MDC III Exam 2 1. Head and neck cancer s/s - Lumps in mouth, throat, and neck Difficulty swallowing Color changes in mouth or tongue Oral lesions that do not heal in 2 weeks Persistent, unilateral ear pain Persistent oral bleeding Numbness of mouth, lips, or face Change in fit of dentures 2. Laryngectomy post op care - Airway maintenance, wound care, hemorrhage, pain management, speech therapy 3. Laryngectomy - surgical removal of the larynx (voice box) 4. Causes of nose and sinus cancer - Exposure to wood dust, leather, flour, nickel, chromium, mustard gas, radium 5. What may indicate skull fracture - CSF leakage 6. Surgical management for nose fracture - Closed reduction, rhinoplasty, or nasoseptoplasty 7. Epistaxis emergency s/s - Posterior nasal bleeding 8. Epistaxis patient care - Humidification, oxygen, bedrest, antibiotics, pain meds 9. Facial trauma s/s - Stridor, SOB, anxiety, hypoxia, decreased O2 saturation, cyanosis, LOC 10. Le Fort fracture I - Nasoethmoid complex fracture 11. Le Fort fracture II - Maxillary and nasoethmoid complex fracture 12. Le Fort fracture III - Combination of I & II plus orbital-zygoma fracture; often called craniofacial disjunction 13. How long does an episode of apnea occur in sleep apnea? - 10 seconds to greater than 1 minute 14. Sleep apnea risk factors - Obesity, oropharyngeal edema, hypothyroidism, short neck, enlarged tonsils, smoking, alcohol, sedative use 15. Sleep apnea complications - HTN, stroke, cognitive deficits, weight gain, DM, pulm disease, CV disease, daytime sleepiness, inability to concentrate 16. Sleep apnea s/s - Waking up tired, loud snoring, morning headache, daytime somnolence, irritability, personality changes 17. Sleep apnea diagnostic testing - ABG, TSH levels, sleep study 18. What can cause airflow blockage in the nose, mouth, pharynx, or larynx - Trauma, masses, burns, foreign bodies 19. Asthma - Intermittent and reversible airflow obstruction affecting airways only, not alveoli 20. Asthma s/s - Wheezing, increased RR, increased cough, use of accessory muscles, "barrel chest", long breathing cycle cyanosis, hypoxemia