READING: Pre-class Assignment: Ignatavicius and Workman C. 27 (p. 556-564), C. 29 p.
586-610); McCance and Huether C. 36 (p. 1174-1177, p. 1194-1197); Burchum-review all
respiratory medications
Critical Respiratory Problems/Ventilators/Chest Trauma
Lung Cancer
1. Risk factors:
signs/symptoms:
treatment:
2. Describe the following operative procedures (thoracotomy) and implications for
postoperative nursing care related
Thoracotomy:
Lobectomy:
Segmental Resection:
Wedge Resection:
Pneumonectomy:
3. Chest Tubes
Complications:
Proper Nursing care of patients:
4. Compare the function and care of each chamber of the chest tube drainage system.
Drainage collection:
Water seal:
Suction Chamber:
Wet system:
Dry system:
5. Discharge Plan Post-chest surgery
6. Pulmonary Emboli
Etiology:
Clinical manifestations:
Medical and Nursing interventions:
Avoiding:
7. Ensure safe administration of anticoagulants, fibrinolytic or antiplatelet therapy
8. Describe the Acute Respiratory Failure
Types:
Causes:
Clinical manifestations:
9. Describe the nursing management of a patient in Acute Respiratory Failure
10. ABG interpretation/treatment of imbalances
11. Acute Respiratory Distress Syndrome (ARDS).
Causes:
Management:
Pathophysiology:
12. Endotracheal intubation
Purpose:
Complications:
Nasotracheal intubation
Purpose:
Complications:
Orotracheal intubation
Purpose:
Complications:
Tracheostomy
Purpose:
Complications:
13. Ventilator Settings
14. Mechanical ventilation
Management:
15. Rib fractures
Clinical manifestations:
Care:
Pulmonary contusion
Clinical manifestations:
Care:
Flail chest
Clinical manifestations:
Care:
Pneumothorax
Clinical manifestations:
Care:
Hemothorax
Clinical manifestations:
Care:
Tension pneumothorax
Clinical manifestations:
Care:
16. Plan of care for traumatic injury to the thorax
READING: Pre-class Assignment: Ignatavicius and Workman C. 11 (p. 216-217), C. 23 (p.
460-469); McCance and Huether C. 47 (p. 1518-1524), C. 49 (p. 1559-1567).
Traumatic Disorders Frostbite and Hypothermia
1. Frost Bite
Risk Factors:
Signs/symptoms:
Management:
Prevention:
Hypothermia
Risk Factors:
Signs/symptoms:
Management:
Prevention:
Skin Cancer
Actinic keratosis
Prevention:
Malignant Skin Disorders
Incidence:
Mortality:
Risk factors:
Pathophysiology:
Etiology:
Surgery/Pre-Post Op:
Squamous cell carcinoma
Prevention:
Early detection/Warnings:
Incidence:
Mortality:
Risk factors:
Pathophysiology:
Etiology:
Surgery/Pre-Post Op:
Early detection/Warnings:
Basal cell carcinoma
Prevention:
Early detection/Warnings:
Incidence:
Mortality:
Risk factors:
Pathophysiology:
Etiology:
Surgery/Pre-Post Op:
Malignant melanoma
Prevention:
Early detection/Warnings:
Incidence:
Mortality:
Risk factors:
Pathophysiology:
Etiology:
Surgery/Pre-Post Op:
Traumatic Disorders Burns
1. Identify factors that influence recovery in a burn injured patients
2. Discuss different mechanisms of burns and the impact to the patient.
3. Calculate the size of burn utilizing various assessment tools (e.g. Rules of Nines, Lund
and Brower)
4. First Degree burn
Involved structure:
Clinical Appearance:
Healing:
Second Degree burn
Involved structure:
Clinical Appearance:
Healing:
Third Degree burn
Involved structure:
Clinical Appearance:
Healing:
Fourth Degree burn
Involved structure:
Clinical Appearance:
Healing:
5. Describe the three phases that burn patients undergo and the priority care of each phase.
6. Effects of major burns on systems throughout the resuscitation phase.
Cardiovascular system:
Respiratory system:
Renal system:
Gastrointestinal system:
7. Calculate fluid resuscitation for a burn injury patient utilizing the Parkland formula.
8. Utilize the nursing process to formulate a plan of care for a patient with a burn injury.
9. Care of the patient Burn Treatment
Mechanical Debridement:
Surgical Debridement:
Skin Grafting:
10. Burn injury treatments (dressings, ointments)
11. Describe the role of the nurse in meeting the emotional and spiritual needs of the burn
patient and the family.