Chronic Resoiratory Disorders

Question 1

A potentially reversible obstructive airway disorder . Airway inflammation and hyper responsiveness

Answer 1

Asthma

Question 2

What happens during the late phase

Answer 2

Begins 5-6 hours after early the phase response
Red and white blood cells infiltrate swollen tissue of the airway
Air ways hyper Reactive (very sensitive )

Question 3

When no specific can be identified the pt may be said to have

Answer 3

Intrinsic asthma

Question 4

Asthma with a known trigger is called

Answer 4

Extrinsic asthma

Question 5

What do you use for medical treatment for asthma

Answer 5

Bronchodilator first to open up the air sac

The use anti inflammation drugs (steroids )

Question 6

What is the pathophysiology of chronic bronchitis

Answer 6

Bronchial inflammation
Increase production of mucous
Chronic cough that last 3 month - 2yr

Question 7

What causes chronic bronchitis

Answer 7

Inhaled irritants cig smoke etc

Question 8

What is emphysema

Answer 8

Degenerated nonreversible disease

enlargement of this airways

Question 9

Factors associated with emphysema

Answer 9

Infection
Air pollution
Smoking
Left ventricular failure

Question 10

S/s chronic bronchitis

Answer 10

Productive cough exertional dyspnea and wheezing

Question 11

S/s emphysema

Answer 11

Dyspnea on excretion

Increased antero posterior diameter

Question 12

Chronic bronchitis blue puffer s/s

Answer 12

Elevated shoulders
Tense muscle
Cynotic
Has chronic bronchitis

Question 13

Emphysema pink puffer s/s

Answer 13

Breathes with as accessory muscles

Often ABG WN! Therefore skin color may be normal

Question 14

abnormal condition of bronchi usually confined to one lung lobe or segment

Answer 14

bronchiectasis

Question 15

s/s of bronchiectasis

Answer 15

coughing , large amount of purulent sputum

nasal stuffiness nasal drainage

Question 16

heredity disorder characterized by dysfunction of exocrine glands and production of thick tenacious mucous

Answer 16

cystic fibrosis

Question 17

s/s of cystic fibrosis

Answer 17

cough is the first system and comes productive with thick purulent sputum, obstructs the airway
obstruction of the pancreatic ducts
stools become bulky and foul smelling
loose more salt in sweat

Question 18

with cystic fibrosis airway obstruction and decreased resistance to infections lead to

Answer 18

chronic bacterial infections, emphysema, atelectasis, and respiratory failure

Question 19

tuberculosis is an infection caused by

Answer 19

mycobacterium tuberculosis

Question 20

individuals with inactive tb may be treated with

Answer 20

INH with rifampin, rifampin with pyrazinamide, or INH alone

Question 21

Inflammation of the lower respiratory tract and thickening and fibrosis of the alveolar walls, render the alveoli nonfunctional

Answer 21

interstitial lung disease

Question 22

interstitial lung disease caused by

Answer 22

inhaled substance or connective tissue disorder, sometime no specific cause identified

Question 23

formation of scar tissue in lung tissue after inflammation or irritation

Answer 23

idiopathic pulmonary fibrosis

Question 24

s/s of idiopathic pulmonary fibrosis

Answer 24

nonproductive cough and dyspnea
inspirational crackles heard in the lungs on auscultation
clubbing of the fingertips

Question 25

causes of lung caner

Answer 25

leading cause of death in U>S>

cig smoke leading cause

Question 26

s/s of lung cancer

Answer 26

persistant cough, hemoptysis chest pain recurring pneumonia, dyspnea, weight loss

Question 27

What happens with acute episode

Answer 27

Begins with triggers
Airways constriction
Mucous secretion increase
Begins 30-60 min after exposure and resolve 30-90min later