J Borrero 209 NUR240.ppt

* * * Agents: doxycycline, minocycline, or bleomycin * * D * C * B * C * D * B * B * B,E,F * SVC- swelling in neck and face, dyspnea and coughing due to occlusion of SVC by tumor SCC- may have back pain and tenderness that feels worse when lying on back and a tingling sensation in the back or legs Loss of tone may be due to tumor spread to the spine and spinal cord * * CXR- initial ID of tumor BT- direct visualization of tumor, allows for bx and specimen collection * PET- radioisotope technology to create 3D pictures of body. Inject radioactive glucose- cancer cells use glucose more frequently, greater concentration of glucose found in tumor cells * * * * * Vein sclerosis/pain- use CVAD * BRONCHODILATORS: * Types: external beam: intraluminal (implants), brachytherapy (through hollow caths * * * Segmental- a segment- a bronchiole and its alveoli is removed. Lung overextends to fill space Wedge- small area of diseased lung is removed. * Encourage verbalization of feelings * R/T ventilation/perfusion imbalance * * * Pleurl effusion- fluid in peural space Remember- intrathoracic pressure is negative Pneumothorax Hemothorax Pleural space- potential space between the parietal pleura ( inner lining of thoraci cavity) and the visceral pleura ( the outer lining of the lung) * Heimlich valve- when pt exhales, air exiting the chest creates positive pressure, opening the valve and lets air escape. Does not collect fluid * * * Assess for SQ emphysema, increased/bloody drainage. Report paradoxical chest movement and tracheal deviation No clamping of CT * * Documentation- drainage, fluctuatuations, VS, dsg status, amt suction, level of comfort If drainage unit is brojken : place end of CT into sterile h2o to create water seal until new set up is ready * * Apply pressure with anything- palm of hand, sheet 3, When sterile dsg is available * * * * * NCLEX TIME Which of the following findings in the client after lung reduction surgery would require an immediate intervention? A.Pain on