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33 — Mod. 8
Upper Respiratory Infections
| Question | Answer |
|---|---|
| What is hypoxemia? | deficient oxygenation of blood |
| What is hypercapnia? | high carbon dioxide retention in blood |
| What is hypoxia? | inadequate oxygenation in body tissues |
| What are 3 complications of streptococcal pharyngitis? | rheumatic heart disease, glomerulonephritis, peritonsillar abscess |
| What are 2 contraindications for the flu vaccine? | Guillaine-Barre syndrome, egg hypersensitivity |
| When is the best time to get the flu vaccine? | mid-October |
| What is Tamiflu used for? | flu treatment (not prevention) |
| Acute viral rhinitis is caused by what? | the adenovirus |
| Streptococcal pharyngitis is caused by what? | Group B-hemolytic streptococcus |
| A respiratory tract infection is caused by what? | Moraxella catarrhalis |
| Streptococcal pneumonia is caused by what? | Streptococcus pneumonia |
| What is a contradiction of pseudoephedrine? | hypertension |
| What is important patient teaching for Phenylephrine nasal spray? | using the drug longer than 3 days can cause rebound vasodilation & worsen congestion |
| What are 4 symptoms of impaired gas exchange (hypoxia)? | increased lethargy, change in mental status, restlessness, confusion |
| What is the first intervention for a patient with an increased respiratory rate and congested lung sounds? | raise the head of the bed |
| What is the second intervention for a patient with an increased respiratory rate and congested lung sounds? | administer oxygen per nasal cannula |
| What is the third intervention for a patient with an increased respiratory rate and congested lung sounds? | help them deep breathe and cough |
| What is the final intervention for a patient with an increased respiratory rate and congested lung sounds? | call the doctor for further instruction |
| What is the result of hypoventilation? | decreased oxygen, increased carbon dioxide |
| What is hemoptysis? | coughing up blood/blood-stained sputum |
| What are OTC treatments for viral rhinitis? | vitamin C, echinacea, zinc |
| Diagnostics tests for streptococcal pharyngitis? | rapid antigen test, throat culture |
| Diagnostic tests for influenza? | viral cultures, rapid influenza diagnostic tests (RIDTs) |
| Diagnostic tests for viral rhinitis? | percutaneous skin test, IgE antibody test |
| Components of the URT? | nose, pharynx, larynx, epiglottis, trachea |
| Components of the LRT? | bronchi, bronchioles, alveolar ducts, alveoli |
| Function of the URT? | warm, filter, humidify inspired air |
| Function of the LRT? | conduction of air, mucociliary clearance, production of pulmonary surfactants |
| What is pulse oximetry? | Non-invasive manner of measuring the oxygen saturation of blood. |
| What is the ABC of respiratory distress assessment? | Airway, Breathing, Circulation |
| How do you assess the ABCs of respiratory distress? | A > Is the airway patent? B > Assess breathing work? C > Check BP & peripheral pulses. |
| What 3 populations are at risk for URIs? | crowds, pollution, highly-populated areas |
| 4 tx for a URI? | Tylenol, rest, water, cough suppressant |