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Respiratory System
Respiratory
89
Other
Not Applicable
05/05/2014

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Term
Best time to collect a sputum specimen is:
Definition
morning
Term
Signs and symptoms of sinusitis
Definition
-Headache
-Sinus tenderness
-Congestion
-Nasal drainage
Term
More prone to chronic sinusitis
Definition
smokers and users of nasal sprays
Term
Diagnostic tests for sinusitis
Definition
-x-rays, ct scans, mri
-wbc count
Term
Sinusitis can be a complication of:
Definition
-URI
-Tooth infection
-Allergies
-Pneumonia
-measles
Term
Inflammation of 1 or more sinus cavaties (which narrows or blocks passages)
Definition
sinusitis
Term
Influenza transmitted by
Definition
droplet/ direct contact
Term
Acute URI caused by viruses
Definition
influenza
Term
To reduce severity of influenza symptoms
Definition
-Zanamivir (Relenza)
- oseltamivir ( Tamiflu)
Term
Signs and symptoms influenza
Definition
-Rapid onset
-Rhinorrhea
-Copious nasal drainage
-cough
-sore throat
-fever-chills-neuroglia
Term
Incubation for influenza is
Definition
18-72 hours
Term
To reduce transmission of influenza after exposure
Definition
rimantadine (flumadine)
amantadine (symmetrei)
Term
_______ is the spasmodic obstruction of the airway caused by endotracheal intubation, aspiration, chemical irritation, hypocalcemia
Definition
Laryngospasm
Term
Nose fracture as a result of trauma or sports injury
Definition
Nasal trauma
Term
Nasal trauma classified as
Definition
Bilateral, unilateral, complex
Term
Tears in the mucous membrane may cause
Definition
-Epistaxis
-Ecchymosis of the eyes
-Bony crepitus
-Septal hematoma
Term
____ results from ruptures of small blood vessels of sputum
Definition
epistaxis
Term
Give ______ and ________ for influenza
Definition
analgesics and antitussives
Term
How to diagnose influenza
Definition
H and P
WBC Count
Term
Pharyngitis may be
Definition
-Viral (flu)
-Bacterial (strep)
- Fungal (candidiasis)
Term
Treat pharyngitis with
Definition
-Analgesics
-Antipyretics
-Penicillin
Term
Inflammation of the palatine tonsils (May include adenoids)
Definition
tonsilitis
Term
Tonsilitis may occur as a ______ infection, but is most commonly related to a ______ infection
Definition
viral

streptoococal
Term
Signs and symptoms tonsilitis
Definition
-Extreme sore throat
- Difficulty swallowing
-High fever
-Tachycardia
-otalgia
Term
Laryngitis is ______ or ________
Definition
viral or bacterial
Term
signs and symptoms laryngitis
Definition
-mild hoarsness
-Aphonia
-sore/scratchy throat
-dry cough
-decreased appetite
Term
A potentially life threatening inflammation of the epiglotis
Definition
epiglottitis
Term
most common cause of epiglottitis
Definition
Haemophilius influenza type b
Term
In epliglottitis if the surround tissue swells the epliglottis may be pushed back causing _______,_______, and _________
Definition
dyspnea, drooling, stridor
Term
Txn for epiglottitis
Definition
-Nasotracheal intubation
- antibiotic therapy
- corticosteroid to reduce inflammation
Term
what can cause an airway obstruction?
Definition
aspiration, trauma, anaphylaxis, laryngospasm
Term
Because the nasal cavity has an extensive blood supply, following nasal surgery there is a risk of
Definition
hemorrhage
Term
Signs and symptoms pulmonary embolism
Definition
Severe pain and sudden dyspnea, cyanosis, tachycardia, restlessness and shock
Term
Diagnostic measures for pulmonary hypertension
Definition
H and P
CBC
X-ray
ECG
Ct scan
Term
Collaborative care for pulmonary hypertension
Definition
-Diuretics
-Anticoagulants
-Vasodialotor
-Prostacylin agents
-O2
-Lung/ heart transplant
Term
Pulmonary Hypertension
Definition
Pressures in pulmonary arteries above 30 mm HG systolic or a map above 15 mm HG
Term
Signs and symptoms pulmonary hypertension
Definition
Dyspnea and fatigue, crackles and diminished breath sounds, tachypnea and cyanosis
Term
Supportive care for pulmonary hypertension
Definition
low- sodium diet
diuretics
02
cardiac monitoring
fowlers or high fowlers
Term
Chest trauma
Definition
Minor or life threatening, partial or complete disruption of respiratory or cardiac function
Term
Pulmonary contusions
Definition
Chest wall abruptly compressed: alveoli and pulmonary arteries rupture. Inflammation and edema impairing surfactant production. 12- 24 hours after injury. Chest pain, dyspnea, anxiety
Term
Fractures
Definition
Blunt and/or penetration, primary sign- inspiratory pain
-Risk for pneumonia
-Bruising, crepitus, diminished breath sounds
Term
Flail chest
Definition
-several ribs are fractured (4th-9th most common)
-Paroxysmal breathing- affected side depressed on inspiration and expands with expiration
Term
Treatment for chest trauma
Definition
-Pain control
-Intercostal nerve blocks
Flail: intubation, ventilation
Term
Diagnosti measures for intubation injuries
Definition
-ABG measurements
- Chest x-rays
- Bronchoscopy
Term
Acute bronchitis
Definition
Inflammation of the mucous membranes that line major bronchi and their branches
Term
Signs and symptoms bronchitis
Definition
-Fever
-Malaise
-Dry cough
-non-productive cough
-mucopurulent sputum
-blood sputum
Term
Treatment for bronchitis
Definition
Antipyretics
Expercorants
Antitussives, Antibiotics
Analgesics
Term
Pneumonia
Definition
Inflammation of bronchioles and alveoli, usually acute but can be from aspiration, radiation, chemical ingestion, or inhalation
Term
Pneumonia is classified according to
Definition
etiology and presenting symptoms
Term
Typical pneumonia
Definition
bacterial
Term
Atypical pneumonia
Definition
mycoplasmas, legionella, viruses, and fungus
Term
How can you get pneumonia?
Definition
-Organisms reach alveoli by droplets
-Aspiration from upper airway
-Seeding from bloodstream
Term
In pneumonia, when organisms reach alveoli inflammation is intense. Exudate is produced which
Definition
impairs gas exchange
Term
In pneumonia, capallaries become engorged and cause
Definition
alveolar collapse
Term
In pneumonia, WBC's move into area and fill interstial spaces, causing consolidation. Hypoxemia results which leads to _________
Definition
increased Co2 in the blood
(which stimulates more rapid and shallow breathing)
Term
Symptoms of bacterial pneumonia
Definition
high fever (sudden onset)
chils
productive cough
pain in chest walls
malaise
rust colored sputum
Term
Viral pneumonia
Definition
Most common (type A)
Term
Causes of viral pneumonia
Definition
-Damage to lung mucosa with treatment for lung or breast cancer
-Inhalation of kerosene
-Inhalation of foreign body or gastric contents
Term
Sisgns and symptoms of viral pneumonia
Definition
-Sputum more copious
-chills less common
-pulse and respiration slow
-less severe
- weak and ill longer
Term
Signs and symptoms RSV
Definition
-Nasal stuffiness and fever
-frequent, deep cough
-Dyspnea
-Wheezes, crackles, diminished breath sounds
Term
Treatment for RSV
Definition
-Special precautions in hospital
-IV fluids
-Humidified
-O2
-meds to open airway
-Decrease inflammation
Term
Drugs for RSV
Definition
-Antipyretic
-Bronchodilator therapy
-Corticosteroids
-
Term
ARDS may result from
Definition
-head injury
-shock
-infection
-drug overdose
-trauma
Term
Pathophysiology for ARDS
Definition
-Body responds to injury by reducing blood flow to lungs --platelet clumping (clots)
-Platelets release substances causing localized inflammation of alveolar membranes
-Fluid enters alveoli- pulmonary edema
-Alveoli collapse- gas exchange decreases
-Decreased surfactant production
Term
Signs and symptoms ARDS
Definition
lungs are stiff- hard to inspire
-Difficulty picking up O2
-Lowered gas exchange
Hypoxia
-lungs may even hemorrhage
Term
ARDS progresses to
Definition
Increased respiratory rate, shallow labored breathing, cyanosis, use of accessory muscles, Alkalosis from hyperventilation
Term
Hyperventilation
Definition
alkalosis
Term
Hypoventilation
Definition
acidosis
Term
Treatment for ARDS
Definition
-Nitric oxide inhalants
-Surfactant
-NSAIDS
-Corticosteroids
-Vasopressers
-Diuretics
Term
Pleurisy/ Pleuritis
Definition
Inflammation of parietal and visceral pleurae

May develop with TB, lung cancer, cardiac and renal disease
Term
Pleural effusion
Definition
Develop when excess fluid accumulates in the pleural space
Term
Signs and symptoms pleurisy
Definition
-Shallow respirations
-Onset abrupt
-Sever pain made worse with deep breathing, coughing, or movement
-Decreased ventilation can result in atelectatosis
Term
Signs and symptomrs pleural effusion
Definition
fever
pleuritic pain
dyspnea
Term
Causes of pleural effusion
Definition
-Tb
-Pneumonia
-Lung Cancer
-PE
-CHF
Term
Treatment for pleural effusion
Definition
-Eliminate cause
-Antibiotics
-Analgesics
-Cardiotonic drugs (CHF)
-Thoracentesis
Surgery (lung cancer)
Term
Causes of lung abscess
Definition
-Aspiration pneumonia (most common)
-Tumor
-AIDS
-Inhalation of dust
-Poor oral hygiene
Term
Signs and symptoms lung abscess
Definition
-Chills and fever
-Malaise
-Anorexia and weight loss
-Pleuritic chest pain
-Productive cough
-Finger clubbing
-Blood sputum- purulent w/ odor
Term
Pulmonary tuberculosis
Definition
chronic, recurrent infectous disease caused by mycobacterium tuburculosis
Term
Signs and symptoms tuberculosis
Definition
-Chronic cough
-night sweats
-hemoptysis
-fatigue
-anorexia
-weight loss
-low grade fever
Term
asthma
Definition
chronic, inflammatory condition in which inflammation causes temporary airway obstruction
Term
3 componets to airflow obstruction
Definition
-Broncho constriction
-Inflammation and edema
-Increased mucous production
Term
Two types of asthma
Definition
Extrinsic and Intrinsic
Term
Extrinsic
Definition
triggered by agents outside the body
Term
Intrinsic
Definition
no known etiology
may be proceeded by viral or bacterial infection
Term
Chronic bronchitis
Definition
-overweight and cyanotic
- elevated hemoglobin
-peripheral edema
-wheezing
Term
Emphysema
Definition
-older and thin
-severe dyspnea
-quiet chest
- hyperinflation with flattened diaphragms
Term
cystic fibrosis
Definition
autosomal recessive disorder of exocrine glands; defective chloride ion and water transport occurs across membrane of cells that secrete mucous, causing thick tenacious mucous
Term
Goal for cystic fibrosis
Definition
-Maintain patent airway
-O2 and CPT
-Antibiotics
-Pancrease with food
-Multi vitamin
-Fat soluable vitamin supplement
-Increase protein, calories and sodium
Term
Definition
facial bruising
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