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acute lower resp disorders
Linton
68
Nursing
Undergraduate 1
02/13/2023

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Cards

Term
inflammation of the bronchi in the lower respiratory tract
Definition
bronchitis
Term
most acute bronchial infections ar3e viral in origin following a ______
Definition
viral infection
Term
sypmtoms of acute bronchitis
Definition
cough, sputum production, fatigue, dyspnea on exertion, wheezing or rhonchi
Term
other symptoms of bronchitis are similar to upper resp tract infections uch as
Definition
nasal congestion, runny nose, sore throat
Term
agents that may reduce acute cough include antitussive angents such as ____ or expectorant _____
Definition
dexthromethorphan or ________ guafenisen
Term
routine antibiotic treatment for uncomplicated acute bronchitis is
Definition
not recommended
Term
an acute resp infection caused by influenza viruses
Definition
flue
Term
types of influenza viruses
Definition
a b c d
Term
cause seasonal epidemics of disease almost every winter
Definition
influenza a and b
Term
most virulent of the flu viruses and can infect both humans and animals
Definition
influenza a
Term
infections usually cause only mild resp illness and are not thought to be responsible for epidemics
Definition
type c
Term
viruses primarliy affect cattle and do not infect or cause illness in people
Definition
influenza d
Term
complications of influenza
Definition
bronchitis, viral/bacterial pneumonia, sinus/ear infection,
Term
acute resp _____ secondary to flu is a life threatening condition that requires immediaite medical attention
Definition
failure
Term
influenza is similar to the common cold in the way that
Definition
it is spread
Term
symptoms of flu
Definition
abrupt onset of fever that lasts 3-4 days, headache, general body aches, exhaustion, fatigue, weakness
Term
medical treatment is similar to the treatmen of the common cold
Definition
rest, fluids, proper diet, antipyretics and analgesics
Term
dugs used to treat or prevent influenza
Definition
oral oseltamivir, inhaled zanamivir, iv permivr, amantadin and rimantadin
Term
seasonal flu vaccine does not protect against
Definition
influenza c viruses
Term
inflammation of certain parts of the lung such as the alveoli and brochioles
Definition
pneumonia
Term
examples of infections agents
Definition
bacteria, fungi, nospecific viruses
Term
common causes of viral pneumonia
Definition
flue, rsv
Term
common cause of bacterial pneumonia
Definition
streptococcus pneumonia
Term
pneumocystis pneumonia is caused by
Definition
fungus
Term
common pulmonary complications r/t pneumonia
Definition
pleurisy, atelectasis and pleural effusion
Term
inflammation of the pleurat that causes pain with breathing
Definition
pleurisy
Term
accumulation of fluid between the pleura that encases the lungs and the pleura that lines the thoracic cavity
Definition
pleural effusion
Term
s&s of pneumonia
Definition
abrupt onset of fever, chills, cough, side pain, sputum production, hemoptysis, dyspnea, headache and fatigue
Term
______ may be the initial manifestations of pneumonia in older adults
Definition
delirium or confustion
Term
people with bacterial pnuemonia may experiences abrubt explosive onset of
Definition
sever shaking chills, sarp stabbing lateral chest pain, intermittent cough with rusty sputum
Term
viral pneumonia is characterized by
Definition
burning or searing chest pain in the sternal area, continuous hacking boarking cough producing small amounts of sputum and headache
Term
excess carbon dioxide in the blood
Definition
hypercapnia
Term
typical diet for the pt with pneumonia is a
Definition
high protein, soft diet
Term
if a pt must be kept flatthe best position is on the
Definition
right side
Term
inflammation of the pleura
Definition
pleurisy
Term
causes of pleurisy
Definition
pneumonia, tb, injury to the chest wall, pulmonary infarction, tumors
Term
most characteristic symptom of pleurisy
Definition
abrup and sever pain
Term
if pleural effusion develops the pt experiences progssive
Definition
dyspnea, decreased or absent breath sounds in affected area, decreased chest wall movement on affected side
Term
blunt injuries most commonly result from
Definition
automobli accidents, falls or blast injuries
Term
common non penetrating injuries include
Definition
rib fractures, pneumothorax, pulmonary contusion, cardiac contusion
Term
common penetratign injuries include
Definition
pneumothorax and life threatening tears of the aorta, vena cava or other major vessels
Term
cover any open chest wound with an airtight dressing taped on
Definition
three sides
Term
two types of pnuemothorax
Definition
open and tension
Term
the heart trachea esophagus and great blood vessels shift back and forth with respirations usually r/t open pneumothorax
Definition
mediastinal flutter
Term
symptoms of pnuemothorax
Definition
dyspnea, tachypnea, tachycardia, restlessness, pain, anxiety, decreased mvoment of the involved chest wall, asymmetric chest wall movment, diminished breath sound son the injured sied, progressive cyanosis
Term
if air can be heard moving in and out of the wound it is called a
Definition
sucking chest wound
Term
if cardiac output decreases because of mediastinal shift the
Definition
bp falls and puls increases
Term
most frequently fractured because they are least protected by the cets muscles
Definition
ribs 4-10
Term
it takes approx ______ for trib fractures to heal
Definition
6 wks
Term
s&s of fractured rib
Definition
pain, occasional bruising, surface markings, swelling, visible bone fragments, shallow breathing or guarding
Term
refers to an injury in wich two adjacent ribs on the same side of the chest are each broken into two or more segments
Definition
flail chest
Term
flail chest patter of movement is exactly the opposit of the movement of an intact chest wall therefore it is called
Definition
paradoxiacl movement
Term
s&s of flail chest
Definition
dyspnea, cyanosis, tachypnea, tachycardia, pradoxical movement
Term
risk factors for pulmonary emboli
Definition
surgery of pelvis or lower legs, immobility, obesity, estrogen therapy and clotting abnormalities
Term
classic signs of PE include
Definition
dyspnea, chest pain, hemoptysis, cough, orthopnea, unilateral calf or thigh pain and/or swelling
Term
the onset of dyspnea with pe is often rapid usually within
Definition
seconds to minutes
Term
a spontaneous onset of chest wall tenderness withiout history of trauma should
Definition
raise a red flag
Term
pe pt may be/have
Definition
apprehensive, diaphoretic with a cough, hemoptysis, wheezing and crackles, fever, tachycardia
Term
prevents the development of new thrombi but doesn't dissolve them
Definition
heparin
Term
heparin should increase ptt time
Definition
2.0 to 2.5 times the normal rate
Term
a fibrinolytic agent or tissue plasminogen activator may be given iv to
Definition
DISSOLVE THE CLOTS
Term
most often done by placing a filter in the inferiour vena cava to strain clots before they reach pulmonary circulation
Definition
vena cava interruption
Term
symptoms that may be caused by internal bleeding
Definition
severe headache, abdominal or back pain
Term
progressive plumonary disorder that follows some trauma to the lung
Definition
acute resp distress syndrome
Term
from _____ after the trauma pulmonary inflitrates develop and lung compliances decreases r/t ARDS
Definition
6 to 72 hrs
Term
the first sign of ARDS is usally
Definition
tachypnea
Term
early s&s of ARDS
Definition
fine crackles, reslessness, agitated, confusion, increased puls, cough
Term
early signs of ARDS are followed by progressively worsening
Definition
dyspnea with retractions, cyanosis and diaphoresis
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