Respritory Flashcards

(50 cards)

1
Q

Goal of treating pneumonia

A

Clear breath sounds / normal breathing pattern

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2
Q

Goal of tb treatment

A

Normal pulmonary function
- teaching of disease/ not spreading

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3
Q

Copd main goal

A

Relief of symptoms - ability to do adls
- overall improve quality of life

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4
Q

Asthma goal

A

Have minimal symptoms during the day and night
- maintain acceptable activity levels

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5
Q

What need to be gathered during nursing assessment of a respiratory patient

A

Health history - meds/symptoms/ work habits
Physical assessment- labs / vitals

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6
Q

Types of pneumonia

A

Viral
Bacterial
Mycoplasma
Opportunistic

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7
Q

Opportunistic pneumonia

A

A decreased immune system causes a person to develop pneumonia

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8
Q

Aspiration pneumonia

A

Abnormal entry of oral or gastric material into lower airway

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9
Q

Risk factors for aspiration pneumonia

A

Decreased level of consciousness
Difficulty swallowing
Insertion of nasogastric tube

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10
Q

How is pneumonia classified

A

According to causative organism, characteristics of disease
Radio graphic appearance

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11
Q

Signs and symptoms of pneumonia

A

Cough - productive or non predictive
Green yellow or rusted colored
Fever chills
Confusion

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12
Q

Tests for pneumonia

A

History/ physical exam
Chest x-ray
Bronchoscope
Blood culture

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13
Q

How is phenomena treated

A

Antibiotics

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14
Q

Nursing care for pneumonia

A

Collaborate with respiratory therapist
Collect any specimen
Give antibiotics
Oxygen
Promote hydration
Breathing excercises early ambulation

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15
Q

Nutritional therapy regarding pneumonia

A

Prevent dehydration
Small frequent high calorie meals
—- daily weight!,

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16
Q

Acute bronchitis

A

Self limiting inflammation of bronchi - most caused by viruses

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17
Q

What causes acute bronchitis

A

Pollution
Chemical inhalation
Smoking
Asthma

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18
Q

Pertussis

A

Wooping cough
- highly contagious

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19
Q

Tuberculosis (tb)

A

Infectious disease transmitted via airborne route from infected droplets of mycobacterium tuberculosis

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20
Q

How is tb transmitted

A

Close frequent prolonged exposure

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21
Q

Multi drug resistant tuberculosis

A

Resistant to most potent first line drugs - isoniazid and rifampin

22
Q

What are some risk factors for tb

A

Poor underserved minorities
Homeless
I’ve drug users

23
Q

Can latent tb be transmitted

A

No - just positive test but not active bacteria

24
Q

Pulmonary tb usually takes how long to develop

25
How long do you wait for a tb test reading
48- 72 hours
26
Active tb disease drug therapy
Two phases - initial / continuation
27
Initial tb drug
Isoniazid Rifampin Pyazinamide Ethambutol
28
Continuation tb Drugs
Isoniazid Rifampin
29
Drug given for latent tb
Isoniazid
30
MDR TB
Sensitivity test helps determine drugs need
31
Bronchietasis
Airway damage due to build up of mucus
32
Emphysema
Damage to air sacs
33
Copd
Systemic disease - chronic inflammation it is both excessive mucus (bronchitis) & damaged air sacs (emphysema)
34
Copd risk factors
Tobacco smoke Passive smoking Air pollutants Age Infection Hiv Tb
35
Main characteristic of Copd is the inability to _______ air
Expire
36
True or false Not all patients with Copd with have sputum production
True
37
People with Copd with have an increase oh red blood cells True or false
True - due to trying to get more oxygen
38
What are some complications of Copd
Acute respiratory failure Pulmonary hypertension Pneumonia Atelectasis
39
How is Copd diagnosis
History / physical exam Spirometry - - confirm diagnosis to see how well you can breath in / out
40
What is an okay % of o2 for a Copd
88-92%
41
How high can a nose cannula go up to?
6L
42
Face mask can give how much oxygen
5- 8
43
Bronchodilators
Relax smooth muscle in airway
44
Asthma
Immune response triggered by something
45
Early phase response in asthma
30-60 minutes after exposure to allergen or irritants
46
Late phase response in asthma
Airway inflammation occurs 4-6 hours after initial attach due to activation of inflammatory cells
47
Short acting inhaled adrenergic agonist
Bronchodilator Ex- albuterol
48
Corticosteroids
Anti inflammatory - beclomethasone Budesonide - teach to give last since it leaves residue
49
Long acting inhaled b2 inhalers
Bronchodilators Salmeterol Formoterol
50
Short acting/ long acting muscarinic agonist
Anti cholinergic- reduces broncospasms - ipratropium Tiotropium