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68wm6 p2 A.R.D.
Acute Respiratory Disorders
| Question | Answer |
|---|---|
| Lung cancer counts for what percentage of cancer related deaths? | 28% |
| 80-90% of lung cancer are related to what? | Smoking? |
| What are the four types of lung cancer? | *Small cell *Non-small cell *Squamous cell carcinoma *Large cell |
| How many PTs with lung cancer are found inoperable? | 1/3rd |
| How many PTs found inop during exploratory thoracotomy? | 1/3rd |
| How many PTs with lung cancer who had surgical Tx experienced tumor spread? | 1/3rd |
| Surgical removal of an entire lung. | Pneumonectomy |
| Surgical removal of a portion of a lung. | Lobectomy |
| What percentage of lung cancer PTs live 5yrs or longer? | 10% - 15% |
| What is the survival rate for cancer PTs identified in local stage? | 40% |
| What is an accumulation of serous fluid in interstitial lung tissue and alveoli? | Pilmonary edema |
| What does pulmonary edema result from? | *Severe left ventricular failure *Inhalation of irritating gases *Rapid administration of I.V. fluids *Barbiturate and opiate overdose |
| What is the mortality rate of untreated pulminary embolisms? | 30% mortality |
| What is the mortality rate of an early diagnosed pulminary embolism with treatment? | 5% mortality |
| What is Acute Respiratory Distress Syndrome (ARDS)? | non-cardiogenic pulmonary edema Secondary to an acute disease process, a syndrome of pulmonary shunting , hypoxemia, reduced lung compliance and parenchymal lung damage (functional part of lung) |
| List 4 causes of ARDS | *Pneumonia *Chest trauma *Aspiration *Inhalation injury *Near drowning *Fat emboli *Sepsis *Shock *Overdoses, renal failure, pancreatitis |
| What is the most common cause of ARDS? | Sepsis |
| When does ARDS manifest post-surgery? | 12-24 hours |
| When does respiratory distress with altered breath sounds occur with the onset of ARDS? | 5-10 days |
| How do mucolytics break up secretions? | Decreases viscosity of secretions by breaking disulfide links of mucoproteins. |
| What are the contraindications of mucolytics? | *Increased intracranial pressure *Status asthmaticus *Hyperthyroidism *Addisons disease *COPD *Asthma |
| What should not be used with mucolytics? | Do not use with iron, copper, rubber, or mix with antibiotics |
| Mucolytics increase the effects of what? | Nitrates |
| How should mucolytics be given PO? | Mix with soft drinks to disguise taste |
| When should PO mucolytics be given in regards to meals? | 30min to 1hr before meals for better absorption and reduce nausia. |
| When does the acetominophen antedotal effect of mucomyst take effect? | w/in 24hrs |
| How should mucolytics be stored? | In the fridge for up to 96hrs after opening. |
| A patient states that his mucomist fluid is discolored. What should you do? | Inform the PT that Discoloration of solution after opening is not unusual, and it does not affect effectiveness of medication |
| What should be done after the PT vomits after taking mucomist? | Report it for the dose may need to be repeated. |
Created by:
Shanejqb
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