Lung Disease Flashcards
Chronic bronchiectasis Labs
CBC- increased RBC/Hct/Hb ABG CXR PFT- decreased flow rates Bronchoscopy Sputum culture
Chronic Bronchiectasis oxygen therapy protocol
Volume control for chronic ventilatory failure
Air entrainment/ Venturi mask
Chronic bronchiectasis therapies and treatments
HFCWO (high frequency chest wall oscillator
Flutter valve/ acapella
Albuterol
Antibiotics
Tension pneumothorax labs
Chest X ray
EKG
Capnograph
ABG
Tension pneumothorax treatment and respiratory care
Varies on severity, needle aspiration for mild. Thoracostomy chest tube in more serious cases.
Respiratory care includes oxygen therapy.
Lung expansion therapy
Mechanical ventilation in serious cases
Congestive heart failure (left sided heart failure)
Labs
Pink frothy secretions
EKG,
chest x ray- fluffy opacities, Batman wing symbol
Capnography,
ABG- respiratory alkalosis with hypoxemia
CHF TREATMENT
Causes cardiac pulmonary edema
Hemodynamic (swan Ganz)
Nitroglycerin (vasodilator)
Metoprolol (controls bradycardia)
Digitalis (increase cardiac output)
CHF Respiratory protocol
O2 therapy
CPAP
COR pulmonale (right sided heart failure) LABS
Distended neck veins
Dyspnea
EKG-right ventricular hypertrophic
CXR
Swan Ganz catheter -increased CVP, decreased Qt with exercise
cor pulmonale treatment
Diuretics (furosemide)
O2 therapy
Croup labs
Caused by virus CBC - lymphocytes indicate viral infection Bronchoscopy Lateral Neck X-ray - pencil/steeple sign Sputum culture
Croup treatment
6 months to 5 years
Cool mist aerosol
Antiviral medication
Corticosteroids
Epiglottis labs
2-6 years
Rapid onset bacterial infection Strider Bronchoscopy Lateral neck x ray - thumb sign Sputum culture
Epiglottis treatments
Racemic epinephrine
Antibiotics
Intubation
Guillain Barre Syndrome labs
ABG - acute ventilatory failure with hypoxemia.
PFT - reduced volumes
Lumbar puncture (spinal tap) elevated protein level and elevated IgM levels
Clinical indications of guillain barre
Fever, weakness, shallow breathing, diminished with crackles and rhonchi
Guillain Barre treatments
Heparin
If hypertensive episode occurs nitroprusside or phentolamine are used
Plasmapheresis
Immunoglobulin therapy
Guillain Barre respiratory treatments
O2 therapy such as CPAP to help with atelectasis
Suctioning
Mechanical ventilation pressure control
Myasthenia Gravis Labs
Tensilon test - measures endrophonium
ABG- acute ventilatory failure with hypoxemia
PFT - reduced volumes. decreasing Vt, VC, MIP
PRESSURE control mechanical ventilation
Obstructive Sleep Apnea LAB
Polysomnography
OSA/CSA treatments
OSA- CPAP
CSA- BIPAP
Cystic Fibrosis Labs
Sweat Chloride test - chloride level >60 mEq/L
ABG
Immunoreactive Trypsinogen Test (IRT) for babies who do not produce enough sweat.
Stool fecal fat test
Cystic Fibrosis treatments
Mucolytics - Dornase Alpha
CPT
Postural drainage
Antibiotics
Pneumonia labs
Chest X ray ABG Viral or bacterial Lymphocytes - viral Neutrophils- bacterial
