Shared Flashcard Set

Details

Medsurg
Respiratory
10
Nursing
Undergraduate 2
04/15/2010

Additional Nursing Flashcards

 


 

Cards

Term
Rhinitis
Definition

Most common URI

 

Inflammation of the nasal cavities and nasopharyngeal areas

 

Acute (common cold)

Chronic (allergic hay fever)

Term
Viral rhinitis
Definition

"Common cold"

 

Self limited, afebrile

 

Spread by droplet during sneezing & coughing or direct contact

 

Highly contagious - virus is shed 2 days before S/Sx appear & several days into symptomatic phase

 

Acute local inflammatory response

 

Swelling of mucous membranes or nasal passages

 

Immunity produced only to individual virus

Term
Manifestations of common cold
Definition

Nasal congestion

Profuse nasal discharge (coryza)

Sneezing

Coughing

Sore Throat

Low grade fever

Chills

HA

Malaise

Muscle aches

Can exacerbate Herpes Simplex virus in some poeple causing cold sores

Term
Common cold medications - antihistamines
Definition

Focus on symptom relief

 

Dries respiratory secretions via anticholinergic effect

 

Assess contraindications: asthma, lower respiratory disease (aggravated by drying secretions), glaucoma, decreased GI motility, BPH, urinary problems, heart disease

 

Teaching:

- Do not drive if using sedating rx

- Notify MD for confusion, chest tightness, wheezing, bleeding

- Do not drink alcohol

- Suck on hard candy or ice chips for dry mouth

Term
Common cold medications - decongestants
Definition

Relieve nasal obstruction due to edema & inflammation via vasoconstriction

 

Avoid in clients w/ HTN, DM, thyroid disease, pregnant

 

Evaluate for med interatctions: MAOIs & HTN meds

 

Teaching:

- Use nasal sprays <3 days

- Increase fluids

- May cause nervousness, shakiness or difficulty sleeping

Term
Common cold medications - nasal sprays
Definition

Teach to avoid excessive use

 

Rhinitis medicmentosoe - rebound effect from overuse of OTC nasal spray

 

Corticosteroid - reduce severe congestion, inhibits inflammatory response

Nursing - do not abruptly stop taking

Teach - begin 2 weeks before pollen season (not immediate response)

Term
Common cold medications - ophthalmic agents
Definition
Relieve itching, irritation, redness of eyes
Term
Sinusitis
Definition

Sinuses become congested when drainage obstructed

 

Can follow URI from viral or allergic rhinitis

 

Most resolve spontaneously, life threatening if untreated

 

Types:

Acute - rapid onset, purulent drainage

Subacute - persistant purulent drainage for 3 months or less despite Tx

Chronic - Symptoms lasting longer than 3 months

Term
Sinusitis diagnostics
Definition

Nasal endoscopy

Sinus X-rays

MRI sinus

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