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CA Lung (Nursing management/ intervention (Breathing problem (high fowler…

- - - - not urging them to quit smoking but rather discuss the pros & cons of smoking with them
  - - - NS (mild antibacterial agent): cheap, readily available, 1 teaspoon with 1L water
      - thymol gargle (1:3), generally non irritating
      - NASID (Difflam): anti-inflammatory & analgesic effect; cause oral numbness & dryness, altered sense of taste, used for radiation mucositis
      - NSAID (aspirin gargle):anti-inflammatory & analgesic effect; crush the tab and dissolve in water; x for GI haemorrhage patient
      - *Coagulation factor-> transamine (tranaxemic acid 300/250mg): open capsule-> dissolved the power in 10ml water -> hold in mouthfor at least 2 min -> then swallow
- - - - PaCO2 -> 4.6-6.0 kpa/ 35-45 mmhg
      - PaO2 -> 11-13.5 kpa/ 80-100 mmhg
    - - FEV1 (35-70% -> mild to moderate ventilatory impairment)
      - FEV1 (<35%) -> severe impairment
- - - - when being diagnosed, usually already at late stage -> best treat with chemo (x surgery)
      - Round to oval shape
      - highly malignant, infiltrate widely
      - rarely resectable
      - highly associated with cigarette smoking
  - - - closely related to smoking
      - diagnosed by cytology of sputum
      - originated in central bronchi -> hemoptysis
    - - less association to smoking
      - located either in bronchiolar/ alveolar tissue
    - - constitute a group of neoplasm
      - poor prognosis
      - occur in the periphery of lung