analgesics
- Intercostal Nerve Blocks
- Considerations
- Surgical Rib Fixation
- Monitor Pulmonary Contusion
2 mins
Chest Tubes: Management and Care
- Confirm suction order
- Assessment
- Crepitus
- Kinking
- Shortness of Breath (SOB)
- Infection
- Excessive bubbling
- Quick Interventions
- If tube dislodges from patient, use petroleum gauze taped 3 ways
- If drainage system is damaged, place disconnected drainage tube in sterile water
1 min
Do NOT Miss Differential for Chest Pain
- Pulmonary embolism
- Pericarditis / Myocarditis
- Pneumonia
- Esophageal Rupture (Boerhaave's syndrome)_
- Tension pneumothorax
- Tuberculosis
- Tumor
- Myocardial Infarction
- Mediastinitis
- Aortic Dissection
- aortic stenosis
- Anemia
- Acute Chest syndrome (sickle cell anemia)
- Cardiac Tamponade
- Spinal cord compression
- Initial Workup
- EKG
- Chest X-ray
Pneumothorax
- Mechanism
- Air Enters Pleural Space
- Assessment
- Sudden Dyspnea
- Absent or Restricted Movement on Affected Side
- Decreased or Absent Breath Sounds on Affected Side
- Chest Pain
- Tracheal Deviation
- Vital Sign Changes
- Crepitus
- Considerations
- High Fowler's Position With Oxygen
- Prepare For Chest Tube Placement
- Educate High Risk Patients
2 mins
Lung Cancer Assessment
- 2nd Most Common Cancer
- Assessment
- Chronic Cough
- Hoarseness
- Abnormal Breath Sounds
- Hemoptysis
- Chest Pain
- Anorexia or Weight Loss
- Considerations
- Symptoms Appear Late in Disease
2 mins
Restrictive vs. Obstructive Lung Diseases
- Restrictive Lung Disease
- Decreased Lung Volume
- FEV1/FVC Ratio Normal to Increased
- Obstructive Lung Disease
- Increased Lung Volume
- Decreased FEV1/FVC Ratio
2 mins
Lung Sounds - Crackles
- Location
- Lower Lobes
- Description
- Fine/Coarse
- Sounds Like
- Fine: Twisting Hair through Fingers
- Coarse: Velcro
- Cause
- Collapsed Small Airways and Alveoli "Popping Open"
1 min
Lung Sounds - Rhonchi
- Location
- Trachea and Bronchi
- Description
- Low Pitched Rumbling
- Sounds Like
- Gurgling
- Cause
- Narrowed Airway
- Secretions or Bronchospasm
49 secs
Lung Sounds - Wheezes
- Location
- Throughout Lung
- Description
- High Pitched
- Sounds Like
- Musical
- Cause
- Air Moving through Narrowed Airways
38 secs
