Pulm.Acut&ChroDiseas Word Scramble
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Question | Answer |
What are the commmom Acute Pulmonary diseases? | Bacterial Pneumonia, Viral Pneumonia, Aspiration Pneumonia, Tuberculosis, Pneumocytis Carinii Pneumonia and SARS( Severe Acute Resp. Synd.) |
Pneumocytis Carinii pneumonia is most found in : | Patients following transplantation, neonates or patients infected w HIV. |
Crackles can be heard usually | inspiration |
Wheezes can be heard usually | expiration, with severe airway constriction, it maybe heard on inspiration as well. |
Bronchial can be heard usually | a more hollow, echoing sound normally found only over the right superior or anterios thorax. Heard on ALL expiration and most of expiration. |
What is an Ventilation perfusion scan(V/Q) | it maches the ventilation pattern of the lung to the perfusion pattern to indentify the presence of pulmonary emboli |
COPD: | Asthma, Cystic fibrosis, Bronchiectasis, Hyaline membrane disease, bronchopulmonary diplasia |
Chronic Restrictive Diseases due by: | -Due to alterations in lung-Due to alterations in the chest wall-Due to alterations in the neuro musc. apparatus |
Duration and procedure per postural drainage | up to 20 min |
Indications for the use postural drainage | Increased pulmonary secretions, aspiration, atalectasis or collapse. |
Class I 0% ImpairmentsRX | Usually NL, may be evidence of healed or inactive chest |
Class I 0% ImpairmentsDyspnea | when it occurs it is consistent with the circunstances or activity. |
Class I- 0% ImpairmentFEV1, FVC, MMV | not >85% of predicted |
Class II- 20-30% ImpairmentDyspnea | not occur at rest, seldom occurs during ADL's |
Class II- 20-30% ImpairmentRX | NL or Abnormal |
Class II- 20-30% ImpairmentFEV1, FCV, MMV | 70-85% of predicted |
Class III- 40-50% ImpairmentRX | may be NL but usually it is not |
Class III- 40-50% ImpairmentDyspnea | not occur at rest, occurs during the usual ADL's |
Class III- 40-50% ImpairmentFEV1, FVC, MMV | 55-70% of predicted |
Class III- 40-50% ImpairmentART. O2 Sat | 88% or >at rest and after exercise |
Class IV -60-90% ImpairmentRX | abnormal |
Class III- 40-50% ImpairmentDyspnea | occurs climbing one flight of stairs or walking 100 yeards on level ground. Even at rest. |
Class III- 40-50% ImpairmentFEV1, FCV, MMV | <55% of predicted |
Class III- 40-50% ImpairmentArt. O2 sat | <88% rest and after exercise. |
Manual secretion removal techniques | Postural drainage,percussion, vibration. |
Airway clearance techniques | Cough, Huff, assisted cough,tracheal stimulation, endotracheal suction. |
Independent secretionremoval | Active cycle of breathing, Autogenic drainage, The futter device. |
Class IV- 60-90% ImpairmentRX | occurs on activ. like climbing one flight of stairs or walking 100 yards on level ground or even at rest. |
Class IV- 60-90% ImpairmentFEV1, FCV, MMV | <55% of predicted |
Class IV- 60-90% ImpairmentO2 Sat | <88% at rest and after exercise. |
Breathing exercises | Diaphragmatic breathing, segmental breathing,Sustained maximal inhaled volume, pursed lip breathing,abs strengthening |
Beta 2 agonists (sympathomimetics) | Ventolin, Alupent, Maxair and Albuterol |
Beta 2 agonists (sympathomimetics)Action: | mimics the activity of sympathetic NS which will produce bronchodilatation. Increase HR and BP. |
Anticholinergics Action: | inhibit the parasympathetic NS, can lead to increase in HR and BP. Drug: ATROVENT |
Methylxanthines Action | Produce smooth muscle relaxation, limited use due to serious toxicityof Inc. BP, Inc. HR. |
Anti-inflamatory agents: | used to decrease mucosal edema, decreaseinflamation and reduce air way reactivity. |
Types of anti- inflammatory | Steroids, Leukotriene receptor Atagonist, Leukotriene receptor antagonist, cromolyn Sodium. |
Steroids action: | used to maintenance of airway and should be taken regularly. |
Side effects of systemic administration Steroids: | increase blood pressure, sodium rotation, muscle wasting,osteoporosis, GI irritation |
Created by:
Tatiani
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