Lecture 5 Part 2 Exam 2

Question 1

What is partial obstruction?

Answer 1

If patient is coughing

Question 2

What is Complete obstruction?

Answer 2

If PT is unable to speak

Question 3

What is the aspiration of foreign object ?

Answer 3

• can eneter lung
• extremely serious
• removal is important toavoid infection and possible death

Question 4

What if a patient ingest a foreign object?

Answer 4

90 % passes through GI tract
Excreted within 2-12 days
10% causes impaction, abscesses or perforation

Question 5

What are the signs and symptoms of Partially obstructed airway?

Answer 5

Coughing
Cyanosis
Placing hands in throat area
Wheezing
Dyspnea
Anxious
fearful

Question 6

What are the signs of complete obstructed airway?

Answer 6

• DIstress
• Grip throat
• Cyanosis
• Unable to speak,cough or breathe
• Eventually loss of consciousness
  *

Question 7

Signs and Symptoms of Airway aspiration

Answer 7

Range from nonexistent to severe dyspnea
Hoarseness
Wheezing
Coughing
Cyanosis
Decreased breath souths
Stupor
Excessie suptum production
Possibly suffocation

Question 8

What are the treatment of partially obstructed airway?

Answer 8

• Position upright
• Encourage coughing until object expelled

Question 9

What are the treatment of Completely obstruscted airway?

Answer 9

• If conscious: apply abdominal thrusts
• If unconscious: Contact EMS, position suspine, open airway and attempt to ventilate, breaths unable to enter lungs
• Begin Chest compressions 30:2 for five cycles
• • If unconscious: Inpect oral cavity, perfom finger sweep if object apparent, if object not visible, attempt another ventilation.
• Repeat procedure until EMS arrives or breath enters lungs

Question 10

what is the treatment of Aspirated Object?

Answer 10

• Contact EMS
• Requires chest radiograph
• Radiograph bronchoscopy
• If left untreated can cause inflammation, infection, ulceration and granulation tissue formation

Question 11

What is the treatment of Ingested object?

Answer 11

• Endoscopy of the upper gastroinstestinal tract may be needed.
• CT scanning of the abdomen is also useful for location ingested objects.

Question 12

What is Asthma?

Answer 12

• Chronic respiratory disorder
• Narrowing of the trachea, bronchi and bronchies by triggers
• Recurring attacks of dyspnea, wheezing, coughing and chest tightness
• Abnormal immune response in bronchial airways

Question 13

Who are at a higher risk for Asthma?

Answer 13

Puerto Ricans, non-hispanic whites and blacks
Adult females 30% higher than males
Children boys 0-17 years- 30% higher than girls

Question 14

What is Asthma influenced by ?

Answer 14

Multiple genetic, developmental and environmental factors

Question 15

Inflammation leads to airway narrowing and mucus producation cause in what?

Answer 15

Coughing and wheezing

Question 16

What are the typical allergens?

Answer 16

• waste from household insects, grass, pollen, mold, and pet epithelial cells
• causes humoral response
• IgE environmental allergens

Question 17

What are some other asthma triggers

Answer 17

• Air pollution
• industrial compounds
• Chemicals
• Childhood infections
• Exercise
• Stress

Question 18

What are the different types of Asthama?

Answer 18

• Extrinsic
• Intrinsic
• Drug-induced
• Excerise-induced
• Infectious

Question 19

What is Extrinsic Asthma?

Answer 19

• most comon
• 50% of all asthmatics
• inherited allergic predisposition

Question 20

What is intrinsic asthma?

Answer 20

second major category
develops in adults over 35
triggerd by pyschological and physiological stress

Question 21

What is Drug-Induce Asthma?

Answer 21

NSAIDS
Metabisulfite

Question 22

What is the exercise-induced Asthma?

Answer 22

begins after start of exercise

Question 23

What is infectious Asthma?

Answer 23

viral infection of respiratory tract
most common

Question 24

What are the Signs and symptoms of Asthma?

Answer 24

Some suffer chronic respiratoy imparement
Intermittent illness marked by symptoms caused by triggers

Question 25

What are the signs and symptoms of mild asthma attack?

Answer 25

Respiration is difficult
Respiration rate is slightly faster than normal range
Complete sentences can be spoken
Mild complaints of wheezing

Question 26

What are the Signs and symptoms of moderate Asthma attack?

Answer 26

Respiration is moderately difficult
Respiration rate is faster than normal range
Only phrases or partial sentences can be spoken
Moderate complaints of wheezing
Skin color normal or pale
Slight to moderate drawing in of muscles between the ribs

Question 27

What are the Signs and symptoms of severe Asthma attack?

Answer 27

• Respiration rate is very fast or very slow with a lot of distress
• Only single words or short sentences are spoken
• Severe Complaints of wheezing
• Skin color is poor
• Level of awareness is decreased

Question 28

What are the treatments for asthma?

Answer 28

• Prevention of acute episode
• PT brings bronchodilator to appointment
• N2o uses
• local anesthetics with epinephrine may trigger attack and not recommended
• Position patient upright with arms forward
• self-administer own bronchodilator
• Use albuterol recommended
• Administer oxygen
• Monitor VS