Acute Respiratory Disorders
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| Lung cancer counts for what percentage of cancer related deaths? | 28%
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| 80-90% of lung cancer are related to what? | Smoking?
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| What are the four types of lung cancer? | *Small cell *Non-small cell *Squamous cell carcinoma *Large cell
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| How many PTs with lung cancer are found inoperable? | 1/3rd
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| How many PTs found inop during exploratory thoracotomy? | 1/3rd
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| How many PTs with lung cancer who had surgical Tx experienced tumor spread? | 1/3rd
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| Surgical removal of an entire lung. | Pneumonectomy
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| Surgical removal of a portion of a lung. | Lobectomy
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| What percentage of lung cancer PTs live 5yrs or longer? | 10% - 15%
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| What is the survival rate for cancer PTs identified in local stage? | 40%
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| What is an accumulation of serous fluid in interstitial lung tissue and alveoli? | Pilmonary edema
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| What does pulmonary edema result from? | *Severe left ventricular failure *Inhalation of irritating gases *Rapid administration of I.V. fluids *Barbiturate and opiate overdose
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| What is the mortality rate of untreated pulminary embolisms? | 30% mortality
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| What is the mortality rate of an early diagnosed pulminary embolism with treatment? | 5% mortality
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| What is Acute Respiratory Distress Syndrome (ARDS)? | non-cardiogenic pulmonary edema Secondary to an acute disease process, a syndrome of pulmonary shunting , hypoxemia, reduced lung compliance and parenchymal lung damage (functional part of lung)
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| List 4 causes of ARDS | *Pneumonia *Chest trauma *Aspiration *Inhalation injury *Near drowning *Fat emboli *Sepsis *Shock *Overdoses, renal failure, pancreatitis
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| What is the most common cause of ARDS? | Sepsis
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| When does ARDS manifest post-surgery? | 12-24 hours
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| When does respiratory distress with altered breath sounds occur with the onset of ARDS? | 5-10 days
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| How do mucolytics break up secretions? | Decreases viscosity of secretions by breaking disulfide links of mucoproteins.
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| What are the contraindications of mucolytics? | *Increased intracranial pressure *Status asthmaticus *Hyperthyroidism *Addisons disease *COPD *Asthma
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| What should not be used with mucolytics? | Do not use with iron, copper, rubber, or mix with antibiotics
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| Mucolytics increase the effects of what? | Nitrates
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| How should mucolytics be given PO? | Mix with soft drinks to disguise taste
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| When should PO mucolytics be given in regards to meals? | 30min to 1hr before meals for better absorption and reduce nausia.
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| When does the acetominophen antedotal effect of mucomyst take effect? | w/in 24hrs
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| How should mucolytics be stored? | In the fridge for up to 96hrs after opening.
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| A patient states that his mucomist fluid is discolored. What should you do? | Inform the PT that Discoloration of solution after opening is not unusual, and it does not affect effectiveness of medication
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| What should be done after the PT vomits after taking mucomist? | Report it for the dose may need to be repeated.
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