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RESP. #2
MED SURG
| Question | Answer |
|---|---|
| CAUSES OF NOSE BLEED | TRAUMA;ANTICOAGULANT THERAPY;HYPERTENSION;DRUG USE |
| FX NOSE AND DRAINING CLEAR FLUID | CEREBROSPINAL FLUID |
| N.I. FOR F/X NOSE | O2;NO STRAWS;NO REDS;SEMI-FOWLERS;ANTIHISTAMINES;NARCOTICS;STOOL SOFTNER;OSA(OBSTRUCTIVE SLEEP APNEA) |
| SLEEP APNEA DUE TO | OBESITY;SMOKING;DRINKING;ANYTHING THAT DECREASES MUSCLE TONE LONGER TAN 10 SEC. |
| LARYNGEAL CANCER | MOST COMMON IN MEN;HOARSENESS |
| P/OP LARYNGEAL CANCER | LET AREA REST;CHECK PALPATATIONS/FEEDING TUBE;NO TALKING;MAY PRESENT STRIDOR |
| ACUTE BRONCHITIS | SELF LIMITING;STARTS AS UTI;INFLAMMATION OF THE MUCUS MEMBRANES THAT LINE THE BRONCHI |
| SX OF ACUTE BRONCHITIS | COUGH-NON-PRODUCTIVE TO PRODUCTIVE;FEVER;HEADACHE;MALAISE;BACK PAIN;LUNGS SOUNDS MOIST;USUALLY VIRAL THEN SECONDARY;SMOKING AND IRRITANTS;ATTACKS OF COUGHING;SPUTUM MAY BE TINGED,STREAKED,BRIGHT RED |
| TX OF ACUTE BRONCHITIS | EXPECTORANTS;ANTITUSSIVES;BEDREST;INCREASE FLUIDS;HUMIDIFIER(SOOL)SYMPTOMATIC |
| N.I. FOR ACUTE BRONCHITIS | COUNT RESP.;LISTEN TO LUNGS;V/S;PULSE OX;SPUTUM CULTURE |
| PNEUMONIA(PNX) | INFLAM. OF THE BRONCHIOLE AND ALVEOLAR TISSUE;DUE TO MICROORGANISMS;CHEMIALS;ASPIRATION AND RADIATION TX |
| PNX | MOST COMMON CAUSE OF DEATH;VIRAL IS MOST COMMON |
| BRONCHOPNX | PATCHY DIFFUSE SCATTERED THRU FIELDS |
| SX OF PNX BACTERIAL | TEMP.;CHILLS;SPUTUM IS RUST COLORED;CHEST PAIN FORM COUGHING;SHALLOW BREATHING |
| SX OF PNX VIRAL | SPUTUM IS MORE COPIUS;WEAK;LAST LONGER;NO ANTIBIOTICS |
| DX OF PNX | HX;X-RAYS;CBC WITH DIFF;V/;PULSE OX MAY BE LOW;CYANOSIS;MEMBRANES PALE;BREATH SOUNDS;DIMINISHED;CRACLES;WHEEZING |
| MED.MGT OF PNX | SYMPTOMATIC;ANTIBIOTICS;BRONCHODILATORS;ANALGESICS;P.D.C POSTURAL DRAINAGE AND CLAPPING; |
| HOPITALIZED FOR PNX | DEHYDRATE;INADEQ.NUTRITION TO HEAL;VENTILATOR;MOST EFFECTIVE POSITION IS FOWLERS |
| N.I. FOR PNX | I&O;SKIN TURGOR;V/S;FLUIDS;I.S;WALKING;ENCURAGE IMMUNIZATION |
| PLEURISY | INFLAMMATION OF PARIETAL AND VISCERAL PLEURA;RUBBING TOGETHER HURTS;CAUSES TO BREATHE SHALLOW |
| TX OF PLEURISY | PAIN;ANTIINFLAMMATORIES;ANITBIOTICS;THORANCENTESIS;PRESSURE DRESSING;CHEST CAVITY INS NEG.AIRWAY PRESSURE;NO DEEP BREATHIN/COUGHING |
| PLEURAL EFFUSION | COLLECTION OF FLUID BETWEEN THE VISCERAL AND PARIETAL PLEURA;LUNG CAN COLLAPSE |
| SX OF PLEURAL EFFUSION | PAIN;DYSPNEA;FEVER;CHILLS |
| DX OF PLEURAL EFFUSION | X-RAY;CAT SCAN;THAORANCENTESIS |
| TX OF PLEURAL EFFUSION | RELIEVE DISCOMFORT;CHEST TUBE |
| CHRONIC BRONCHITIS | INFLALM. OF BRONCHI WITH CHRONIC COUGH;PROD OF MUCUS FOR 3 MTHS.OF THE YEAR;2 YRS CONSEC. |
| DX OF CHRONIC BRONCHITIS | HX OF SMPTOMS;THICK WHITE MUCUS;WORSE IN AM+PM;THICK MUCUS,TRY TO INHALE,ITS HARD TO FORCE OUT;PURSE LIPS |
| DX OF CHRONIC BRONCHITIS TEST | PFT;COLD AIR TRIGGERS SPASM COUGH; |
| N.I. CHRONIC BRONCHITIS | NOSMOKINGLBRONCHODILATORS;STEROIDS;PROPHYLACTICS;ANTIBIOTICS |
| BRONCHIEACTESIS | CHRONIC INFECTION AND IRREVERSIBLE DILATION OF THE BRONCHI+BRONCHIOLES |
| SX OF BRONCHIEACTESIS | CHRONIC COUGH;COUGH GETS WORSE WITH CHANGE OF POSITION |
| SX OF BRONCHIEACTESIS | ANOREXIA;CLUBBING OF THE FINGERS;FATIGUE;LACK KOF O2; |
| DX OF BRONCHIA. | SPUTUM CULTURE;3 LAYERS-PROTHY;SAIVA;PURULENT |
| MED. MGT. OF BRONCHIE | BRONCHODILATORS;DRAINAGE;BAD BREATH;ORAL CARE |
| ATELECTASIS CAUSE | ANTESTHESIA AND IMMOBILITY |
| SX OF ATELECTASIS | DYSPNEA;FEVER;RESP.INCREASE;SECRETIONS INCREASE TEMP. |
| PULMONARY EMPHYSEMA | DUE TO DISTENTION OF ALVEOLAR SACS;CAUSE CAPILLARY BED TO RUPTURE;SCARRING |
| SX OF P.EMPHYSEMA | SOB;BARREL SHAPED CHEST;USE OF ACCESSORY MUSCLES;NOT TOO MUCH O2 |
| TX OF ASTHMA | BRONCHODILATOR;STEROIDS;PEAK FLOW METER |
| WHEEZING;BRONCHIAL SPASM | SX OF ASTHMA |
| FLAIL CHEST | 2/MORE ADJ. RIBS HAVE BEEN BROKEN IN MANY PLACES;RIBS NORMALLY GO IN,FLAIL RIBS GO OUT |
| SX OF FLAIL CHEST | CONFUSION;SOB;PULMONARY EMBOLISM;IMMOBILITY,HIP FX |
| ARD ACUTE RESP.SYNDROME | FOLLOWS OTHER CONDITIONS;RESP. DISTRESS 8-48 HOURS AFTER ILLNESS/INJURY |
| ARD SX | UNRELIEVED WITH O2;SYMPTOMATIC TX=TREAT CAUSE;TRACH/VENTILATOR |
| COPD SX | CHRONIC COUGH AND EXPECTORATION;DYSPNEA;SOB;WHEEZING |
Created by:
chele42
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