lung bleeding Flashcards
1
Q
etiology
A
Pulmonary hemosiderosis - lung disorder which bleeding (hemorrhage) leads to accumulation of iron, anemia and lung damage. There are pulmo hemorrhage with autoimmune, immune & non immune disease.
- unilateral reasons
- TB in lung apex.
- pneumosclerosis
- tumor of lung
- bronchiectasis
- staphylococcal, fungal , viral pneumonia
- lung abcesses
- Aspergillosis - bilateral reasons
- hemophilia
- diffused pneumosclerosis
- diffuse periarthritis nodusa
- deficiency vitamin C
- cardiac failure- 4th functional grade
- valve disease- bacterial endocarditis, rheumatic disease
- trauma of chest
- primary hypertension
- hemorrhagic diathesis- Randi Osler disease
- Good posture syndrome.
2
Q
diagnosis
A
If symptoms suggest hemosiderosis, blood test for iron and chest x-ray help confirm the diagnosis. A tube inserted into the lungs and tissue tested for iron build-up.
3
Q
clinical symptoms
A
- hemoptysis, iron deficiency anemia, and lung tissue changes.
- If hemosiderosis comes slowly, symptoms develop such as chronic fatigue, poor growth in children, cough, and persistent runny nose.
- subjective
- discomfort in throat
- heaviness and squeezing in substernal area.
- salty taste
- can smell blood even without blood expectoration.
- dry cough
- suffocation in breathing.
- dizziness - objective
- bloody sputum
- blood is foamy, scarlet red
- paleness, cold sweat
- hypotonia
- tachycardia
- dull percussion
- cripitation, moist rales
- diminished vesicular breathing
4
Q
emergency care
A
- If lung bleeding - respiratory therapy, oxygen, immunosuppression, and blood transfusion.
- Milk sensitivity treated by removing all milk and milk products from the diet
- If hemosiderosis due to another disorder, treating the underlying condition.
- bed rest
- monitor respiratory rate, pulse and BP.
- stimulate coagulation - fibrinogen, platlet, coagulative factor
- replenish blood loss - polyglucine, ringer solution, plasma
- artificial pneumothorax
