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LPN-DP-Obj2012A
Respiratory Disorders
| Question | Answer |
|---|---|
| 1. a) Define Assessment techniques in the following condition: Pneumonia | Pneumonia: History -risk factors: SAD ICE, Prev. hx of pneumonia, 1.Physical-s/s: FCS, cough, fatigue, chest pain and dypsnea, VIRAL-continuous barking cough, 2. sputum-C&S gram stain (hemotysis-green, yellow)3. CXR 4. CBC 5. Blood culture:+/- |
| 1. b) Define Assessment techniques in the following condition: Tuberculosis or TB | 1. Hx:Risk factors? Travel or previous hx/contact 2. physical s/s:cough, hemotysis, night sweats, chest pain, Anorexia-wt. loss, low grade fever/abnormal untreatable pneumonia.3. CXR 4. Acid fast bacilli(AFB)early a.m. specimens X3-kids-gastric wash |
| 1. c) Define Assessment techniques in the following condition: Asthma | Heath Hx:s/s-Dyspnea, Tachypnea, productive cough w/exp wheeze, Acceessory muscle use, Tachycardia Phys exam, Pulmonary function: decreased exp vol(FEV), decreased peak exp flow rate(PEFR)CXR to r/o other dx. |
| 1. d) Define Assessment techniques in the following condition: COPD | 1. Health hx:Risk factors:SPOG 2. Phys exam:Wheezes, dyspnea, increased workload of breathing (increased A-P diameter),cough, wt loss, 3.pulmonary function tests, 4.CXR |
| Define Pneumonia | Pneumonia is inflammation of the alveoli and bronchioles caused by infectious agents (bacterial or viral)or noninfectious agents(irritating fumes, chemicals, or radiation)that are inhaled. |
| What is the mechanism involved in acquiring radiation pneumonia? | Inflammation of the lungs due to radiation therapy. Side effect of radiation treatment and can occur from 1-6 mos after completion of therapy. Risk factors vary on amount of radiation used and amt of tissue treated. Common with chemo and COPD is a factor |
| What is the mechanism involved in acquiring aspiration pneumonia? | inflammation of the lungs and airways to the lungs (bronchial tubes) from breathing in foreign material. usually food, liquids, vomit, or fluids from the mouth are inhaled. |
| What is the mechanism involved in acquiring chemical pneumonia? | Inflammation of the lungs caused by poisons or toxins. Liquids, gases, dust or fumes. |
| What is the mechanism involved in acquiring hypostatic pneumonia? | pneumonia that usually results from the collection of fluid in the dorsal region of the lungs and occurs especially in those (as the bedridden or elderly) confined to a supine position for extended periods |
| What are the classic s/s of pneumonia? | s/s: FCS(fever,chills, sweats, cough, fatigue, chest pain and dypsnea, VIRAL-continuous barking cough,sputum-(hemotysis-green, yellow) |
| Identify common bacteria associated with pneumonia. | Streptococcus pneumoniae-Gram+(often lives in peoples throats that do not have pneumonia). Also gram+ Staphylococcus aureus. Gram-Haemophilus influenzae. Atypical:Mycoplasma pneumoniae |
| Name three mechanisms by which organisms reach alveoli. | Organisms can be inhaled Germs may be spread when an infected person coughs or sneezes or touches objects with unwashed hands. Viral can come from other diseases influenza, chickenpox, herpes simplex,(RSV). Also through the bloodstream. |
| Identify nsg interventions for client with pneumonia. | 1. Risk for fluid imbalance 2. pain 3. risk for impaired tissue perfusion 4. activity intolerance |
| Identify the common classes of meds used to treat pneumonia. | Penicillins, Cephalosporins, Macrolides |
Created by:
Sully45
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