Respiratory

Question 1

Acute and Infectious Respiratory Illnesses

Answer 1

-Tonsillitis
-Nasopharyngitis
-Pharyngitis
-Croup syndromes
-Bacterial tracheitis, bronchitis, bronchiolitis
-Pneumonis

Question 2

Tonsillitis and Tonsillectomy

Answer 2

-Masses of lymph-type tissue
-Enlarged tonsils can block the nose and throat
–Interferes with breathing, nasal and sinus drainage, sleeping, swallowing, and speaking
-Worried about construction (strep throat)

Question 3

Tonsillitis=Nursing care

Answer 3

-same day surgery
-instruments are used to take them out
-clear liquids, ice, ice cream (no red dyes)
-pain control=tylenol
-CAN hemorrhage up to 2 weeks after surgery (signs: frequent bleeding, swallowing a lot, hypovolemia (hypertension, tachycardia, low urine output))

Question 4

Nasopharyngitis (Common Cold)

Answer 4

-Nasal inflammation, dryness, and irritation of nasal passages and the pharynx
-fatigue, fever, decreased appetite

Question 5

Acute Streptococcal Pharyngitis

Answer 5

-Infection of the upper airway (strep throat)
-Pharyngitis, headache, fever, and abdominal pain
-treated with antibiotics (use the whole course)
-bacteria on other organs

Question 6

Bronchitis

Answer 6

-associated with an upper resp infection and inflammation of the late airways
-can cause airway connection
-Mostly caused by RSV
-Rhinorrhea, intermittent fever, coughing, sneezing, wheezing, possible ear or eye infection
-Diagnosed with nasal swab
-give oxygen
-steroids (calms inflammation) or bronchodilators (opens everything up)

Question 7

Bacterial Pneumonia

Answer 7

-high fever, diminished lung sounds, work of breathing
-diagnosed with chest x-ray

Question 8

Viral Pneumonia

Answer 8

-same as bacterial, except there is no fever

Question 9

Pneumothorax (pneumonia complication)

Answer 9

-accumulation of air in the pleural space
-treated with a chest tube
-affusion= liquid
-throax=air

Question 9

Pneumothorax (pneumonia complication)

Answer 9

-accumulation of air in the pleural space
-treated with a chest tube
-affusion= liquid
-throax=air

Question 10

Croup Syndrome (bacterial epiglottitis)

Answer 10

-medical emergency
-drooling, closed airway, stridor, low-grade fever, barking cough
-tripod position
-diagnosed with an x-ray
-give oxygen, corticosteroids, pulse ox
-cool air helps

Question 11

Influenza A and B

Answer 11

-mild, moderate, or severe
-sudden onset of fever and chills, dry throat and nasal mucosa, dry cough, flushed face
-increase fluid intake (thins secretions)
-give meds

Question 11

Influenza A and B

Answer 11

-mild, moderate, or severe
-sudden onset of fever and chills, dry throat and nasal mucosa, dry cough, flushed face
-increase fluid intake (thins secretions)
-give meds

Question 12

Asthma

Answer 12

-a chronic inflammatory disorder of airways
-results in intermittent and reversible airflow obstruction of the bronchioles
-identify pt triggers of asthma
-status is when a pt has a asthma attack for 15 minutes unresolved
-risk: low birth weight, obesity
-sitting pt up in bed, prioritizing IV assess
-bronchodilators (inhalers)
–short-acting beta 2 agonists(SABA) -albuterol, levalbuterol, terbutaline
–long-acting beta 2 agonists (LABA)- formoterol, salmeterol
–corticosteroids: short time period for inflammation

Question 13

Inhaler Use

Answer 13

-hold in a puff for 10 seconds
-wait 1 minute in between puff

Question 14

Cystic Fibrosis

Answer 14

-resp disease from inheriting a mutated gene
-characterized by mucus glands that secrete an increase in the quantity of thick, tenacious mucus, which leads to mechanical obstruction of organs
-lungs and gut are cystic
-overproduction of mucus, saliva, tears
-diagnosed with sodium and chloride content of sweat (chloride >40, sodium >70)
-wheezing, rhonchi
-need pancreatic enzymes to aid with digestion