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NUR 331 > Chronic respiratory > Flashcards

Chronic respiratory Flashcards

1
Q

asthma

A

Chronic inflammatory airway disorder

Airway, obstruction, bronchial, irritability, edema of mucous membrane

Congestion, in spasms of smooth muscles of bronchioles and bronchi

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2
Q

Patho of asthma

A

Hypersensitivity type one

IGE mediated – mast cells, release, histamine in leukotrienes to diffuse restricted airway

Accumulation of tenacious secretions

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3
Q

Asthma, triggers

A

stress
Pollution
Pets
Exercise
Pollen
Dust
Smoke
Cold air

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4
Q

Who is more likely to get asthma?

A

Males
African Americans

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5
Q

excessive ___ is just as much of a symptom of asthma as expiratory wheezing

A

Coughing

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6
Q

pulmonary function test

A

Forced vital capacity
Forced expiratory volume
Forced expiratory flow
Peak expiratory flow

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7
Q

optimal treatment for asthma

A

Environmental trigger control
Wash linens with hot water twice a week
Humidity of home 35 to 50%
Avoid cigarette smoke

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8
Q

what is hypo sensitization?

A

Allergy shots

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9
Q

drug therapy for asthma

A

Preventers – Inhaled corticosteroids two times a day

Relievers/rescue – short acting, beta-2 adrenergic agonist

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10
Q

what order should you take the drugs?

A

Take the reliever before the preventer

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11
Q

what is used when a child cannot properly breathe simply with the inhaler

A

A spacer or mask is used

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12
Q

teaching how to use an inhaler

A

Shake
Remove cap
Breathe out
Push down while breathing in
Hold 10 seconds
Let air out
Wait one minute between passes

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13
Q

Green zone

A

Does not need medication
80 to 100% of peak flow

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14
Q

yellow zone

A

Needs to take rescue, drug and reassess

50 to 79% of peak flow

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15
Q

Redzone

A

needs to go to the ER and take rescue drug

Less than 50% of peak flow

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16
Q

Cystic fibrosis

A

disruption of normal function of exocrine glands related to sodium/chloride transport via the CFTR

17
Q

What does the disruption of the normal function of exocrine glands result in?

A

thick exocrine secretions
Impaired fluid excretion

18
Q

bronchi affects

A

Obstruction
Chronic pneumonia
General obstructive emphysema

19
Q

intestinal effects

A

meconium ileus
Obstruction

steatorrhea
Azotorrhea
Distended abdomen

20
Q

pancreas effects

A

Malabsorption syndrome
Diabetes
achylia

21
Q

bile duct effects

A

Cirrhosis
Portal, hypertension

ascites
G.I. bleeding
Jaundice

22
Q

reproductive effects

A

males– 90% sterile
Females – 50% sterile
Delayed puberty

23
Q

fluid losses

A

Electrolyte losses
Salty sweat
Dehydration
Hyponatremia
Heat stroke

24
Q

dx cystic fibrosis

A

prenatal DNA analysis
Sweat chloride test
stool fecal fat

25
Q

what confirm the diagnosis with a sweat chloride test?

A

> 60 mEq

26
Q

what is the only form of treatment to add years onto the life and it’s not a cure?

A

Lung transplant

27
Q

nutritional needs for cystic fibrosis patients

A

High calorie and proteins
Unrestricted fat – whole fat
Pancreatic enzymes
Fat, soluble, vitamins – a, D, E, K

28
Q

isolation For CF patients

A

must wear a mask outside the room
Cannot be near other sick kids

29
Q

what type of IV access will CF patients have

A

PICC line
Port-A-Cath

30
Q

What should also be monitored and older children?

A

Blood glucose

31
Q

When should the chest percussion vest be used?

A

before meals
At least Two times a day

32
Q

what assessment finding can evaluate the effectiveness of pancreatic enzymes?

A

Stool appearance

33
Q

Who is CF most common in

A

Caucasians

34
Q

what does it mean to be an autosomal recessive disorder?

A

Every child has a 25% chance of getting the disorder from the parents who have recessive genes

NUR 331 (27 decks)

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