Flashcards in Respiratory Deck (33)
Pharynx and larynx issues
Acute pharyngitis: Inflammation of pharyngeal walls(tonsils, palate, uvula)
Peritonsillar abscess: Group A Strep
Laryngeal polyps: On vocal cords- overuse and abuse
Mainly viral cause
Can also be irritants in air, asthma
Usual assessment: Cough
Mangement: symptom relief, prevent pneumonia
High Fowler's or whatever position is comfortable
Infection that inflames alveoli- may fill with liquid
Risk factors: over 65, bedrest/immobility, debilitating illness, chronic disease.
Prevention: immunization over 65\
HAP, CAP, necrotizing, aspiration, opportunistic
Viral most common
Complications: ARDS, septic shock, atelectasis
Acute Respiratory Distress Syndrome
Widespread rapid infection of lungs- commonly caused by sepsis/systemic inflammation
Shortness of breath, tachypnea, cyanosis
Primary: Bacteria inhaled, get infected, inflammatory reaction
Reactivation: 2+ yrs. after initial infection
Latent: Positive skin test, asymptomatic
Assessment: Dry cough leads to productive cough, fatigue, anorexia, weight loss, night sweats.
12 dose regimen for latent tb infection
Once weekly for 12 weeks
Directly observed therapy
Directly observed therapy
Intensive phase: 2-3months
Medication taken under direct supervision of staff
Continuation phase: 4-6 months: blisterpack given, first dose taken under supervision
Rib fracture treatment
Coughing when you can
Poke with needle
PT will be short of breath, blue and low 02 sat
Flail chest treatment
Splint w/pillow on flail side
Assessment of chest tubes
Fluctuation of water seal chamber
Chest tube troubleshooting
Pleural drainage w/chest tubes
Tidal bubbling expected w/pneumothorax
Check connections for leaks
5th intercostal space, mid axillary line.
Most common cause L side HF
Hear crackles-can have sudden onset
Risks: allergens, respiratory infection, air pollution
beta blockers can trigger->bronchospasm
ACE inhibitors can cause cough
Sulfites can trigger (can be in fruits, beer, wine, vegetables)
Watch for silent chest
Sensitivity to NSAIDS and aspirin
If pt was wheezing, then sudden absence of wheeze- very bad, cannot breathe.
Life threatening, may need mechanical ventilation
Most extreme asthma attack
Hypoxia, hypercapnia, acute respiratory failure.
Unresponsive to corticosteroids and bronchodilators
Must be immediately intubated, mechanical ventilation.
Main: short acting beta adrenergic (SABA- rescue drugs) bronchodilators- albuterol
Moderate to severe attack: ipratroprium (atrovent) w/SABA: AKA combivent
Frequent attacks also have to be on long term med: Inhaled corticosteroid (ICS)
SABA and irpratroprium combined.
What asthma meds are quick relief
SABA, anticholinergic (ipratroprium)
Long term asthma meds
Which asthma med is easiest to use and most effective
Nebulizers transfer more meds than MDI w/spacer
Easy to use
ex. albuterol, ipratroprium
Chronic inflammation of lungs and airway.
Couch and sputum production for at least 3 months/year in 2 consecutive years
Destruction of alveoli w/o fibrosis.
Air becomes trapped on inspiration=barrel shape (hyperinflation of lungs)
Long acting beta agonist bronchodilators
Anti inflammatory corticosteroids