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ARD
Acute Respiratory Dysfunction
Question | Answer |
---|---|
PaO2 | PaO2 one of the best indicators of how much O2 is available to tissues and shows how effectively lungs are removing CO2 |
Atelectasis | The closure or collapse of Alveoli |
Atelectasis (Non functional alveoli) results from | results from hypoventilation secondary to bronchial obstruction by: mucus plugs, excessive secretions, hemo/pneumothorax, pleural effusion. |
Atelectasis S/S | cough, low grade fever r/t infection/inflammation, tachycardia, dyspnea, tachypnea, cyanosis |
Asthma | Inflammation lead to obsruction, bronchial muscles and mucus glands swell,bronchospasms cause bonchoconstriction |
asthma triggers are | exercise, stress, emotional upsets, uri,sinusitis, medications, gerd, chronic exposure to pulmonary irritants (smoke, allergens, air pollutants, heat, cold) |
Short acting/Rescue drugs for Asthma | Albuterol (ProAir, Proventil) - acute tx of bronchospasms: inhalation:MDI( meter dose inhalant) 90 mcg/puff: 4-8 pullfs every 20 minutes up to 4 hours, then 1-4 hours as needed. Anticholinergics - bronchodilation, ipratropium (atrovent) |
Long acting or Prevention Drugs | Antihistamines (H1 Blockers), corticosteroids:antiinflmmatory, PO, MDI, Leukotriene inhibitors, LA B2 adrenergic agonists |
COPD | Chronic Obstructive Pulmonary Disease - Disease characterized by airflow limitation that is not fully reversible |
COPD | increases with age, historically has been divided into 2 major categories: Chronic bronchitis, and emphysema |
Chronic bronchitis | when the bronchi are inflamed, less air is bale to flow to and from the lungs and secretions build up, chronic inflammation eventually leads to scarring of the lining of the bronchial tubes. Chronic scarring and irritation leads to excessive mucus produc |
Emphysema | There is a slow process of destruction of the walls and elasticity of the alveoli |
Emphysema | Tachypena, decreases weight, chronic cough, sputum production, digiial clubbing, barrel chest, loose weight bc increase breathing, increase metabolism. |