Respiratory Flashcards

1
Q

Treatment to covid 19

A

isolation
covid 19 vaccination (antiviral)
rest
fluids
symptom management

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2
Q

What is asthma

A

Inflammation and narrowing around airway

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3
Q

Asthma diagnosis

A

o ABG
o spirometry (shows functional/residual capacity)
o x-ray.

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4
Q

Type of medication for asthma

A

o Beta 2 agonists (bronchodilators): dilation of bronchial passage and relaxation of smooth muscle (salbutamol).
o Corticosteroids: lowers inflammation in the body by reducing release of inflammatory mediators (prednisolone, dexamethasone).

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5
Q

What is Emphysema

A

inflammation and damage to alveoli due to irritants

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6
Q

Risk factors influencing emphysema

A

Smoking

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7
Q

signs and symptoms of emphysema

A
  • Dyspnea
  • weight loss
  • barrel chest
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8
Q

Emphysema diagnosis

A

o Spirometry (measures lung volume by measuring airflow and corresponding changes in lung volume)
o blood gases
o sputum sample.

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9
Q

Treatment for emphysemia

A

o reduce risks
o slow progression
o O2 therapy: maintain O2 saturation at 90-92%
o anti-inflammatories
o bronchodilation
o corticosteroids.

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10
Q

What is Pneumonia

A

infection of one or both lungs.

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11
Q

Causes of pneumonia

A

o bacteria
o viruses
o fungi.

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12
Q

Risk factors pneumonia

A

o infants
o over 65s
o weakened immune system.
o respiratory infection
o stroke victim
o exposure to irritants.

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13
Q

Symptoms of pneumonia

A

o coughing
o fever
o sweating/chills
o chest pain
o nausea
o headaches

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14
Q

Pheumonia diagnosis

A

o chest x-ray
o blood cultures
o sputum sample
o CT

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15
Q

Treatment of Pheumonia

A

o Antibiotics - penicillin
o antiviral/antifungal
o maximizing O2.

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16
Q

What is Bronchitis

A

inflammation of lining of bronchioles (acute/chronic).

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17
Q

Signs and symptoms of bronchitis

A
  • overweight
  • cyanotic
  • peripheral oedema
  • chronic cough
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18
Q

Treatment for bronchitis

A

o Antibiotics if not improving.
o Fluids
o aspirin

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19
Q

What is pulmonary Embolism

A

Blood clot blocks arteries in lung

20
Q

Symptoms of pulmonary embolism

A

o chest pain
o cough
o SOB
o Hypotension
o tachycardia.

21
Q

Treatment for pulmonary embolism

A

o head elevated
o O2
o anticoagulants.

22
Q

Parts in a Respiratory assessment:

A

o Chest auscultation, the patient’s air entry, breath sounds and any added sounds (wheeze) can be noted.
o Ventilation settings, mode of ventilation, O2 requirements, endotracheal tube size and position at gum/skin.
o Document pts breathing

23
Q

What is a pneumothorax

A

air trapped inside pleural cavity

24
Q

Risks for tension pneumothorax

A

o chest injury
o mechanical ventilation
o lung disease.

25
Symptoms for tension pneumothorax
o chest pain with sudden onset o dyspnea o rapid HR/RR.
26
Treatment for tension pneumothorax
o immediate needle decompression by insertion of large bore into 2nd intercostal space in mid-clavicular line.
27
What is Tuberculosis
Chronic bacterial infection caused by mycobacterium tuberculosis
28
Symptoms for turberculosis
anorexia fatigue chills night sweats chest pain appetite loss.
29
Turberculosis diagnosis
- Mantoux Tuberculin Skin Test (testing for lesion – red, raised, hard, >10-15cm) - x-ray, QuantiFERON TB Gold (measures component of cell-mediated immune reactivity to MTB).
30
Turberculosis treatment
o 4x antibiotics (isoniazid INH, rifampin RIF, ethambutol EMB, pyrazinamide PZA). Drug therapy can last 6 months – 2 years.
31
What is COVID-19 (SARS-CoV-2)
contagious respiratory disease caused by the SARS-CoV-2 virus
32
How is covid 19 spread
- droplets from infected persons sneeze, cough or talking. - Mostly spread through close contact with infected person or through touch of infected surface.
33
symptoms of covid 19
Can take up to 14 days to present after infection. o New/worsening cough o fever (>38) o dyspnea o sore throat o sneezing/runny nose o temporary loss of smell.
34
What is croup
upper airway infection that blocks breathing
35
treatment for croup
steroids non-steroidal anti-inflammatories
36
What is COPD
- chronic inflammation of airway
37
Symptoms of chronic bronchitis
- Dyspnoea and decreased exercise tolerance - Cough - Dusky nail beds are an indication of cyanosis - Frequent chest infections - Clubbing of fingers:
38
Nursing intervention for COPD
1. Encourage fluids: 2. sitting position at 90° 3. Assist with coughing and deep breathing 4. High energy and protein diet:
39
COPD med treatment
1. corticosteriods (prednisone) 2. Bronchodilator (salbutamol)
40
What condition would you hear fine crackles in lungs (high pitched, crackling)
- pulmonary edema - asthma - obstructive disease (COPD)
41
What condition would you hear coarse crackles in lungs (wet bubbling sound)
- Pulmonary edema - pneumonia
42
What respiratory condition will you hear wheezing
- asthma - bronchitis - chronic emphysema
43
What respiratory condition will you hear stridor
- croup - airway obstruction
44
Asthma S+S
- Dyspnea - tachypnea - chest tightness - wheezing - anxiety
45
what is hypoxia + S+S
- when your body doesn't have enough oxygen in its tissues + restlessness + decrease consciousness + increase HR + tachyopnea + cyanosis