Education: Smoking cessation, decrease second hand smoking, vaccinations- due to chemo and radiation
Patho: Bronchial walls are weak and dilated and inflammation leading to pooling secretions
Patho: Damage to cell's DNA from carcinogen that binds to the cell
Management: Maintain O2 and RR, want to ambulate, help patient with coping
Education: Handwashing, fluids, rest
TX: Chemo, radiation, immunotherapy, thoracotomy, pain management, psychological support
Diagnostics: Chest CT, bronchoscopy
TX: fluids, bronchodilators, chest physiotherapy, lots of inhalers
S/S: Tachypneic, crackles & rhonic, retractions, nasal flaring, high fever
Dry persistent cough- could be hemoptysis, wheezing, SOB, pleuritic chest pain, fatigue, weight loss
Often seen in kids less than 2 years old, really highly contact contagious
Diagnostics: Chest x-ray
Patho: Fluid may accumulate in the pleural space. The secretions can be clear or bloody or purulent.
Diagnostics: Chest x-ray, Ct Scan
TX: Thoracentesis, treat underlying cause first, chest x-ray to check for pneumothorax
Management: kinks, vaseline gauze, maintain respiratory status, watch for respiratory changes
S/S: Dull percussion over impacted area, pleuritic pain, can't take a deep breath, dyspnea, low O2
Management: Contact precautions, isolation, airway clearance, clear secretions, percussion