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Respiratory ppt
upper and acute lower resp disorders
68
Nursing
Undergraduate 1
02/07/2023

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Term
acute viral coryza
Definition
common cold
Term
common cold is caused by ____ that invade the _____ resp tract through ________
Definition
viruses, upper, airborne droplets
Term
common cold is spread via
Definition
coughing, sneezing, touching contaminated surfaces and then touching eyes, nose, mouth
Term
s&s of common cold
Definition
Nasal dryness and stuffiness, sneezing, runny nose,
headache, sore throat, lethargy, and fatigue
Term
complications of common cold
Definition
Otitis media, sinusitis, bronchitis, pneumonia
Term
medical treatment for commnon cold
Definition
Rest, fluids, proper diet, antipyretics, and analgesics
Term
when treating the common cold antibiotis are
Definition
not needed
Term
when treating the common cold ____ may be used
Definition
echinacea and vitamin c
Term
pt with the common cold is contagious for
Definition
1st 2 to 3 days after sx appear
Term
in the pt with nasal surgery bleeding from the nasal cavity into the _____ may be swallowed although dressing remains _____
Definition
throat, dry
Term
when assessing the pt with nasal surgery assess _____ for bleeding and be alert for
Definition
bleeding, frequent swallowing
Term
epistaxis
Definition
nosebleed
Term
nosebleed can occur from
Definition
trauma, clotting disorders, dryness, inflammation, and hypertension
Term
first aid for epistaxis
Definition
have pt sit down and lean forward, direct pressure for 10 to 15 mins
Term
medical treatment for epistaxis
Definition
Nasal balloon catheter
Nasal packing
Term
complications of epistaxis
Definition
Infection, blockage of the eustachian tube, and airway obstruction
Term
Inflammation of tonsils/other throat lymphatic tissue
Definition
tonsillitis
Term
tonsillitis is common in children but more sever in
Definition
adults
Term
causative organisms of tonsillitis
Definition
streptococci, staphylococci, H. influenzae, and pneumococci
Term
tosillitis is usually _____ but sometimes caused by a _____
Definition
bacterial, virus
Term
tosillitis is spread by
Definition
food or airborne routes
Term
most cases of tonsillitis run their course in
Definition
7 to 10 days
Term
signs and symptoms of tonsillitis
Definition
Sore throat, difficulty swallowing, fever, chills, muscle aches, and headache, enlarged and reddened tonsils, purulent drainage, tender enlarged lymph node
Term
if tosillitis causes swollen tissue to block eustachian tubes it will cause
Definition
ear pain
Term
medical diagnosis of tosillitis
Definition
Complete blood count, throat culture and sensitivity, and a test for infectious mononucleosis
Term
medical treatment for tonsillitis
Definition
antibiotic therapy, analgesics and anestheic lozenges, antipyretics, warm salin garlges/irrigation, rest and adequate fluid
Term
complications of tosillitis
Definition
peritonsilar abscess
Term
surgical treatment for tosillitis
Definition
tosillectomy and adenoidectomy
Term
excessive swallowing may indicate
Definition
bleeding
Term
in acute bronchitis irritation and inflammation may occur throughout _____ resp track, resulting in increased production of _____
Definition
upper, mucus
Term
signs and symptoms of acute bronchitis
Definition
Fever, cough, sore throat, runny nose, yellow or green sputum, rapid breathing, and occasionally chest pain
Term
medication for acute bronchitis includes
Definition
antitussives, expectorants, bronchodilators
Term
inflammatotion of the pleura
Definition
pleurisy (pleuritis)
Term
causes of pleurisy
Definition
pneumonia, tuberculosis, injury to the chest wall, pulmonary infarction, and tumors
Term
symptom of pleurisy is
Definition
abrupt and severe pain, almost always on one side of chest
Term
treatment of pleurisy involves treating
Definition
underlying disease and pain relief
Term
medications used for treatment of pleurisy
Definition
Analgesics, anti-inflammatories, antitussives, antimicrobials, local heat therapy
Term
nonpenetrating or blunt chest injuries occur from
Definition
From automobile accidents, falls, or blast injuries
Term
non penetrating or blunt chest injuries can cause
Definition
Rib fractures, pneumothorax, pulmonary contusion, and cardiac contusion
Term
penentrating injuries result from
Definition
gunshot or stab wounds
Term
penentrating injuries can result in
Definition
pneumothorax and life-threatening tears of the aorta, vena cava, or other major vessels
Term
signs and symptoms of chest trauma
Definition
Obvious trauma to the chest wall; chest pain; dyspnea; cough; asymmetric movement of the chest wall; marked cyanosis of the mouth, face, nail beds, and mucous membranes; rapid, weak pulse; decreased blood pressure; deviation of the trachea; distended neck veins; and bloodshot or bulging eyes
Term
Accumulation of air in pleural cavity
Definition
pneumothorax
Term
pneumothorax results in ______ collapse of lung
Definition
complete or partial
Term
Air repeatedly enters the pleural space with inspiration, causing the pressure to rise
Definition
tension pneumothorax
Term
allows air to move in and out freely with inspiration and expiration
Definition
open pneumothorax
Term
s & s of pneumothorax
Definition
Dyspnea, tachypnea, tachycardia, restlessness, pain, anxiety, decreased movement of the involved chest wall, asymmetric chest wall movement, diminished breath sounds on the injured side, and progressive cyanosis
Term
with pneumothorax if air can be heard or felt moving in and out of the wound it is called a
Definition
sucking chest wound
Term
medical treatment of pneumothorax involves physician inserting ____ needle through chest wall into pleural space and ____ accumulated air or fluid and then insert a ___
Definition
18G, aspirate, chest tube
Term
Blood accumulation between chest wall and lung that is often associated with pneumothorax
Definition
hemothorax
Term
hemothorax results from
Definition
lacerated vessels or lung tissues, lung malignancy, or pulmonary embolus
Term
when air or blood collects in pleural space, pressure around lung _______ causing partial/complete collapse
Definition
increases
Term
most common cause of rib fracture
Definition
blunt injury
Term
s & s of rib fracture
Definition
Pain at the site of injury (especially on inspiration), occasional bruising or surface markings, swelling, visible bone fragments at the site of the injury, and shallow breathing or guarding
Term
it takes approx ____ for a rib fracture to heal
Definition
6wks
Term
medical treatment for rib fracture
Definition
Intercostal nerve blocks; analgesics; mild sedatives
Term
An injury in which two adjacent ribs on the same side of the chest are broken into two or more segments
Definition
flail chest
Term
in flail chest affected section of the rib cage is ____ from the rest of the rib cage, permiting it to move ______
Definition
detached, independent
Term
s & S of flail chest
Definition
Severe dyspnea, cyanosis, tachypnea, tachycardia, and paradoxical movement of the chest
Term
foreign substance that is carried through the bldstream
Definition
embolus
Term
pulmonary embolus can be
Definition
Usually a clot (thrombus), but can be fat, air, tumors, bone marrow, amniotic fluid, or clumps of bacteria
Term
risk factors for emboli
Definition
surgery of the pelvis or lower legs, immobility, obesity, estrogen therapy, clotting abnormalities, legs in stirrups, immobile, immobile jobs like truckers and pilots
Term
s & s of pulmonary embolus
Definition
Abrupt, sudden onset of chest pain that worsens with breathing, tachypnea, and dyspnea, apprehensiveness and diaphoretic with cough and hemoptysis, fever, tachycardia
Term
with a pulmonary embolus ____ may be heard
Definition
crackles
Term
pulmonary embolus is confirmed by
Definition
confirmed by arterial blood gas analysis, electrocardiogram, lung scan, and pulmonary angiogram
Term
med/surg treatment for pulmonary embolus
Definition
anticoagulation therapy, o2 therapy, endotracheal intubation, and/or mechanical ventilation, iv fluids/drugs, iv morphine sulfate
Term
surgical interventions for pulmonary embolus
Definition
embolectomy, vena cava interruption by placing a filter
Term
a filter for pulmonary embolus is like a _____ that acts like a catchers mit to keep ___ from reaching the lungs
Definition
greanfield filter, clots
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