Pulmonary pt. 4

Question 1

cystic fibrosis

Answer 1

genetic disease of exocrine
digestive & respiration
salt accumulates in cells lining the lungs & digestive tissues

Question 2

CF SxS in early/undiagnosed stages

Answer 2

persistent cough / wheezing
recurrent pneumonia
excessive appetite, poor wt gain
salty skin/sweat
bulky, foul smelling stool

Question 3

CF SxS in older child and young adult

Answer 3

infertility
nasal polyps
periositis
glucose intolerance

Question 4

CF SxS pulmonary involvement

Answer 4

tachypnea
chronic cough with mucous production & vomit
barrel chest
accessory muscles to breathe
cyanosis
digital clubbing
exertional dyspnea

Question 5

pleuropulmonary disorders primary pain where

Answer 5

substernal chest and over involved lungs
neck, UT, ipsi shoulder, upper back, costal margins, upper abdomen

Question 6

pulmonary embolism is what

Answer 6

an obstruction from a DVT, air bubble, fat globule, clump of bacteria, amniotic fluid, etc. travels to blood vessels of the lungs and causes pulmonary infarct

Question 7

PE rule out criteria

Answer 7

age <50
HR <100
oxyhemoglobin >95%
no hemoptysis
no estrogen use
no prior DVT/PE
no unilateral leg swelling
no surgery or trauma within past 4 wks

Question 8

SxS PE

Answer 8

dyspnea
pleuritic pain, localized
diffuse chest discomfort
persistent cough
hemoptysis
apprehension, anxiety
tachypnea/tachycardia
fever

Question 9

cor pulmonale

Answer 9

sudden dilation of right venticle due to PE

Question 10

cor pulmonale SxS

Answer 10

peripheral edema bilateral LE
chronic cough
central chest pain
exertional dyspnea or a rest
distention of neck veins
fatigue
wheezing
weakness

Question 11

pulmonary arterial HTN

Answer 11

vasoconstriction of pulmonary arterial vascular bed
>25 mmHg

Question 12

pulmonary arterial HTN can lead to what

Answer 12

right side HF

Question 13

pleurisy

Answer 13

inflammation of pleura caused by infxn, injury or tumor

Question 14

dry pleurisy

Answer 14

fluid btw pleural layers not changed

Question 15

wet pleurisy

Answer 15

abnormal increase of fluid btw pleural layers

Question 16

purulent pleurisy

Answer 16

if fluid becomes infected and pus forms

Question 17

pleursy risk factors/causes

Answer 17

pneumonia
TB
lung abscess
flu
systemic lupus
RA
pulmonary infarct

Question 18

pleurisy SxS

Answer 18

chest pain, shoulder, UT, neck, low chest wall, abdomen
cough
dyspnea
fever, chills
tachypnea

Question 19

pneumothorax

Answer 19

free air in pleural cavity btw visceral and parietal caused by pulmonary disease, trauma, scuba diving, overexertion

Question 20

spontaneous pneumothorax

Answer 20

air escapes into pleural space from puncture tear in respiratory structure

Question 21

common sign of spontaneous pneumothorax

Answer 21

abrupt onset of dyspnea in a healthy individual

Question 22

idiopathic spontaneous pneumothorax

Answer 22

result of leakage of air into pleural cavity from lung parenchyma through rupture visceral pleura

Question 23

pneumothorax SxS

Answer 23

dyspnea
change in respiratory movements
sudden, sharp chest pain
increased neck vein distention
weak and rapid pulse
fall in BP
dry hacking cough
shoulder paint
sitting upright is most comfortable