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Respiratory
General
| Term | Definition |
|---|---|
| Epiglottitits incidence & cause | mostly in children 2-7 bacterial/viral cause -H. influenza type-B most common bacterial |
| Epiglottitits S&S | Begins as mild Upper RTI 1-2days later: Inflammation gets epiglottis -severe respiratory stridor (seal) -high fever -hoarseness -sore throat |
| Epiglottitits NI | Moist air to reduce inflammation 02 as needed IV fluids |
| Epiglottitits Never! | NEVER attempt to visualize - may close the airway |
| Cystic Fibrosis Cause | Genetic disease Abnormality of chromosome 7 - inability to move salt/water between cells --mucus becomes think/sticky Both parents must have for child to develop Common in Caucasians, rare in AFA & Asians |
| Cystic Fibrosis Diagnosised | Sweat Chloride Analysis - ↑ NA & Cl Duodenal Test - ↓ pancreatic enzyme Pulmonary Studies - Sweat Cl - ↑ NA & Cl |
| Cystic Fibrosis Characteristics - Lung Involvement | Infected pockets of thick pooled secretions block the bronchioles; mucus narrows airways - ↓ airflow - ↓ oxygenation Chronic resp inf chronic bronchitis, bronchiectasis |
| Cystic Fibrosis Characteristics - Pancreas Involvement | Absense of digestive enzymes -Lipase, amylase, trypsin Steatorrrhea (fat stool) ↓ fat soluable vitamins A D E & K |
| Cystic Fibrosis Characteristics - Sweat gland | salty skin -chloride to sodium |
| Cystic Fibrosis Nutritional Implications | poor digestion & absorption fat, f-vitamins, bile, b-salts infection & low health ↑ caloric intake possible osteopenia (low bone density) |
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