Respiratory Flashcards
Rhonchi lung sounds
Snoring sounds (low pitched)
Bronchitis, COPD, pneumonia, cystic fibrosis (mucus obstruction)
Treatment:
Chest percussion, fluids (loosen and thin mucus)
Pleural friction rub lung sounds
Two pebbles rubbing together sound during inspiration and exhalation
Worsening pneumonia (infection)
Treatment:
Turn, cough, deep breath, incentive spirometer, antibiotics
Stridor lung sounds
Medical emergency (airway obstruction) during inhalation (sounds like a dying rabbit)
Obstruction after thyroid surgery
Treatment:
Endotracheal intubation, surgery
Crackles in lungs
Lower lobes (crazy fluid) at end of inspiration
Pulmonary edema (CHF) and pneumonia (infection)
Treatment: diuretics (furosemide) and infection (antibiotics)
Wheezing lung sounds
Mainly only on exhalation
Asthma attacks and COPD
Treatment: Asthma attacks
A: Albuterol
I: Ipratropium
M: Methylprednisolone
DROPlet precautions
“PIMP”
P: pertussis
I: influenza
M: meningitis (CNS infection)
P: pneumonia
Surgical mask and googles
Single room
AIRborne precautions
MTV
M: measles
T: TB (Tuberculosis)
V: Varicella
N95 mask
Negative pressure room
Transport: Patient wears surgical mask
What causes Asthma?
A: allergens, elevated EOSINOPHILS
S: Smoking, Stress
Acute Asthma Attack treatment
A: albuterol (beta activator)
I: ibratroprium
M: methtl-predniso-lone (steroid)
Expected albuTerol reaction finding
T: Tachycardia
T: Tremors
T: Toss and turning at night (insomnia)
Thrombotic drugs
Only ones that dissolve clots
End in -ase (Alteplase, Reteplase, Streptokinase)
3-4hr window administration
Administered through peripheral IV (never through central line)
TB- Tuberculosis
Signs and symptoms
T: Terrible cough “blood tinged”
B: Bad infection “Fever, night sweats, weight loss”
Signs of hypoxia
Change in LOC:
Mental changes: restlessness, agitation
Skin: pale, dusky, cold and clammy
