Respiratory - Class 4 Flashcards
2 main types of infection related respiratory pathologies
Pneumonia & Tuberculosis
Lobar Type
Bronchopneumonia
Pneumonia
Primary
Secondary
Tuberculosis
is an infection leading to inflammation of the parenchymal structures of the lungs, characterized by vascular permeability and hyperemia, leading to exudate formation that fills the alveolar spaces and distal bronchioles.
Pneumonia (pneumonitis)
T/F Influenza, resulting in pneumonia is a major contributor to death and hospitalization among the elderly.
TRUE
Lobar Pneumonia and Bronchopneumonia
2 main types of pneumonia
Causes of pneumonia
Infection (bacteria, virus, fungi, or parasites)
Anytime the body’s normal defenses are deficient, making it an opportunistic disease (especially with _____ ______ )
elderly patients
Pneumonia affecting a whole lobe or a large section of the lobe of a lung. Commonly arises due to a streptococcal bacterial infection (pneumococcus). Usually rapid onset, affecting an otherwise healthy person.
Lobar Pneumonia
possible hemoptysis (coughing up blood) due to damaged lung tissue
Signs and Symptoms OF Lobar Pneumonia
complications may include endocarditis, meningitis, pleural adhesion, chronic bronchitis
Signs and Symptoms OF Lobar Pneumonia
T/F Lobar Pneumonia is now fully treatable with antibiotics
TRUE
Stages of Lobar Pneumonia
Congestion
Red Hepatization
Gray Hepatization
Resolution
Often caused by staphylococcus or streptococcus bacteria (can also be of viral or fungal origin). Presents as diffuse and bilateral patches of inflammation around the terminal bronchioles and alveoli, affecting one or several lobes of the lungs.
Bronchopneumonia
Usually slower, insidious onset, affecting those people already debilitated or immunosuppressed (elderly, infants, AIDS patients), and usually takes much longer to run it’s course than lobar pneumonia. Rarely reaches the resolution phase – becoming chronic, with remission and relapse, may lead to death in an already compromised person.
Bronchopneumonia
T/F May be difficult to distinguish bronchopneumonia from another existing primary pathology in a debilitated patient.
TRUE
-abscess formation
- spread of the infection to the pleural cavity (pleuritis)
- replacement of exudate by fibroblasts
Complications of Pneumonia
Highly virulent, infectious disease, caused by the mycobacterium bacilli tuberculosis. Spread by airborne transmission of tubercle bacillus, especially in densely populated areas and areas of poor hygiene/ malnutrition/ poverty.
Tuberculosis (TB)
the most common cause of infectious disease-related mortality worldwide.
Tuberculosis (TB)
T/F Prevalence of TB in Canada is low, but remains high among First Nations peoples and in persons that were born in other countries with a high incidence of TB.
TRUE
When latent, the infected do not have an active disease and cannot spread it to others - bacteria is controlled by the body and becomes dormant but not destroyed.
Stage 2: Latent/ Intermediate TB
T/F Stage 1 and 3 of TB are when the px is infectious. Stage 2 they are not as it is the latent phase.
TRUE
T/F Tuberculosis cannot spread to regions OUTSIDE the lungs which may be fatal.
FASLE IT CAN SPREAD
A hereditary disorder, involving the exocrine glands: sweat glands, digestive glands, liver, pancreas and intestines and mucous glands of lungs.
Cystic Fibrosis
A group of lung diseases associated with inhalation of different types of dust, primarily occupational in nature.
Pneumoconiosis
“popcorn workers lung” or “popcorn lung”;
bronchiolitis obliterans (constrictive bronchiolitis)
Contains 50 to 70 percent more carcinogenic hydrocarbons than tobacco smoke.
Cannabis Smoke
T/F Cannabis smoke does not contain many of the same toxins as cigarette smoke and can lead to chronic bronchitis and inflammation of the lung.
FASLE
Cannabis smoke contains many of the same toxins as cigarette smoke
Bronchogenic Carcinoma &
Mesothelioma
2 main types of lung cancer
Most common type: 90% of lung cancers are bronchogenic
Bronchogenic Carcinoma
Originates in epithelial lining of bronchial tree
Bronchogenic Carcinoma
Highly metastatic: common sites of metastases are liver, adrenals, bone, brain and kidney
Bronchogenic Carcinoma
- Malignant tumour of the epithelium covering serous membranes (pleura, peritoneum, pericardium)
- Occurs due to asbestos exposure
- Rare
Mesothelioma