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SOPN Upper Resp Test 7 (2 of 2)

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Bronchiectasis  
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Seen in Cystic Fibrosis, asthma and bronchities if severe   show
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Cough with large sputnum, hemoptyis, malise, fatigue, DOE signs of what   show
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show Bronchiectasis  
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show Atelectasis  
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NI: TCDB, ambulation, incentive spirometer, Chest PT if ordered,   show
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show Immobilized patients with heart failure, long bone fractures, abdominal surgery, others: Preg, varicose, Ca, obestity, sickel cell anemia.  
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show Detached Deep Vein Thrombi  
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show Damanged venous epithelium, Venus Statis, Hypercoagubility of blood (from surgery, increarsed pltelet, trauma, dyhydration).  
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Occlusion of Pulmonary Artery:   show
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show Diminished or absent radioacivity suggest lack of perfusion or air flow greater than 1.  
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Signs of Pulmonary Embolism   show
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DX of Embolism:   show
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Treatment Embolism   show
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What to give with decrased BP with Embolsim:   show
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show Streptokinase, Urokinase TPA, Throbolytics are quicker than heparin but higher risk for bleeding *Monitor PT*  
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Greenfield Filer for what   show
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show Check Homans sign, RR, Chest Pain, JVD.  
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What is Normal Systolic Pulmonary Pressure?   show
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What is Normal Dystolic Pulmonary artery pressure?   show
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PA pressure greater than 30/16 is what   show
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Increase resistance to blood flow in the pulmonary vessels resulting increased pulmonary artery pressure:   show
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Cause of Pulmonary Hypertension   show
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show Heart catheterization, lung scans, pulmonary angiography  
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show Adequate oxygenation, monitor RR  
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show Adult Respiratory Distress Syndrome, ARDS is life threatening.  
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show injury to lung, cuases increased pulmonary vascular permeability.  
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At risk for ARDS   show
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show 1st stage: damage at the level of cell membranes  
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show 2nd stage: aveoli elasticity reduced, dyspnea, increase RR, restlessness  
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Acute Intra Aveolar Edema stage of ARDS   show
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Fibrotic Stage of ARDS   show
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show ABG, CXR, DECREASING PA02, INCREASING PaCO2  
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Lesion in mostly lower lobes lead to brochogenic carcinoma or pulmonarry fibrosis   show
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show Coal miners disease, silca nodules in lungs especially upper lobes  
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show Prolonged exposure to coal dust.  
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show Pulmonary Hypertension and severe destructive lung disease  
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NI Coal Workers Pneumoconiosis   show
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Fractured Ribs:   show
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show Narcotics, decrease respirations, heal 3-6 weeks Do not wrap chest  
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show when 3 or more ribs are fractured in 2 or more places, causing free floating rib segments  
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NI Flail Chest   show
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show Air enter the pleural space from the lung, increased intrapleural pressure can be from Emphysema  
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show Air leaks into the pleural space during inspiration but prevented from escaping during exhalation therfore air pressure increases = MEDIASTINAL SHIFT, impairing venous return.  
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When would you hear a sucking sound audible on inspiration with varying degress of respiratory distress on severity   show
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show Hemothorax  
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show Hemothorax  
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show Hemothorax Chest Tube, or Thoractomy  
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show RR, 02 sats, assess respiratory, observe for dyspnea, assess for deviation of the trachea  
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show Pulmonary Contusion  
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DX of Pulmonary Contusion   show
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show Lung Cancer  
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Management Neoplasms   show
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Air which has escaped lung enters subcutaneous tissue. Popping sounds under skin   show
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show From large bronchi, obstruction of airways, spread to bowel and thorax, poor prognosis.  
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show Most Common. Arise in lungs, spread to brain  
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Large Cell Carcinomas   show
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show Most malignant of lung cancers, they metastasize early via blood stream and lymph system, secrete ADH 9 antidiuretic hormone leads to hyponatremia.  
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SS Neoplasms   show
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DX Neoplasms   show
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Treatment Subcutaneous Emphysema   show
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