Lower Respiratory Tract Infection Asthma Flashcards
air flow obstruction creates what sound
wheezing
production of what can effect ventilation
mucus
is asthma intermittent
yes
is asthma irreversible or reversible
reversible
does asthma affect the alveoli
no
only the airway
what is the difference between asthma and COPD
COPD is irreversible and effects the alveoli
how will this patient present who is in an attack
wheezing
sputum production
shortness of breath
increase respiratory rate
difficulty breathing
use of accessory muscle
anxiety
some cannot lay flat
is this normally diagnosed early or late in life
early
how will this patients ABG look
- oxygen
hypoxemia low O2
the worse they sound….
the better they are
- still moving air in and out
what is an ominous sign
silent chest
- no longer moving air
how will this patients ABG look
- carbon
low
they would have respiratory alkalosis because of the increase RR
what do we not want to see with this patients ABG
respiratory acidosis
this means the patient is not ventilating
silent chest
what do we want to know about their history
trigger
who might have barrel chest in asthma
asthma that is chronic and not managed
peak flow meter
measures air flow
how often Is a peak flow meter used
2 times daily
is the drug therapy for this specific of nonspecific
specific
if a patient is in the red zone of the peak flow meter what do they need to do
use the rescue inhaler
what are the major pharm treatments for this
beta 2 agonists (bronchodilators)
short acting b2 agonists
rescue
long acting b2 agnostic
preventative
short acting B2
albuterol
levalbuterol
long acting b2
salmeterol
fomoterol
arformoterol
what do steroids do systemically
increase BS
decrease immune system
can cause thrush
what do we need to specifically teach this patient about use of steroids
must taper
steroids
fluticasone
triamcinolone
budesonide
fluticasone
is exercise and acitivity recommended
yes
it can be beneficial
status asthmatics
severe
life threatening
acute episode
does status asthmatics respond to normal/common therapy
no
if status asthmatics is not reversed it can lead to
pneumothorax
cardiac/respiratory arrest
status asthmatics
how to treat
ER
status asthmatics
- wheezes or silent chest
silent chest
status asthmatics might have to become
intubated
is status asthmatics a medical emergency
yes
