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M.H.R School Of Nursing > respiratory > Flashcards

Flashcards in respiratory Deck (35):
1

Most common symptom of respiratory disease

Cough

2

Acute Viral Rhinitis

Aka common cold
Inflammation of the nasal mucosa
No cure, treat symptoms --NO ANTIBIOTICS
Fluids (2-4 L day)

3

Blow nose properly -->

Both nostrils and mouth open

4

Influenza

Acute Viral Infection w/ abrupt onset of symptoms
Direct/ indirect
2 main strains(A/B)
Recovery may require 2-3 weeks

5

Biggest prevention mechanism for flu-->

Hand-washing

6

Complications of the flu

Bacterial pneumonia
Tracheobronchitis

7

Contraindications of flu vaccine

Gillian barre
Hypersensitivity to eggs

8

Prevents or reduces symptoms in HIGH RISK pt Exposed to flu, but NOT VACCINATED

Rimantadine (Flumadine)
Or
Amantadine (Symmeteral)

9

Side Effects of Amantadine (Symmetrel)

Heartburn
Hallucinations

10

Needs to be given w/ 2 days of symptom onset for flu to reduce symptoms and severity

Zanamivir (Relenza)& Oseltamivir (Tamiflu)

11

Prevents virus budding and spreading to other cells

Zanamivir (Relenza) & Osteltamivir (Tamiflu)

12

Infection of the mucous membrane of ONE of the para nasal sinuses

Sinusitis

13

Most frequently affected by sinusitis

Maxillary Sinus

14

Sinusitis of this can --> brain infections

Frontal Sinus

15

Diagnostics for Acute Sinusitis

X-ray & CT Scan

16

Antitussives

***aid in reducing cough tendency-->DRY HACKING COUGH***
Affect cough center & nasal mucosa
Non-narcotics (Benylin DMV, Novahistine)
Action 15-20mims; last 3-8hrs

17

Dose of Antitussives

30 mg oral
10-30 q 4-8hrs
Max 120 mg/24 hrs

18

Narcotics (Codeine)

Direct depressant effect on cough center in medulla
Symptom relief of NON-PRODUCTIVE COUGH

19

Acute Pharynigitis

Inflammation of pharyngeal walls ( may include tonsils, palate, ulna)

Viral, bacterial (70%), or fungal

20

OSA

Sleep Apnea

21

Sleep apnea

Upper airway obstruction during sleep (partial/complete)

Tongue & soft palate fall backward obstructing pharynx

22

Apnea

Absence of breathing (15-90 secs)
Airflow decreases 30-50%

23

Hypopnea

Abnormally shallow breathing

24

Hypercapnia

Increased PaCO2

25

Hypoxemia

Decreased PaO2

26

Risk factors for OSA (sleep apnea)

65+
Male
Obese
Neck circumference >17 in
Craniofacial abnormalities
Sm anatomical pharyngeal airway

27

Clinical manifestations of OSA

***Loud, snoring, gasping, and jerking movements***
Frequent awakening at night
Insomnia -- excessive day time sleepiness

*systemic HTN & Cardiac arrhythmias = serious complications!*

28

Polysomnography

Sleep study!

29

Tx of Severe OSA

CPAP (high flow - prevents airway collapses)
or
BiPAP
or
Surgical Interventions

30

Surgical Management of OSA

Uvulopalatopharyngoplasty
GAHM
Laser assisted UPPP (LAUP)

31

UPPP (UP3)

Uvulopalatopharyngoplasty
Sx intervention for OSA

32

GAHM

Genoglossal advancement hyoid mayotomy

33

Most dangerous problem related to the larynx

Obstruction

34

Glottis

Narrowest part of adult airway

Site where foreign objects stick

35

Most common symptom of Laryngeal Polyps

Hoarseness