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RESP. #2

MED SURG

QuestionAnswer
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