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RESP. MED SURG
RESPIRATORY SYSTEM
| Question | Answer |
|---|---|
| FUNSTION OF RESP.SYSTEM | PROVIDE O2 FOR CELLULAR METABOLIC NEEDS;REMOVE CO2;DIVIDED BY UPPER ANDLOWER=NOSE AND TRACHEA TO ALVEOLI |
| RESPIRATION | EXCHANGE OF GASES BETWEEN THE ATMOSPHERE AND BLOOD AND BETWEEN BLOOD AND THE CESS |
| VENTILATION | MOVEMENT OF AIR IN AND OUT OF RESPIRATORY TRACT |
| DIFFUSION | EXCHANGE OKF O2 NAD CO2 THRU THE ALVEOLAR CAPILLARY MEMBRANE**LUNGS AND HEART COMPENSATE FOR KIDNEYS;VICE VERSA |
| HYPOXIA | DECREASE O2 IN INSPIRED AI |
| HYPOXEMIA | DECREASE O2 IN BLOOD |
| HYPERCAPNEMIA | INCREASE CO2 IN BLOOD |
| HYPOCAPNEMIA | DECREASE CO2 IN BLOOD |
| ASSEMENT FOR RESPIRATORY | DO HX;ASK ABOUT GENERAL HEALTH;FAMILY HX;FREQ. RESP. ILLNESS; ALLERGIES; SMOKING; |
| P.E. | HEAD TO TOE;LUNG SOUNDS;IF ADVENTITOUS SOUNDS HAVE COUGH |
| DIAG. TESTS FOR RESP. | TB(SKIN TEST);PFT(PULMONARY FUNCTION TEST-FUNCTIONAL) ABILITY OF THE LUNG;PULSE OXIMETRY;SPUTUM SPECIMEN;X-RAYS;CT AND MRI;PULMONARY ANGIOGRAPHY;BRONCHOSCOPE;LARYNGOSCOPE;THORANCENTESIS |
| DRESSING FOR A THORANCENTESIS | PRESSURE DRESSING |
| ACCESSORY MUSCLES WITH RESP. | DIAPHRAGM;INTERCOSTALS;RIBS |
| RHINITIS | INFLAMMATION OF THE NASAL MUCUS MEMBRANES |
| ACUTE FORM OF RHINITIS | COLD |
| CHRONIC FORM OF RHINITIS | ALLERGY |
| COLD LASTS | 7-10 DAYS |
| COLDS | VIRAL;SECONDARY=BACTERIAL |
| N.I. FOR COLDS | CHECK CBC FOR VIRAL DECREASE NUMBER;INCREASE IN BACTERIAL |
| SINUSITIS | INFLAMMATION OF 1/MORE PARANASAL SINUSES;URI=UPPER TRACHEA;AIR PRESSURE; |
| SYMPTOMS OF SINUSITIS | COMPLAINS OF HEADACHE;PAIN IN CHEEKS;SENSITIVITY TO LIGHT;NASAL CONGESTION;NASAL SECRETIONS;FEVER;GENERAL MALAISE; |
| DIAG.TEST FOR SINUSITIS | HISTORICAL;TRANSILLUMINATION |
| TX OF SINUSITIS | SYMPTOMATIC;NOT CONTAGIOUS;ANTIBIOTICS;OTC |
| TONSILITS/ADENOIDS | LYMPHATIC SYSTEM INFLAMMATION OF TONSILS AND ADENOIDS;MAY HAVE ALONE OR WITH URI SECONDARY; |
| ASSESSMENT FOR TONSILITIS | SORE THROAT;REDDENED;WHITE PUSSY PATCHES;ODORS;DYSPHAGIA;PAIN;EDEMA;FEVER;MALAISE |
| DIAG. TEST FOR TONSILITIS | SWAB |
| TX OF TONSILITIS | ANTIBIOTIC;IF CHRONIC MAY OPT FOR SURGERY |
| N.I. P/OP TONSILECTOMY | NO COUGHING;NO CLEAR THROAT;NO BLOW NOSE;NO STRAW;IF SNEEZE DO WITH MOUTH OPEN;SOFT FOODS;NO REDS;CHECK INCREASE IN URINATION;STOOLS WILL BE BLACK AND TARRY;BAD TASTE;CONSTIPATION;ICE COLLAR(ORDER FORM DOC0 |
| peritonsilar abcess | FOLLOWS SEVERE TONSILAR INFECTION;STREP/STAPH |
| SIGNS OF PERITONSILAR ABCESS | PAINFUL SWALLOWING/TALK MARBLY;FEVER;MALAISE;ABCESS USALLY HANGS DOWN THROAT; |
| N.I. FOR PERITONSILAR ABCESS | INCREASE DOSE OF ANTIBIOTICS;SEMI-FOWLERS POSITION;IAND D;ASIRATE;BLEEDING |
| PHARYNGITIIS | VIRAL |
| LARYNGITIS | EDEMA OF VOCAL CORDS;USUALLY AFTER URI; |
| SIGNS OF LARYNGITIS | APHONIA |
| APHONIA | WITHOUT VOICE;GREATER THAN 2 WEEKS WITH HOARSENESS NEEDS TO BE CHECKED;MAY BE CANCEROUS |
| TX OF LARYNGITIS | REMOVE CAUSE;REST;IF BACTERIAL ANTIBIOTICS |
| EPITAXIS | NOSE BLEED;COMES FROM TRAUMA;DRUG USE;ANTICOAGULANT THERAPY;HYPERTENSION |
| assessment for nosebleed | VISIBLE,TRICKLE DOWN THROAT |
| N.I. FOR LARYNGITITIS | LEAN FORWARD AND PINCH NOSE 5-10 MINS;CHRONIC/MAY CAUTERIZE;PACK;EPINEPHRINE COUPLE USES;BLACK,TARRY STOOLS |
| FX NOSE | DRAINING CLEAR FLUID(CEREBROSPINAL FLUID)sos |
| LARYNGEAL CANCER | MOST COMMON IN MEN;INCREASE TX RATE;REMOVE PHARNYX |
| P.OP LARYNGEAL | AIRWAY;LET AREA REST;+PALPATATIONS;FEEDING TUBE;NO TALKING;MAY PRESENT STRIDOR |
| N.I. FOR NOSEBLEED | LEAN FORWARD PINCH NOSE;5-10 MINS.;MAY CAUTERIZE;PACK IT; |