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Respiratory

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Term
Definition
asthma   chronic condition. Wheeze. Inflammation of the mucous membranes lining the airways. Increased airway sensitivity.  
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Leukitriene modifer   leukotriene receptor antagonist or leukotrine synthesis inhibitor  
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asthma rescue med   - beta2 agonist (short acting) - Albuterol  
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asthma control med   - beta2 agonist (short acting) - Albuterol,  
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What is the most effective drug used to tx acute bronchospasm/exercise induced asthma?   beta agonist  
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Leukotriene Modifiers are not appropriate for____and are used for ____.   acute attacks; maintenance of asthma  
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Theophylline is what type of drug and used primarily for what diagnosis?   Methylxanthines; COPD  
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How is theophylline administered?   IV/PO. IV given very slowly  
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What are the most effective antiasthma drugs?   Glucocorticoids  
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What are the uses for glucocorticoids for asthma?   to prevent inflammation and to manage chronic asthma  
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What are the AE of inhaled glucocorticoids?how can they be minimized?   oropharyngeal candidiasis, dysphonia; rinse mouth out after tx and use a spacer  
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Name 5 nursing interventions that help the client with bronchitis.   baseline ABGs, lowest FIO2 possible to prevent Co2 retention, monitor for fluid overload, maintain Po2 between 55 and 60, Teach pursed lip breathing and diaphragmatic breathing, teach tripod position  
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Describe the pathophysiological changes experienced by the client with emphysema (5).   reduced gas exchange surface area, increased air trapping, increased AP diameter, decreased capillary network, increase work of breathing/O2 consumption  
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What does the laryngopharynx do?   passage for breathing and eating. Tonsils and adenoids are located here  
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what prevents food from falling into the trachea?   epiglottis  
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where does oxygen/CO2 exchange take place?   alveolar capillary membrane  
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What kind of blood does the pulmonary vein carry from the lungs   oxygenated  
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Treatment for respiratory alkalosis   measures to slow resp rate, breathing into paper bag, sedation  
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Asthma   affects only the airways, not the alveoli  
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what type of info is given by a pulse oximetry?   oxygen content in hemoglobin  
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Positive Mantoux skin test   infection or exposure of TB  
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Fluroscopy   the thoracic cavity with all its contents in motion  
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Bronchoscopy. What do you tell them about food and fluids?   NPO 6h prior to the procedure  
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Complications of bronchoscopy?   Hypotension, broncospasms, bradycardia, pneumothorax, aspirtation, hypoxemia, bleeding, dysrythmias  
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Postop care of bronchoscopy?   NPO until gag reflex is back, semi-fowlers position, hemoptysis, stridor, decreased or asymmetric chest movement, diminished lung sounds. May be blood in sputum bc of throat irritation  
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Nursing intervention to prevent atleltasis   deep breathing/coughing this aids in lung expansion and expectoration of respiratory secretions.  
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Lip pursed lip breathing promotes   Carbon dioxide elimination. Inhibits airway collapse and decrease dyspnea in pt with chronic lung diease  
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What can pt use postop to prevent atelectasis?   Incentive spirometer  
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What helps patients liquefy respiratory secretions?   aerosol therapy  
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Atelectasis   abnormal collapse of distal lung parenchyma  
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CPAP (continuous positive air pressure)   ventilator support when pt breathes spontaneously. Pressure above atmospheric maintained at the airway throughout breathing  
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Common S/E of decongestants?   Hypertension  
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Severe form of pharyngitis are viral in origin, what else can be a cause?   Strep throat  
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How long after onset of s/s if strep throat is contagious?   2-3 days  
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Tx for PT with strep throat   warm saline gargles, assess level of pain, frequent oral care, meds  
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What indicates suction in a chest tube?   gentle bubbling in chamber  
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Flutter valve   Will make pt cough and clear secretions. Often used after a bronchodilator. Pt. blows INTO device.  
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Tracheotomy   surgical incision into the trachea to create an airway.  
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Hyperplasia   increase in tissue volume with the addition of new cells  
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Hypertrophy   increase in tissue volume with a result of ENLARGEMENT but NOT increase in the number of new cells  
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Pink puffer   Emphysema  
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Blue Boater   Chronic Bronchitis  
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Emphysema and Chronic bronchitis lead to   destruction of alveolar walls  
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wheezing is a sign of   airway obstruction  
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Metastasis of larynx cancer include   pain in the larynx radiating to the ear  
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The throat of a pt with rhinitis will be   erythema and/or edema  
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