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upper resp disorders
linton
78
Nursing
Undergraduate 1
02/13/2023

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Term
inflammation of the sinuses, most often the maxillary and frontal sinuses
Definition
sinusitis
Term
sinusitis may be caused by
Definition
bacteria, virus or a fungus
Term
follows obstruction of the lfow of scretions from the sinus
Definition
acute sinusitis
Term
causes of acute sinusitis
Definition
allergic rhinits, deviated septum, nasal plyps, tumor,s airborne polluntats and inhaled drugs
Term
permanent thickening of the mucous membranes in the sinuses after repeated infections
Definition
chronic sinusitis
Term
s&s of sinusitis
Definition
pain or feeling of heaviness over affected sinus, purulent drainage from nose, pain may seem like a toothe ache with maxillary processes
Term
potential complications of sinusitis
Definition
meningitis, brain abscess, osteomylitis, orbital cellulitis
Term
initial treatment of sinusitis may focus on
Definition
symptoms management
Term
medications for sinusitis may include decongestants to _______ intranasal corticosteriods to ________ and analgesics to ____
Definition
promote drainage, decrease inflmmation, relieve pain
Term
antibiotics for acute sinusitis is usually prescribed for ____ and for chronic _____
Definition
10-14 days, 4 to 6 wks
Term
underlying problems r/t sinusitis that might need surgery include
Definition
polyps, deviated septum, hypertrophy of turbinates
Term
most common surger used for sinusitis that is not responsive to medical treatment
Definition
functional endoscopic sinus surgery
Term
complications of FESS,
Definition
nasal bleeding and scaring, csf leakage and injury to the optic nerve
Term
after fess pt can return to work in
Definition
4 to 5 days
Term
swollen masses of sinus or nasal mucosa and connective tissue that extend to the nasal passage
Definition
nasal polyps
Term
alergic rhinitis is also called
Definition
hay fever
Term
allergic rhinitis is classified as
Definition
intermitten or persistent
Term
allergic rhinitis is considered persisten when symptoms are present for more that
Definition
4 days a week for more than 4 weeks per year
Term
flows exposure to a substance that causes an allerig response
Definition
allergic rhinits
Term
an allergic response is a reaction to release of chemicals including histamine that cause
Definition
vasodilation and increased capillary permeability
Term
most often caused by exposure to pollens
Definition
itermittent allergic rhinitis
Term
s&S of allergic rhinitis
Definition
sneezing watery and itchy eyes, nasal obstruction, clear nasal discharge, frontal headache
Term
drugs used to treat allergic rhinitis
Definition
intranasal corticosteroids, oral/intranasal antihistamines
Term
acute viral coryza
Definition
common cold
Term
acute viral coryza is spread by
Definition
droplet infection
Term
s&s of common cold
Definition
fever fatigue nasal discarge and sore throat
Term
common cold usually runs its course in apporx
Definition
1 wk
Term
complications of common cold
Definition
otitis media, sinusitis, bronchitis, pneumonia
Term
drug therapy for a cold
Definition
antihistamines, decongestants, antitussives and antipyretics
Term
antibiotics are not affective against infections caused by
Definition
viruses
Term
people with colds are most contagious during the first ______ after symptoms appear
Definition
2 or 3
Term
risk factors of tumor in the nose
Definition
smoking, male, infected with human paillomavirus and certain occupations
Term
two major complications of submucosal resection
Definition
tears of the septum and saddle deformity
Term
causes of nosebleeds
Definition
trauma, hypertension, low humidity, allergies, upper resp infections, foreign bodies, chemical irritants, overuse of decongestant nasal sprays, nasal surgery and tumors
Term
when epistaxis occurs pt should sit down and
Definition
lean forward
Term
once epistaxis bleeding stops advise pt not to blow nose for several hours because this may
Definition
trigger renewed bleeding
Term
complications r/t packing and ballons
Definition
imparied breathing, infection and blockage of the eustachian tube
Term
inflammation of the mucous membranes of the throat or pharynx
Definition
parygitis
Term
pharyngitis can be
Definition
viral, bacterial or fungal
Term
fungla infections can develop with prologned
Definition
antibiotic use or inhaled corticosteroids
Term
s&s of pharyngitis
Definition
dryness, pain, dyspagia
Term
with pharygitis the throat appear ___ and tonsils may be
Definition
red, enlarged
Term
compared with viral pharyngitis, bacterial pharyngitis has a more abrubt ____ and is characterized by
Definition
onset. fever, enlarged lymph nodes, tonsillar exudat, absence of cough
Term
pharygitis is treated with
Definition
rest, fluids, analgesics and throat gargles or irrigations
Term
the treatment of choice for pharngitis
Definition
penicillin
Term
penicillin for pharyngitis is given for ____ to prevent complication of ____ fever
Definition
10 days, rheumatic
Term
inflammation of the tonsils and other lympatic tissue in the throat
Definition
tonsilitis
Term
tonsilitis is usually caused by a ____ but can be caused by _____
Definition
virus, bacteria
Term
to reduce the risk of pharygitis people with weakened resistance should avoid others with ______ infections
Definition
upper resp
Term
s&s of tonsillitis
Definition
sore throat, difficulty swalllowing, fever, bad breath, chills
Term
if swollen tissue blocks the eustachian tubes because of tonsillitis pain may be felt in the
Definition
ears
Term
the medical treatment of tonsillitis depends on the
Definition
cause
Term
may develop with streptococcla tonsilitis
Definition
peritonsillar abscess
Term
an infection of the tissue surroundign the tonsil
Definition
peritonsillar abscess
Term
a pt may suggest tosillitis when a pt is diagnosed with strept throat
Definition
7 or more times in a year
Term
the osa pt is often
Definition
irritable and sleepy
Term
may occur with osa
Definition
hypertension and cardiac dysrhythmias
Term
inflammation of the larynx
Definition
larygitis
Term
factors that lead to laryngitis
Definition
upper resp infections, voice strain, smoking, alcohol ingestion, gastroesophageal reflux diseas, inhalation of irritating fumes
Term
chronic laryngitis is caused by prolonged
Definition
exposure to irritants
Term
symptoms of laryngitis
Definition
hoarseness, cough and scratchy or painful throat
Term
absence of sound production
Definition
aphoria
Term
an important aspect of treatment for chronic laryngitis is
Definition
removal of the irritant
Term
benign masses of fibrous tissue that result primarily from voeruse of the voice, but also can follow infections
Definition
laryngeal nodules
Term
swollen mass of mucous membrane attached to the vocal cord
Definition
laryngeal polyps
Term
causes of laryngeal plyps
Definition
excessive talking, singing or irritation
Term
factors believed to predispose laryngeal cancer
Definition
epxosrue to smoke or other noxious fumes, alcohol consumption, vocal strain, chronic larygitis
Term
early symptoms of cancer of the true vocal cords
Definition
persistent hoarseness, sore throat and ear pain
Term
later signs of laryngeal cancer
Definition
hemomptysis, difficulty swallowoing/breathing
Term
late signs of laryngeal cancer
Definition
pain and anorexia
Term
a larngectomy can ve
Definition
total or partial
Term
the voice can be preserved with
Definition
hemilaryngectomy or supraglottic larygectomy
Term
causes permanent loss of natural voice
Definition
total larygectomy
Term
radical neck dissection is the excision of the
Definition
sternocledomastoid musckle, jugular vein, sub maxillary salivary gland and surrounding soft tissue
Term
a modified radical neck dissection spares the
Definition
internal jugualr vein, major cervical lyphatic vessels, sympathetic, vagus and sminal accessory nerves
Term
a total laryngectomy involves removal of the entire
Definition
larynx, vocal cords and epilogttis as well as supportive tissues
Term
complications of total laryngectom with radical neck dissection include
Definition
salivary fistula, carotid artery rupture, tracheal stenosis
Term
s&S of aspiration pneumonia
Definition
increased pulse and resp rates, dyspnea, cough, crackles and rhonchi, fever, wheezing and frothy pink sputum
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