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OTSEM: Pulmonary/Respiratory System > Pulmonary Conditions > Flashcards

Pulmonary Conditions Flashcards

(64 cards)

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1
Q

COPD or CRPD??

  • Problem c expiration (exhale)
  • (+) air trapping
A

COPD

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2
Q

COPD or CRPD?

  • Problem c inspiration (inhale)
  • d/t ↓ lung and chest wall compliance
A

CRPD

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3
Q

COPD or CRPD?

increase in RV, FRC, TLC

A

COPD

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4
Q

COPD or CRPD?

decrease VC, IRV, TLC

A

CRPD

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5
Q

V/Q ratio in COPD

A

Less than 0.8

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6
Q

V/Q ratio in CRPD

A

greater than 0.8

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7
Q

Enumerate sample conditions in COPD

E, CB, A, B, CF

A

Emphysema
Chronic bronchitis
Asthma
Bronchiectasis
Cystic fibrosis

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8
Q

CRPD is d/t alterations of:

A

Lung parenchyma and pleura
Chest wall
Neuromuscular apparatus

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9
Q

has (+) response to bronchodilator drugs

A

COPD

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10
Q

Overdistention of air spaces distal to the terminal bronchioles c destruction of the alveolar septa

A

Emphysema

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11
Q

Productive cough of at least 3 months for 2 consecutive years

A

Chronic Bronchitis

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12
Q

Enzyme that destroys alveolar walls

A

Proteolytic

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13
Q

Protein produced in the liver to prevent lung disease

A

Alpha 1 antitrypsin

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14
Q

Emphysema or Chronic Bronchitis?

Pink puffer: ___
Blue bloater: ___

A

P: Emphysema
B: Chronic bronchitis

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15
Q

Emphysema or Chronic Bronchitis?

Age for Emphysema and CB

A

E: +/- 60 years old
CB: +/- 50 years old

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16
Q

Emphysema or Chronic Bronchitis?

Which among the two experiences severe dyspnea

A

Emphysema

  • Once natanggal na mucous kay CB, okay na
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17
Q

Emphysema or Chronic Bronchitis?

Characteristics of sputum of Emphysema and CB

A

E: Scanty & Mucoid
CB: Copious & Purulent

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18
Q

Emphysema or Chronic Bronchitis?

Who is more prone to bronchial infection?

A

Chronic Bronchitis

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19
Q

Emphysema or Chronic Bronchitis?

Body built

A

E: Asthenic
CB: often overweight

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20
Q

Result of chest X-ray of client with emphysema

A
  • (+) Hyperinflated lungs
  • Small heart
  • Diaphragm muscle is low and flat
  • +/- Bullae greater than 1 cm
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21
Q

results of chest X-ray of client with Chronic Bronchitis

A

(+) R ventricular hypertrophy
(+) Dirty lung appearance

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22
Q

Emphysema or Chronic Bronchitis?

Who is more prone to Cor pulmonale?

A

Chronic bronchitis

  • cor pulmonale = Right ventricular hypertrophy
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23
Q

Emphysema or Chronic Bronchitis?

Which among the two use the accessory muscles of respiration?

A

Emphysema

*Accessory mm = SUPAS

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24
Q

Emphysema or Chronic Bronchitis?

(+) Bi-pedel Edema

A

Chronic bronchitis

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25
# What condition Hypersensitivity of bronchial smooth mm d/t various stimuli resulting to widespread bronchoconstriction
Asthma
26
What are the triad of Asthma
* Coughing * Wheezing * Dyspnea
27
# True or False? (+) tachypnea in Asthma
true
28
# What condition Permanent dilation of bronchi/bronchiolrd d/t recurrent pulmonary infectins
Bronchiectasis
29
MC affected airways in people with Bronchiectasis
Terminal bronchioles
30
type of bronchiectasis involve from large proximal bronchi down to the 4th generation
Saccular (Cystic)
31
Type of bronchiectasis that is cylindrical shape; from 6th to 10 generation
Cylindrical (Fusiform)
32
S/sx of client with bronchiectasis
* Coughing * Dyspnea * Fever * Hemoptysis ## Footnote Hemoptysis = blood in sputum or coughing blood
33
Enumerate intrinsic triggering factors of Asthma
* Fatigue * Exercise * Emotions
34
Extrinsic factors that triggers asthma
* Inhalant allergens * Irritant inhalants * Pollution * Climate change * Drug * Food * Animal hair/feathers
35
# What condition? Has widespread abnormalities of the Exocrine glands
Cystic Fibrosis
36
Other name for Cystic Fibrosis
Mucoviscidosis
37
Triad of Cystic Fibrosis
* Bronchial mucus glands * Exocrine cells of pancreas * Sweat glands
38
Which chromosome is affected that completes the exocrine glands
long arm of Ch. 7
39
S/sx of Cystic Fibrosis
* Productive coughing * Bronchial infection * Weightloss d/t malabsorption * Increased NACl in sweat * Honeycomb lungs
40
Pulmonary rehabilitation where you put patient in various position to help gravity assist in the drainage process
Postural drainage
41
Other names for Postural Drainage
* Bronchial Drainage * Bronchial Hygiene * CPT (Chest Physiotherapy)
42
Duration of postural drainage
20-30 minutes Sullivan: 45 mins
43
Identify position described: Head down position
Trendelenburg position
44
Identify position described: Head up position
Reverse Trendelenburg position
45
Duration for the application of manual techniques
3-5 minutes only
46
type of manual technique that is c/i to patient with rib fracture, thoracic surgery, chest pain, bleeding or hemorrhage
Percussion
47
# Identify what Segment is described: - Position: Sitting, leaning backward - Percussion: below clavicle - For comfort: put pillow on lumbar area
Anterior Apical segment
48
# Identify what segment - Position: Supine, bed flat; - Percussion: Male: over nipple area; Female: just above the breast - For comfort: pillow at back of head and popliteal area
Anterior Segment
49
# Identify what segment - Position: ¼ turn from prone on L side; bed flat - Percussion: R scapula - For comfort: put pillow on right anterior chest
R Posterior Segment
50
# Identify what segment - Position: ¼ turn from prone then lean on R side; reverse T-position (30-45 degrees head elevation) - Percussion: L scapula - For comfort: put pillow on left anterior chest
L Posterior Segment
51
# Identify what segment - Position: ¼ turn from supine on L side. T-position (15-30 degrees foot elevation) - Percussion: Male- below R nipple
R Middle Lobe
52
# Identify what segment - Position: ¼ turn from supine on R side; T-position (15-30 degrees) - Percussion: below L nipple
Lingula
53
# Identify what segment - Position: Supine, T-position (30-45 degrees foot elevation) - Percussion: Anterior lower ribs
Anterior Lower lobe segment
54
# Identify what segment - Position: Prone, T-position (30-45 deg) - Percussion: Posterior lower ribs
Posterior lower lobe segment
55
# identify what segment - Position: R side lying, T position (30-45 deg) - Percussion: Lateral lower ribs (L)
L Lateral Segment
56
# Identify what segment - Position: L side lying; T-position (30-45 deg) - Percussion: Lateral lower ribs (R)
R Lateral Segment
57
# Identify what segment - Position: Prone; bed flat - Percussion: below the scapulae
Superior Segment (Apical segment of lower lobe)
58
Type of breathing exercise used for pre-op and prevent atelectasis
Sustained maximal inspiration (SMI)
59
used for patient c high SCI and post polio syndrome
Glossopharyngeal breathing
60
other namen for Glossopharyngeal breathing
Frog Breathing
61
Exercise for patient with atelectasis or pneumonia
Segmental breathing
62
Exercise to improve ventilation
Diaphragmatic breathing
63
exercise for patient with COPD (dyspnea)
Pursed-lip breathing
64
Increase of _____ pressure of patient = creates positive pressure
intrabronchial

OTSEM: Pulmonary/Respiratory System (2 decks)

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