Module 8a: Respiratory Flashcards

1
Q

What is the difference between respiration and ventilation

A
Respiration = process which gases are exchanges
Ventilation = process of moving air into and out of lungs
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2
Q

How many times of ventilation occur in the healthy adult per minute?

A

12-20

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3
Q

Laryngitis, epiglottitis, nasopharyngitis, are types of upper or lower respiratory tract infections?

A

Upper

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4
Q

What is Rhinitis?

A

Irritation and inflammation of the mucous membrane inside the nose - cold

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5
Q

What is acute rhinitis?

A

Acute viral rhinitis - Caused by the rhinovirus, also known as the common cold

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6
Q

What is allergic rhinitis?

A

Caused by foreign pathogen’s

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7
Q

Rhinorrhea is a condition that refers to

A

Commonly known as a runny nose, occurs relatively frequently

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8
Q

What are some ways you can tell if the patient has bacterial rhinorrhea?

A

Yellow or green discharge, more likely to see fever, bodyaches

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9
Q

What are some ways you can tell if the patient has viral rhinorrhea?

A

Clear discharge, can happen at any time of year but most likely to see in winter months, may have fever

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10
Q

What are some ways you can tell if the patient has allergic rhinorrhea?

A

Clear discharge, seasonal/environmental

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11
Q

What are expectorants used for? Most common side effect?

A

-Used to thin bronchial secretions so they can more easily be eliminated by coughing
(Increase production of respiratory tract fluids thereby decreasing viscosity)
-Drowsiness

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12
Q

What are antitussives used for?

A

Used to suppress the cough reflex (usually dry or nonproductive cough)
-serious adverse effect - Respiratory depression in high dosage

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13
Q

Dextromethorphan, an antitussive Is a centrally acting agent. How does it work?

A

By inhibiting the cost centre of the brain, elevating the threshold for coughing.

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14
Q

What are some nursing considerations to think about prior to giving an antitussive?

A

Education

Present/history of persistent non-productive cough, respiratory distress, drowsiness (opioids), SOB

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15
Q

When would you want to give an expectorant instead of an antitussive?

A

Only when necessary (i.e. interfering with daily living) as cough is protective mechanism against microbes, dust, etc.

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16
Q

Nasal congestion is due to

A

Dilation of vessels in response to infection or an allergin which leads to swelling of the nasal cavity

17
Q

Decongestants produce a

A
Vasoconstriction effect (sympathomimetic)
Ex.  Ephedrine, pseudoephedrine
18
Q

Knowing decongestants act on the sympathetic nervous system, what are some adverse and side effects?

A

Increased heart rate, dry mouth, increased BP, difficulty voiding, Hyperglycaemia

19
Q

What is histamine?

A

A chemical produced by mast cells, pro-inflammatory agents

20
Q

What do antihistamines do?

A

Block effects of histamine (competes for receptor sites) - majority designed to block H1 receptors

21
Q

I decrease in histamine leads to

A

Decreased vaso-permeability