Respiratory and Cardio Flashcards

1
Q

OSA

A

Obstructive Sleep Apnea

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2
Q

OSAH

A

Obstructive Sleep Apnea Hypotnea Syndrome

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3
Q

TB Risk

A

immuno compromised, poor and minorities, due to living in close proximity

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4
Q

Early Clinical Manifestations of TB

A

Fatigue, Malaise, Anorexia, weight loss, low grad fevers less than 101, night sweats

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5
Q

TB classifications for 2 and 3

A

2 - latent

3- active

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6
Q

D.O.T (for TB patients)

A

for non-compliant, stand for Directly observed therapy. Must come to clinic every day to take meds.

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7
Q

TB Drug Therapy (all 4 meds) will interact badly with…..

A

Antiretrovirals (HIV drugs)

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8
Q

Atopy

A

genetic predisposition to develop allergies with an increased risk of getting Asthma

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9
Q

SABA

A

short acting beta antagonists (rescue meds for asthma)

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10
Q

5 Critical Assessments that Pt Asthma is going into respiratory distress

A
  1. decreased breath sounds with wheezing
  2. fatigue and O2 sats below 88
  3. bradycardia (pt heart is fatigued, very bad sign)
  4. use of accessory muscles
  5. suddenly stops wheezing (silent lung)
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11
Q

Status Asthmaticus

A

most severe, life threatening asthma attack, respirations over 30, pulse greater than 120, pt is not responding to usual meds or treatments.

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12
Q

Most common causes status asthmaticus

A

viral infection, flu,
meds: aspirin and nsaids
stopping medication for asthma abruptly

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13
Q

Pneumothorax

A

collapse lung due to puncture

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14
Q

Atelectassis

A

collapse of lung due to lungs inability to expand

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15
Q

Cor Pulmonale

A

Hypertrophy (enlargement) or failure of the right ventricle.

Signs: jugular vein distention, peripheral edema, rt upper quadrant tenderness (due to back up of blood to belly)

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16
Q

Parenchyma

A

functional cells in the lungs damaged when irritants in the lungs

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17
Q

polycythemia

A

Look red. Excess of red blood cells

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18
Q

PFT

A

Pulmonary Function Test

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19
Q

FEV

A

Forced expiratory Volume
Value of 1500 mL beginning
Value of 1000 mL short of breath @ activity
Value of 500mL short of breath @ rest

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20
Q

Normal lung capacity

A

6L

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21
Q

BMI less than _____ is underweight

A

20

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22
Q

COPD top 3 Nursing Diagnoses

A
  1. Ineffective Airway clearance
  2. Impaired Gas Exchange
  3. Imbalanced Nutrition

also: disturbed self esteem due to loss of independence

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23
Q

FVC

A

Forced Vital Capacity

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24
Q

FEV/FVC ratio

A

less than 70% you are diagnosed with COPD

25
Q

4 Systems That Affect Hypertension

A

nervous, cardiovascular, renal, endocrine

26
Q

pseudohypertension

A

not hypertension at all, advanced atherosclerosis

arteries feel rigid

27
Q

Target Organs damaged from hypertension

A

Eyes, heart, liver, kidneys

28
Q

Organ damage occurring if BP is over

A

140/90

29
Q

Creatinine:
Bun:
Bun/Creatinine ratio:

A

Creatinine: 0.6-1.3 mg/dl
Bun: 6-20 mg/dL
Bun/Creatinine ratio: 10:1

30
Q

Coronary Artery Disease Stages

A

Stage 1: fatty streaks
Stage 2: fibrous plaque, difficult to reduce, complications : stroke
Stage 3: complicated lesions

Stage 2 and 3 have permanent damage

31
Q

Cholesterol needs to be below…

A

200

decrease LDL, Saturated fats (red meat, eggs, whole milk products)

32
Q

PAD is…

does not cause

A

Peripheral Artery disease

edema, edema is a a vein disorder

33
Q

PAD risks

A
age 60-80 yrs
cigarette smoking
hyperlipidemia
hypertension
diabetes
34
Q

Intermittent Claudication

A

ischemic muscle pain that comes and goes, stop what doing to cause and it will go away in about 10 minutes.

35
Q

Reactive Hyperemia

A

Redness when limb dependent (below the heart). Slow prolonged capillary refill.

36
Q

Buerger’s Disease (Thromboangitis obliterans)

A

Rare: not due to atherosclerosis
vaso-occlusive disorder
primarily affects arteries but can affect veins and nerves
84% of B patients who do not quit smoking will have something amputated. 30% will even if quit.
Risk: men under 40 who smoke, rarely non smoker

37
Q

Raynaud’s

A
Episodic vasospastic disorder
uncontrolled contractions of artery
turn red, white or blue
coldness, numbness, pain
possible autoimmune that affects women 15-40
38
Q

Venous Ulcers

A

Above medial malleolus, rudy in color.
wound margins irregular in shape
hard to heal, partial thickness
very painful with lots of drainage

39
Q

Unna Boot

A

compression. looks like ace bandage, moist and pink, has meds on it and will harden and dry. Stays on for a week at a time. Often put duodenum under. Will heal in about 4 weeks.

40
Q

2 Types Venous Thrombus

A
  1. superficial clot (65% hosp pts get. IV site. elevate body pt, warm, moist heat.
  2. DVT
41
Q

Heart Failure

A

abnormal clinical syndrome, impaired cardiac pumping or not filling up the way it should

42
Q

Left Side HF

A

Most common, left side does most of the work. Blood backs up in left atrium, pulmonary veins, pulmonary edema (will hear abnormal lung sounds)

43
Q

Right Side HF

A

backs up into rt. atrium, then to venous circulation, edema everywhere, especially legs.

44
Q

Top 3 Complications of HF

Top 3 Causes oh HF

A
  1. Pleural effusion
  2. dysrythmias
  3. left ventricular thrombus
  4. CAD/ or heart attack
  5. Hypertension
  6. RA
45
Q

Top 3 HF Collaborative Care

A
  1. O2
  2. Rest
  3. Cardiac Rehab
46
Q

Polycythemia

A

opposite of anemia, too much blood

47
Q

3 Types of Anemia

A
  1. Decreased RBC Production
  2. Blood Loss
  3. Increased RBC destruction
48
Q

Mild Anemia

A

10-12 g/dL

49
Q

Moderate Anemia

A

6-10 g/dL

50
Q

Severe Anemia

A

< 6 g/dL

51
Q

Ataxia

A

defective voluntary muscular coordination

52
Q

Hypoxia

A

decreased O2 in arterial blood

53
Q

Clinical manifestations of Anemia

A

pallor

glossitis - red swollen beefy tongue

54
Q

Guaiac test

A

bllod in stool, pour liquid on, turns blue if positive for blood (takes about 30 seconds)

55
Q

Paresthesias

A

numbness and tingling, or as a prickly, stinging, or burning feeling.

56
Q

Only Anemia that has Paresthesias

A

Cobalamin (B12) Deficiency (Intrinsic Factor not available to utilize B12, w/out can not be absorbed in small intestine)

57
Q

Schilling Test

A

Test to assess the gastrointestinal absorption of vitamin B12 by oral radioactive vitamin B12 and injected nonradioactive B12. It is used primarily to diagnose pernicious anemia

58
Q

Drugs thay cause Folic Acid Defficency

A
  1. Methotrexate - at one time used as chemo drug, now used for RA
  2. Dilantin - used to treat seizures
59
Q

Apnea

A

Going more than 10 seconds without breathing. Right side HF most common complication