mod 6 :pulm child Flashcards
croup d/t
viral can =
sounds like
resolves ___
uri=inflammation/obstruction
viral=subepiglottic edema=obstruction
seal like barking cough, inspiratory stridor
resolve sponstaneously
CF
abnormal _____ = xSecrete chloride= viscous secretions how
abnormal CF transmembrane conductance regulator protein
^chloride=^na=^water=vEpithelial surface water=^viscous secretions
CF effect on Lungs pancreas reproductive sweat glands
chronic inflammation, vElastic recoil, ^infections (pseudomonas)
xDigestive enzymes
infertility
salty sweat
CF s/s
clubbing, rales, barrel chest, ^pna’s
Ominous sign in shock:
v=^02extraction from cells
SVo2 levels w ^lactate
Shock
___used for energy , =vOncotic pressure, vVolume
albumin
Shock= impaired glucose delivery so cells shift to ___for survival= organ failure, ammonia
lipolysis and gluconeogenesis which metabolizes protein=toxic ammonia , organ failure
Cardiogenic shock d/t
RAAS activated =
MI
Raas= ^workloaf (constricting,^vol) ^after and preload
sirs 2 of temp co2 wbc rr bands bpm
<36, >38 temp co2<32 wbc <4000, >12000 20+rr >10%bands >90bpm
sepsis=
sirs w infection
severe sepsis
sirs and sepsis w organ failure
septic shock
fluid resistant hypotension
sepsis s/s
DIC, metabolic acidosis, vCellularO2 extraction
Neurogenic shock
imbalance of
vasculature change
d/t
widespread vasodilation pns, sns imbalance vasculature bigger w not enough volume d/t spinal cord/medulla dysfunction severe general trauma , depressive drugs, stress,pain
neurogenic shock s.s
vSV, bradycardia
EF normal
vCentral venous pressure
vCerebral perfusion=syncope
