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SOPN Lower Resp Test
SOPN Lower Resp Test 7
| Question | Answer |
|---|---|
| Complications of Acute Bronchitis? | Pneumonia |
| Low grade fever, chest pain, cough, paroxysysmal attacks especially at night? | Acute Bronchitis |
| Acute infection/inflammation of the respiratory bronchioles & aveoli? | Pnuemonia |
| Usually and infection from bacteria or a virus, but can be from apiration of gastric contents? | Pnuemonia |
| Viral Pneumonia | Type A virus |
| Cytomegalovirus Common in what | Immunosuppressed people |
| Which is more serious bacterial or viral pneumonia? | Bacterial |
| Pneumococi Pneumonia | Most common streptococcus pneumonia (group A B- hemolyitc streptococco) especially elderly community acquired. Bacterial Pneumonia |
| Hemophilus Influenza | Bacterial Pneumonia Gram Negative bacilli bacterial common in patient with COPD and pts with viral influenza & measles. |
| Morazella Catgarrhalis | Bacterial Pneumonia, usually considered normal flora of the URT but is occasionaly implicate in deisease sep immunosupressed patients. |
| Myocoplasia Pneumonia | Atypical Pneumonia frequent cause of community acquired pneumonia in young people |
| Both Viral & Bacterail Pneumonia signs: Rusty sputnum | Mycoplasia Pneumnia |
| Nosocominal Pneumonia | Hosptial acquired, mortality high, Gram Negative most common |
| Pseudomonas Aeruginosa Pneumonia | Gram Negative Nosocominal Pneumonia |
| Klebsilla Pneumonia | Gram Negative Nosocominal Pneumonia |
| Escherichia Coli | Gram Negative Nosocominal Pneumonia |
| *Staphlococcus Aureus* | Gram Postivite Nosocominal Pneumonia |
| Opportunistic Organisms for Nosocominal Pneumonia | Cytomegolovirus, herpes, Candididia, Aspergillus, Pneumocystic Carini, Tyoxplasma Gondii |
| Mani: fever, chills, malaise, chest wall discomfort, crackles, wheezes DULLNESS ON PERCUSSION, High grade fever, | Pneumonias |
| What would you give CEPHALOSPORIN, PCN, or Erythromycin for | Step 1st or 2nd generation |
| High WBC in Pneumonia means what | Bacterial |
| Pneumonia Prevention | Pneumovax vacine, Flu vacine |
| Group A Beta Hemolystic Strep | Frequent and worse because of heart and renal complications |
| A secondary infection, an abscess that develops in the tissue ABOVE the tonsils | Peritonsilar Absess |
| MANI: Sore Throat, redness and swelling | Peritonsilar Absess |
| Why remove Tonsils | Obstruct air passages, more than 3 infections per year |
| Why would you give Silver Nitrate | Vasoconstrictive topical application for Peritonsilar Absesss |
| Post Op Tonsillectomy | Do not cough, or clear throat, cool clear liquids after return of gag reflex watch for restlessness, increase HR, decreased BP |
| Steriod Nasal Spray or plypectomy for what? | Nasal Obstruction |
| What is clear thin fluid from nares a problem in | Trauma to Nose, could indicated Cerebrospinal fluid from the brain. |
| Low humidity, leukema, arterial hypertension and clotting disorders can cause what | Deviated Septum |
| Cancer of the larnx greater in black, elderly and men | Neoplasia |
| Mani: Kisselbachs area in ANTERIOR septum, most common area of bleeding more annyoning than serious | Cancer of Larnx, Neoplasia |
| Posterior Area in Neoplasia | More serious, more likely with pt with heart disease |
| Mani: Instrinsic | Neoplasia, Early hoarsenss because occurs on on TRUE vocal cords. If not treated becomes Extrinic |
| Mani: Extrinsic Symptoms | Appear late pain in throat with hot or acidic drinks enlarged lymph nodes, ABOVE OR BELOW TRUE VOCAL CORDS More difficult to treat. |
| DX: Laryngoscope and biopsy, tumor stage via C-Scan Barium Swallow and MRI | Neoplasia: Stage 1 confined to area, Stage IV is worst |
| Laryngo Fissure | Resection of the whole cord (Neoplasia) uses laser removal |
| Partial Laryngectomy | Malignat lesion only is excised with a small amount of surrounding tissue (Neoplasia) Cancer of the larynx Pt retains abiltity to speak complication: aspiration, bleeding, subcutaneous emphasema |
| Conservation Laryngetomy (supraglottic) | Treat selected extrinsic lesions located on the epiglottis above the true vocal cords. Diseasd portion is removed and temp trach pt retain ability to speak (Neoplasia) cancer of the larnx. |
| Post op Conservation Laryngectomy | Epiglottis has been removed and pt needs to relearn how to swallow, May have NGT with IV for 2-3 wks. Risk Carotid Rupture, Bleeding, Fistuala between pharynx and skin. |
| Entire Larynx s removed with the hyoid bone, permanent tracheostomy loss of speech, loss of ventilation thru nose and mouth | Total Laryngectomy |
| No danger of apiration because the connection is gone betwen the pharynx | Total Laryngectomy |
| Risk of bleeding, Carotid Rupture, fistula formation is present | Total Laryngectomy |
| Speech via artifical Larynx or prothesis | Total Laryngectomy |
| TX: neck is opened between the jaw and the calvicle and subcutaneous tissue, sternocleidomastoid muscle, jugular vein and spinal accessory nerve removed | Radical Neck Dissection |
| Complicatons: Airway obstruction, hemmorage from carotid artery rupture, skin flap necrois | Radical Neck Dissection |
| Nursing care: skin should be pink and warm with mininal edema, fowlers postion | Radical Nect Dissection |
Created by:
keldog09
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