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Ch. Suctioning.
1) Identify at least three hazards and complications of suctioning that are unique to the nasotracheal route.
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- Describe the care of a patient with a nasogastric (NG) tube.Explain the pathophysiology tension pneomothorax and support the clinical presentation of decreased air entry and hyperinflation of the right chest wall in a patient who was stabbed to the right anterior chest.a. Explain why the anteroposterior diameter of thechest is increased in a patient with emphysema.b. Explain why hypercapnia may be a majorproblem in patients with emphysema.c. Explain how each of the following develops inpatients with emphysema: (1) cor pulmonale,(2) secondary polycythemia.
- Discuss the provisionsal diagnosis of tension pneomothorax verses pericardial temponadeA 6-year-old child with asthma presents to the emergency room with wheezing and shortness of breath. Explain assessment of the child and initiation of treatment.Determine the signs of interstitial lung disease based on Inspection, palpation, percussion and auscultation.
- a. Describe the effects of a large openpneumothorax on respiratory function and oncardiovascular function.b. Explain how covering an open pneumothoraximproves oxygen levels.c. Explain a possible cause of increasedrespiratory distress following the covering of anopen pneumothorax.A 5-month-old girl is brought to the emer- gency department by her parents because she is “turning blue." She is cyanotic, weak, and dyspneic. Her parents state that she has expe- rienced similar episodes in the past, but never this severe. Physical examination reveals the lungs are clear to auscultation, with no wheez- ing, rales, or rhonchi. Cardiac examination reveals a regular rate and rhythm, normal S1, single S2, a grade III rough systolic murmur at the left sternal border in the third intercos- tal space, and a palpable right ventricular lift. Echocardiography demonstrates unusual posi- tioning of the aorta, which overrides both the left and right ventricles in the long axis view. In this condition, the primary developmental defect occurs in which portion of the primitive heart? (A) Bulbus cordis (B) Conal septum (C) Left and right horns of the sinus venosus (D) Primitive atria (E) Primitive ventriclea. List three factors predisposing to aspiration.b. Describe the potential effects of aspiratingvomitus