Respiratory
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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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