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Upper Resp (1 of 2)
SOPN Upper Resp (1of 2)
| Question | Answer |
|---|---|
| Inflammation of the mucus membrane of the nose | Rhinitis |
| The common cold resulting from and infection from rhinovirus over 100 rhinoviurs | Acute Viral Rhinitis |
| Highly contagious by inhalation of droplet nuclei and direct contact | Rhinitis and Acute Viral Rhinitis |
| Full blown infection with 48 hours | Acute Viral Rhinitis |
| TX: No antibiotic not bacterial, decongestants, antitussives | Acute Viral Rhinitis |
| Mani: *watery eyes, thin watery nasal discharge, itchy eys and nose and HA* | Allergic Rhinitis |
| Mucous membranes appear PALE AND EDEMATOUS instead of red as in the common cold | Allergic Rhinitis |
| A/C is a treatment so is antihistamines, decongetants what is | Allergic Rhinitis |
| Mani: fever, chills, nasal congestion, pain in sinuses, HA | Sinusitis |
| All complications of what: Abscess, sepis, menigitis | Sinusitis |
| Phenylephrin (neo-synepherine or pseudoephedrin all prescribed for what? | Sinusitis |
| Prolonged infections lead to what? | Chronic Sinusitis |
| Treatment: Caldwell-Luc Procedure, Spheno-ethmoidectory | Chronic Sinusitis treatment can cause optic nerve damage or infection |
| Sore Throat | Pharyngitis |
| what is the most serious Pharyngitis | Group A beta hemolytic potential for hear and renal complicatons |
| Is Pharyngitis Contagious | Yes |
| S/S: fever, chills, yellow or white patch exudates covers tonsills, lymph enlargement | Pharyngitis |
| Diagnosis: Opticl Immunossay OIA, and Bio star | Rapid tests for Pharyngitis |
| Complications of strep throat | Heart complications, rheumatic fever, glomerular nephritis, ottis media, mastoditis |
| Aspiration of stomach contents, toxic material, or a foreign body into lower respir track temp elevated after two hours | Aspiration Pneumonia Syndrome |
| Prevention Aspiration Pneumonia Syndrome | Side lyning, mouth care, HOB 30 degress, with hold feed if residual is greater than 100 ml Call MD |
| A localized collection of pus within lung | Lung Abscess |
| Caused from Staph, TB, fungal infections, aspiration, pulmonary infarcct, | Lung Abscess |
| Mani: anorexia, weight lose, syspnea, chest pain, fever | Lung Abscess |
| NI: TCDB, monitor RR, Temp, Vitals, antibiotics if last 6-12 weeks | Lung Abscess |
| Type A mutates most and is responsible for most deaths, esp young and old | Influenza Virus Infections |
| Infuenza Virus Infections | complication bacterial and viral pneumonia |
| Amanatadine Hcl (symmetrel) | Must be given early to be effective in Guillian Barre Syndrome |
| Encephalitis, sinusiitis, Resp Disease, DM Heart disease, renal disease, cirrhosis | Guillian Barre Syndrome |
| Prevention for Guillian Barre Syndrome | Flu Vaccine |
| S/S: HA, non productive cough, fever, sweating, sore throat, muscle aches | Giullian Barre Syndrome |
| S/S: inhaled into lungs via droplet nuclie after and infected infdidual coughs, sneezes, bacterial lodges in the aveoli with resultant ghons lesions spread to lymph and blood | TB |
| Causes pneumonia and meniges of the brain | TB |
| .1 ml of pruifeid proten derivateive is injected intradermally into forearm | Mantoux or PPD Test |
| + results is indicated by induration of 5-15 mm, immuno person may have false + | Mantoux or PPD Test |
| 3 (-) sputnum acid fat bacillus smears means | Discharge for TB |
| Pressure treated room, HEPA masks by Nurse, HIV testing recommeded drug treat 6 mo - 2years | TB |
| Isonizid, (INF), refampin, Pyrazinamide or Ethanmbutol or Streptomycin | TB Meds Combo Therapy |
| Bacille Calmete Guerin Vaccine | You will have positive PPD or mantoux test, not used in US for TB |
| Collection of pus fluid in the pleural space | Empyema |
| Cause: Lung abscess, pneumonia, TB, chest wounds | Empyema |
| Treatment Empyema | Drainage of pleural space, chest tube, antibiotic, 02, monitor 02, & RR |
| Inflammation of the pluera, almost always a secondary effect of underlying disease | Pleuritis (Pleurisy) |
| SS: Sharp pain related to resp movement, friction rub may be heard over the infected area on ausculation | Pleuritis (Pleursiy) |
| Treatment: NSAIDS, analgesics, anti-inflammatory | Pleuritis |
| Chronic Inflammatory disorder of airway | Asthma, more common in African Americans 15-24 |
| Severe asthma attack lasting hours or days does not respond to treatment | Status Asthmaticus |
| Quick Relief Status Asthmaticus (1) | Beta 2 Adrenergic Agonist = Albuteral, terbutaline or andticholinergic |
| Quick Relief Status Asthmaticus (2) | Beta 2 agonist Ipratropium bromide (atrovent) a bronchodilator with decreased cardio side effects |
| Quick Relief Status Asthmaticus (3) | Steriords or PO prednisone |
| Long term treatment Asthma | PO steriods or long tern Beta 2 agonists to drecrease leukotrines. 02 therapy |
| Hand held device measures hwo fast air can blow out of lungs perform 3X's take highest reading | Peak Flow Meters: for clincial signs before they appear in Asthma |
| What should you never administer to Asthmatic Patients | INDEROL, Beta Blocker causes Brochoconstriction |
| Includes: Chronic Bronchitis, Emphasema, Bronchiectasis, and sometime Asthma | Chronic Obstructive Pulmonary Disease |
| Excess production of mucus, by chronic cough last 3 months of year for two years | Chronic Bronchitis. |
| Cause: prolonged exposure to toxic fumes | Chronic bronchitis, more common white males over 45 |
| Decreased Pa02, Increase PaCO2, cyanosis, dsypnea on exertion, R sided heart failure | Late stages of Bronchial Inflammation |
| Enlarged heart on XRAY, repeated resp infections | Bronchial Inflammation |
| Classic finding of Bronchitis Late Stage: | Decreased Pa02, INCREASE PaCo2, cyanoisi, DOE, stocky body, episodes of R sided heart failue with dependent Edema. |
| DX of Bronchail Inflammation | Pt history with repeated resp infections, enlarged heart, right sided heart failure. |
| Charcterized by enlarged air spaces and destruction of aveoli walls and supporting structures: | Emphysema |
| Decrease alpha antitrypinsin an enzyme inhibitor: | Emphysema |
| lung tissue loses its elasticity, causing stiffening of the lung loss of lung compliance | Emphysema |
| Primary drive to breath is a low 02 level in blood | Emphysema |
| C02 in arterial blood determines respirations for who | Normal person, no disease |
| More central portion of the lung lobe more common in men, brochiles enlarged, walls are destroyed and bronchioles become confluent: | Centrilobular Emphysema |
| Destruction of the actual aveoli and bronchiles equally effects men and women: | Panlobular Emphysema |
| Dyspna worsening until become dyspnea at rest: | Emphysema |
| Expriations will be prolonged, CO2 retained, leading to CO2 necrosis, signs of what | Emphysema |
| DX: Forced expiratory volume in first second of expiration is prolonged, enlarged thoracic cage, BARREL CHEST: | Emphysema |
| B2 Agonist = albuterol, metaproterenol, broncho dilators such as theophylline to maintian a theraputic level of 10-20 | Drugs for Emphysema |
| Prednisone, steriods, 02 to maintain Pa02 to at least 60 mg, 3 L min for 12-15 hours day | For Emphysema |
| NI: Diaphragmatic breathing, pursed lip breathing, monitor tachycardia, increase fluids for what: | For Emphysema |
Created by:
keldog09
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