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HCC Respiratory

HCC Respiratory Problems

QuestionAnswer
Viral URI's Upper Repiratory Infections caused by virus. Most common human disease. Peak Sept, Jan, and end of April. AKA=common cold
VURI Stats 2-4 colds/year, 100's of strains, can be caused by more than one virus.
Coryza Rhinorrhea, watery profuse discharge from nose. As a result of cells bursting open.
VURI Manifestations Red mucous membranes, boggy/swollen, vasodilation(more secretions), sneezing, cough, sore throat.
First Manifestation Sore throat.
Systemic Manifestations low grade fever, head ache, malaise, aches & pains.
Common Sequella Bacterial infection.
Common Sequella definition When something commonly follows after something else. like a bacterial infection commonly follows after a viral infection.
Common Cold Teachings*** Educate to sneeze/cough into tissue/arm, wash hands, avoid crowds, rest, adequate fluids, stay warm. Adults-Tylenol/aspirin for aches/pains.
Decongestants Promote vasoconstriction, topically right to site of action(nasal spray), onset rapid and short duration. Can be habit forming, shaking, dry mouth.
Decongestant Interventions Assess proper technique/dosage. Take no longer than 3-5 days.
Sudafed Decongestant
Neo-Synephrine Decongestant
Triaminic Decongestant
Antihistamines Non-sedative don't interfere w/ADL's. Often combined w/decongestants. Dry mouth-hard candy or ice chips.
Chlor-Trimeton Antihistamine
Tavist Antihistamine
Zyrtec Antihistamine
Allegra Antihistamine
Contraindication of Decongestants Clients w/HTN or chronic heart disease should not take decongestants because it stimulates the sympathetic nervous system.
Contraindication of Antihistamines Heart disease, operating or driving heavy machinery, someone who needs to remain alert.
Echinacea Herb from a plant, reduces duration,echinacea and garlic thought to have antiviral and antibiotic like properties. DO NOT GIVE TO PREGNANT/BREAST FEEDING/AUTOIMMUNE DISEASE
Aromatherapy Oils that Relieve congestion. NOT FOR CONSUMPTION.
Nursing Care for VURI's Comfort measures, palliative. Hand washing, wiping down surfaces, stress reducing activities, prevent complicatons.
Influenza RESPIRATORY DISORDER! Highly contagious. Coryza, fever, cough, malaise, HA.
Influenza Frequency Usually occurs in epidemic or pandemic q10-15 years. Localized outbreaks q3 years.
Influenza Pathophys Typically mild and self-limiting in healthy people. Incubation 18-24hrs. Invades epithelium. Inflammation, necrosis, shedding of resp. tract cells.
Those Typically Affected by RI's Very young, very old, chronically ill.
Influenza Strains A,B,C. Mostly A (more chameleon). B, outbreaks less extensive and severe. C, extremely mild and often goes unrecognized.
Influenza A Taiwan 89 Outbreaks named according to place of origin and year.
Influenza Manifestations Sinusitis and otitis media are common. Shedding of epithelial tract cells makes the person more susceptible to bacterial infection.
Lean, mean, replicating machines Viruses' power is in their numbers. They replicate and overwhelm.
Pneumonia Very common, especially in aging population, and claims a lot of lives. Very serious complication of influenza. Typically develops in 48 hrs.
Reye's Syndrome Poss complication of influenza. Typically affects children, develops in 2-3 wks, encephalopathy and liver failure-can be fatal associated w B virus. 40% mortality.
Giving Aspirin to Children Not done anymore because it can cause Reye's syndrome.
Created by: mande747