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symptoms gab

signs for cardiopulmonary distress are subjective, patient description EX) pain, shortness of breath, cough
symptoms for cardiopulmonary distress are objective, measurable, and assessed values EX) vital signs
assess symptoms to determine .. seriousness of problem, potential underlying cause, effectiveness of treatment
what are the 5 primary symptoms of cardiopulmonary disorders -cough -sputum production -hemoptysis -dyspnea -chest pain
what is the protective reflex our bodies use cough
what causes the cough inflammatory, mechanical, chemical, or thermal stimulation of receptors
what are our cough receptors pharynx, larynx, trachea, large bronchi, lung, and visceral pleura
key to determine etiology careful history, physical exam, and CXR
possible causes of inflammation infection, lung absceses, drug reaction, allergy, edema, hyperemia, tuberculosis
mechanical stimulation inhaled dust, suction catheter, food
obstruction stimulation tumors, foreign bodies
chemical stimulation inhaled irritant, gases, fumes, smoke
temperature stimulants inhaled hot or cold air
ear stimulants pressure in the middle ear
what is atelectasis collapsed alveoli
what is fibrosis damage to the lung areas/ scar tissue
nerves included in the Afferent pathway vagus, phrenic, glossopharyngeal, and trigeminal
nerves included in the Efferent pathway smooth muscles of larynx & tracheobronchial tree via phrenic, spinal
what reduces the effectiveness of a cough stroke, obstruction, emphysema, thick sputum
what does acute mean sudden onset, severe, viral infection(self-limiting)
what does chronic mean persistent, lasts over 3 weeks,
paroxysmal periodic, prolonged, forceful episodes
associated symptoms of coughing -wheezing -stridor -chest pain -dyspnea
what is stridor high pitched, musical breathing. (inspiratory)
complications of cough torn chest muscle, rib fractures, disruption of surgical wounds, arrhythmia, urinary incontinence
what is sputum secrections from tracheobronchial tree, pharynx, mouth, sinuses, nose
phlegm secretions from lungs
components of sputum mucus, cellular debris, microorganisms, blood, pus, foreign objects
normal sputum production 100ml/day
aspects of abnormal sputum color, quantity, consistency, odor, time of day, presence of blood
hemoptysis sputum containing blood
causes of hemoptysis cardiovascular, hematologic, systemic disorders, TB, bronchiopulmonary
hematemesis vomited blood, swallowed from resp tract
causes of hematemesis alcoholism or cirrhosis of the liver
blood PH of hemoptysis alkaline
blood PH OF hematemesis acidic
SOB shortness of breath, cardinal symptom of cardiac disease
dyspnea breathing discomfort ; breathless, short-winded
scoring system for dyspnea 0-10 (10 max SOB), Questionnaire, borg scale
types of dyspnea cardiac and circulatory, psychogenic, hyperventilation
cardiac dyspnea inadequate supply of o2 to tissues; prim during exercise
psychogenic dyspnea panic disorder, not related to exertion
hyperventilation dyspnea results on hypocapnia and decreased cerebral blood flow; resp rate exceeds body's metabolic need
chronic dyspnea COPD, CHF
acute dyspnea asthma, bronchitis croup; in children, hyperventilation, panic disorder, pneumonia; in adults
paroxysmal nocturnal dyspnea when sleeping in recumbent position ; ass. with coughing; sign of left heart failure
orthopnea when lying down; ass with left heart failure
trepopnea when lying on one side; unilateral lung disease, pleural effusion
platypnea dyspnea in upright position
orthodeoxia hypoxemia in upright position, relieved by returning to a recumbent position
causes of chest pain cardiac ischemia; inflam. disease of thorax, abdomen; trauma anxiety
syncope dizziness and fainting
causes of syncope thrombosis, embolism, atherosclerotic obstruction ; bouts of laughing, hypoxia
orthostatic hypotension sudden drop in blood pressure when you stand up ; dizziness, blurred vision, syncope
causes of orthostatic hypotension elderly, vasodilator use, dehydration
carotid sinus syncope slows pulse rate, decreases blood pressure
tussive syncope caused by strong coughing, seen most in men with COPD, obesity.
dependent edema soft tissue swelling from abnormal accumulation of fluid
bilateral peripheral edema mostly occurs in ankles and lower legs
cause of bilateral peripheral edema right or left heart failure, *right failure often caused by cor pulmonale
euthermia fever, chills, night sweats 97-99.5 F
hyperthermia, pyrexia fever; sustained, remittent, relapsing
causes of fever hot environment, dehydration, drugs, infection
lung disease, high altitude headache causes headache as a manifestation of cerebral hypoxia and hypercapnia
most common cause of snoring obesity
clinical presentation of snoring fatigue, daytime sleepiness
GERD gastroesophageal reflux
GERD heartburn and regurgitation
risk factors of GERD OBESITY, cigarette smoking, pregnancy
Created by: 1385997398