Respiratory

Question 1

What is Isoniazid?

Answer 1

First line of TB to treat latent TB infection

Question 2

What do you teach people taking Isoniazid meds?

Answer 2

Avoid alcohol
Take Vit B6
Avoid aluminum antacids
Report changes in vision 
Report signs/symptoms of severe adverse effects:
Hepatoxicity
peripheral neuropathy

Question 3

What is a complication of peritonsillar, and what are the signs and symptoms

Answer 3

trismus
pooling of saliva
deviation of uvula which can all cause airway obstruction

Question 4

What med is nasal polyps sensitive to?

Answer 4

NSAIDS - can exacerbate asthma

Question 5

Signs and symptoms of resp failure?

Answer 5

PaCO2 > 45 mmhg
PaO2 <60
Paradoxical breathing 
Mental status change
Absence wheezing 
Single word Dyspnea

Question 6

What medication is contraindicated for patients who are COPD

Answer 6

Morphine, benzodiazepine = restlessness = hypoxia

Question 7

What meds are used for COPD pts?

Answer 7

Albuterol it is a beta agonist for bronchoconstriction because of rapid short action.

Question 8

Why is a corticosteriod utilized for in COPD?

Answer 8

Decrease inflammation of the lungs.

Question 9

What medication should be administered from someone with a low respiratory rate, decrease peak flow

Answer 9

Albuterol

Question 10

What are side effects of albuterol?

Answer 10

tremor, tachycardia, palpitations, restlessness, hypokalemia

Question 11

What is COPD?

Answer 11

A combination of emphysema and chronic bronchitis

Question 12

What are the risk factors for COPD

Answer 12

Tobacco smoking, respiratory irritants, clients occupation

Question 13

What is asthma?

Answer 13

Chronic inflammation caused by hyperreactive airway resulting in edema, hypersecretion of mucus and bronchospasm.

Question 14

What is a medical emergency for asthma?

Answer 14

absent breath sounds

use of accessory muscles 
chest tightness
cough
high pitched wheeze on both expiration and inspiration 
tachypnea

Question 15

What are the three factors you need to teach parents to be prepared for a patient with CF?

Answer 15

Aerobic exercise
chest physiotherapy
financial needs

Question 16

How often is a pnuemmonia vaccine recomended?

Answer 16

individuals greater than 65, recommended after 5 years

Question 17

What is acetylcystine?

Answer 17

it is a nebulizer to help loosen respiratory secretions, but it can worsen bronchospasm

Question 18

what is the priority after a new trach is placed into a pt?

Answer 18

ensuring the tube placement is secure by checking the tightness. 1 finger.

Question 19

What is bronchoscopy?

Answer 19

A procedure to visualize bronchi passing through the nose

Question 20

When a pt is hypercapnic what should you administer?

Answer 20

BIPAP - because they are hypercapneic meaning resp failure.

Question 21

What IV Fluid can be administered AFTER assisting to commode for PPH?

Answer 21

Oxytocin to control bleeding if fundus remains distended.

Question 22

For a pt with a severe asthma attack what meds can be administered?

Answer 22

Oxygen
Albuterol
Ipratropium
Systemic corticosteriods

Question 23

When a pt has an submersion injury what is required?

Answer 23

Even if they’ve been submerged for a short period observe for 6 hrs.

Any decrease in resp could mean increased work of breathing = respiratory failure.

Question 24

When a person is palliative and dying what meds can you provide to someone with a death rattle?

Answer 24

Atropine or scopolamine.

Question 25

What is a complication that can develop in acute pancreatitis?

Answer 25

ARDS - crackles indicate this.