exam 1 respiratory Flashcards

1
Q

A preventable and treatable disease with some significant extrapulmonary effects that may contribute to the severity in the individual patient. Its pulmonary component is characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases

A

COPD

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2
Q

COPD is usually due to

A

Inflammation of airway
Parenchyma damage
Decrease of elastic recoil

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3
Q

mucus production and persistent cough

A

Chronic bronchitis

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4
Q

blue bloater

A

chronic bronchitis

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5
Q

pink puffer

A

emphysema

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6
Q

Hct above reference range values

Indicates a disease or disorder

A

Polycythemia

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7
Q

chronically inflamed bronchi
Excessive secretion of mucus and structural changes in bronchi
Caused by repeated exposure to irritants or infection

A

Chronic bronchitis

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8
Q

Destruction of alveoli walls
O2 cannot diffuse through capillaries
permanent over inflation of bronchiole
Loss of elastic recoil

A

Emphysema

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9
Q

the pathologic changes occur in the lobule, whereas the peripheral of the acinus are preserved

A

centrilobular emphysema

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10
Q

the bronchioles, alveolar ducts, and alveoli are destroyed and air space within the lobule are enlarged

A

panlobular emphysema

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11
Q

an acute worsening of symptoms characterized by increased dyspnea, mucous production, hyperinflation and air trapping which may be triggered by infection or environmental pollutant
Mortality increases as the frequency of exacerbation occur

A

COPD Exacerbation COPDE

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12
Q

is an alternative to deep coughing if you have trouble clearing your mucus. Take a breath that is slightly deeper than normal. Use your stomach muscles to make a series of 3 rapid exhalations with the airway open, making a “ha, ha, ha” sound. Follow this by controlled diaphragmatic breathing and a deep cough if you feel mucus moving

A

Huff coughing

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13
Q

How much fluid intake should they have a day

A

3 liters

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14
Q

how long should exercise should be avoided after eating

A

1 hour

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15
Q

how long should you rest before eating

A

30 min

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16
Q

how much extra protein do you need

A

1.5g to 2.5g

17
Q

a reversible obstructive lung disease

A

asthma

18
Q

inflammation of the bronchi in the lower respiratory tract usually r/t viruses
Cough lasting up to 3 weeks
Maybe crackles or wheezes on expiration

A

Acute bronchitis

19
Q

Highly contagious infection w/ gram negative organism
First low grade fever, runny nose
Second whooping cough

A

Pertussis

20
Q

what do you hear with pneumonia

A

crackles, dullness to percussion

21
Q

vaccination using attenuated tubercle bacilli

A

Bacille calmette guerin BCG

22
Q

Blood test for TB

A

OFT

23
Q

TB medication really effects the

A

liver and kidneys

24
Q

TB patient rooms need

A

negative air flow or HEPA filters

25
Q

collection of fluid in pleural space

A

pleural effusion

26
Q

fluid that is watery and low in protein

A

transudative

27
Q

fluid that has high amounts of WBCs and proteins

A

Exudate

28
Q

how long does a chest tube have to be clamped while patient turned in different position

A

8 hours

29
Q

Exercise post pneumonectomy to prevent

A

ankylosis

Frozen shoulder

30
Q

what side should the patient who had a pneumonectomy not been turned

A

unoperative side

31
Q

what side should the patient who had a lobectomy not be turned

A

operative side

32
Q

How should they be position after lung surgery

A

flat until BP is stable then semi fowlers

33
Q

Virchows tirad

A

Stasis
Endothelial injury
Hypercoagulability