respiratory conditions Flashcards

1
Q

what is TB?

A

tubercuiosis:
bacterial infectious disease that causes infection in the lungs and other tissues.
no symptoms of TB= inactive or latent TB dormat (sleeping) inside the body

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2
Q

what are the 3 stages of TB?

A

primary infection (The primary infection usually occursTrusted Source in the middle part of the lungs. From there, the infection typically enters a latent, or inactive, stage but can sometimes quickly develop into active TB disease.)

latent TB infection
(A latent TB infection occursTrusted Source when someone gets a TB infection, but their immune system makes it inactive and stops the bacterium from growing. People with a latent infection do not feel ill and cannot spread TB to others.)

active TB disease (n active TB infection, or TB disease, occurs when the TB bacterium grows and attacks the lungs or other parts of the body. This happens because the immune system cannot fight the bacterium effectively. TB disease causes symptoms and can spread to other)

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3
Q

what are the 2 types of TB?

A

extrapulmonary TB- Extrapulmonary TB .
that involves parts of the body outside of the lungs, such as the bones or organs. Symptoms depend on the part of the body affected.

systemic milariy TB potentially life-threatening type of tuberculosis that occurs when a large number of the bacteria travel through the bloodstream and spread throughout the body. and cause:
meningitis
high levels of blood cells in urine
potts disease
addisons (adrenal gland condition)
hepatitis (liver infection)
lymphadenitis

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4
Q

what are the causes of TB?

A

bacterium, spread through the air
spend alot of time with someone to catch it

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5
Q

what are the signs and symptoms of TB?

A

inactive TB- no symptoms- blood test to confirm
bad cough
pain in the chest
coughing up blood or mucus
fatigue or weakness
loss of appetite
weight loss
chills
fever
night sweats

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6
Q

what is the diagnosis for TB?

A

medical history and symptoms
physical examination

tuberculin skin test- involves injecting a small amount of tuberculin protein under the skin. after 48 hours its checked for a reaction which indiactes exposure to tbacteria

chest x ray

sputum test

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7
Q

how is TB treated?

A

6 months antibiotics

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8
Q

what is asthma? and what happens during asthma to the body

A

chronic disease that affects the lungs. triggered by various factors including allergens like pollen, dust and pets, respiratory infections.

bronchconstriction- muscles around the airway constrict, making airways narrow air cannot flow smoothly.

inflammation: the lining of the airways become swollen. alirways dont let out as much air in or out your lungs.

mucus production- during a attack your body creates thick mucus clogging the airways.

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9
Q

what is the difference between intermittent and persistent asthma?

A

intermittent- asthma comes and goes

persistant- symptoms alot of the time

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10
Q

what are causes of asthma?

A

allergies, enviromental factors, genetics, respiratory infections

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11
Q

what are examples of allergic causes and non allergic causes of asthma?

A

allergic- mold, pollen and pet dander

non allergic- exercise, stress, illness and weather

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12
Q

what is asthma- COPD overlap syndrome?

A

when you have both asthma and copd making it difficult to breathe

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13
Q

what are common triggers of asthma?

A

air pollution, mold, tabacco smoke, dust mites, pests, strong chemicals, exercise, pets, occupational exposures

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14
Q

what are symptoms of asthma?

A

chest tightness, coughing, SOB, wheezing

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15
Q

how would you diagnose asthma?

A

medical history
physical examination
lung function test
peak fflow (how well air moves out of your lungs)
monitorung
allergy testing

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16
Q

what are the treatments of asthma?

A

JRCALC:
moderate asthma: administer prednisolone.

severe asthma:
administer nebulised salbutamol.
if no improvement: administer ipratropium bromide
administer steroids: prednsolone/ hydrocortsione.

life threating asthma:
continous salbutamol nebulisation.
no improvement: ipratopium bromide
no improvement: administer a single dose of iv magnesium
continious deteriation: administer adrenaline 1:1000.
administer steroids: perdnisolone/ hydrocortisonez

bronchodilators- relax the airway muscle and let mucus move easier

anti inflammatory medicanes: reduce swelling and mucus production in the airways. making it easier for air to enter and exist the lungs

Biologic treatments are also known as monoclonal antibodies. They can help patients control certain types of asthma better. They work by targeting and blocking specific pathways of inflammation in severe asthma.

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17
Q

what is respiratory failure?

A

not enough oxygen or co2 in the body. can be acute and happen quickly or chronic

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18
Q

what are the 4 types of respiratory failure?

A

hypoxemic
hypercapnia
perioperative respiratory failure
resp failure due to shock

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19
Q

what is hypoxemic?

A

not enough oxygen in the body.
heart and lung causes are the most common causes

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20
Q

what is hypercapnic?

A

to much co2 in the blood. not enough room for your body to carry oxygen.

causes:
heart, lung, muscle and neurological conditions.
medications

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21
Q

what is perioperative respiratory failure?

A

when you have surgery- anesthesia can keep you from breathing properly

air sacs in the lungs can collapse and keep oxygen from getting into the blood

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22
Q

how does shock cause resp failure

A

decreased perfusion due to not enough blood flow in the organs- lead to reduced oxygen delivery and impaired gas exchanage

pulmonary edema- fluid interferes with gas exchange

increased work of breathing due to shock

multi organ dysfunction

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23
Q

what are symptoms of resp failure?

A

SOB
Rapid breathing (tachypnea)
faituge
tachycardia
spitting/ coughing blood
excessive sweating
restlessness
pale skin
bluish skin, lips or nails- cyanosis
headaches
blurred vison
agiation/ confusion
behavioural changes

24
Q

what are the causes of resp failure?

A

reduced amount of air flow or blood flow to the lungs
blockages, scaring or fluid in the lungs
inability to breathe properly or deeply enough
abnormalities in the way blood flows through the heart

25
Q

what are the risk factors of resp failure?

A

lung conditions and diseases:
ARDS
COPD
pneumonia
asthma
cystic fibrosis
pulmonary edema
pulmonary embolism
pulmonary fibrosis

heart conditions:
mi
congonital heart disease
heart failure
shock

conditions that affect the nerves:
muscular dystrophy
amyotrophic lateral sclerosis
severe scolosis
guillian- barre syndrome

stroke
smoking
anesthesia
drug use/ excessive alcohol

26
Q

whats the diagnosis of resp failure?

A

oxygen sats
bp
listen to heart and lungs

pulse oximeter
artenal blood gas test
lung function test
xray/ ct scan
ecg

26
Q

what are the treatments of resp failure

A

supplemental oxygen- improve blood oxygen levels

mechanical ventilation- in cases of severe resp failure especially hypercapnia

medications such as bronchodilators (open the airway), coritocosteroids (to reduce inflammation) antibiotics may be prescribed for infections

monitioring vtal sgns

27
Q

what is bronchitis?

A

inflammation of the airways leading to the lungs.

when the airways (trachea and bronchi) get irritated they swell up and fill with mucus causing coughing

viruses are the most common cause
smoke and other irritant can cause acute or chronic bronchitis

28
Q

what are the 2 types of bronchitis?

A

acute- caused by a viral infection goes away on its own in a few weeks- most people dont need treatment

chronic- if you have a cough with mucus most day or for 3 months out of the year

29
Q

who is at risk of getting bronchitis?

A

smokers
pt with asthma/ copd
chronic acid reflux
autoimmune disease that causes inflammation
around air pollution

30
Q

what are symptoms of bronchitis?

A

cough
wheezing
chest discomfort
sore throat
sob
fever
runny nose
fatigue

31
Q

what are the causes of bronchitis?

A

viruses
bacteria
pollution
smoking

32
Q

how do you diagnose bronchitis?

A

history
symptoms
listen to the lungs for signs of congestion and to make sure your breathing well
chest x ray
pulmonary function tests

33
Q

how would you test for bronchitisis?

A

nasal swab to test for viruses
chest xray- to look for signs of other diseases that could cause these symptoms
blood tests- look for infections
sputum tests-tested for virsus or bacteria
pulmonary function test- how well the lungs work

34
Q

how is bronchitis treated?

A

acute:
rest, hydration, over the counter medication, avoid irritants

chronic:
bronchodilators
corticosteroids
oxygen

34
Q

what is hypoxia?

A

low level of oxygen in the bodys tissues.

causes symptoms like confusion, restlessneess, difficulty breathing, rapid heart rate, blush skin

chronic heart and lung conditions can put u at risk

35
Q

whats the differences between hypoxia and hypoxemia?

A

hypoxia- low levels of oxygen in the tissue

hypoxemia- low levels of oxygen in the blood

36
Q

who does hypoxia effect?

A

anyone with conditions like:
copd, emphsyema, asthma

infections such as:
pneumonia, flu or covid

37
Q

what are the symptoms of hypoxia?

A

restlessness
headache
confusion
anxiety
tachycardia
tachypnea
sob and dib

severe hypoxia:
bradycardia
extreme restlessness
cyanosis

38
Q

what is hypoxia caused by?

A

low oxygen availability
respiratory disorders such as: COPD, asthma, pneumonia and pulmonary edema cam impair gas excchange in the lungs

anemia- reduced amount of RBC or hemglobin- limit the bloods capacity to carry oxygen.

circulatory issues- that affect blood flow such as heart failure or shock

hypoventilation- due to conditions affecting the respiratoryy msucles
underlying illnesses that affect the blood flow or breathing

39
Q

what are the requirements for oxygen to make it into the tissues?

A

enough co2 in the air you breathe in
healthy lung function to get oxygen to the alveoli,
healthy heart and ciculatory functions to get oxygen rich blood to the tissues
- enough RBC to deliver oxygen
tissue cell cable of oxygen

40
Q

what are the 4 types of hypoxia?

A

hypoxemic hypoxia
circulatory hypoxia
anemic hypoxia
histoxic hypoxia

41
Q

what is hypoxemic hypoxia?

A

low amounts of co2 in the blood can lead to hypoxemic

42
Q

what is circulatory hypoxia?

A

blood can have enough oxygen but not enough to get the tissues if the heart doesnt pump enough blood or if there is a blockage in a vessel.

congestive heart failure and blood clots increase the risk of this

43
Q

what is anemic hypoxia?

A

not nough RBC to carry oxygen from lungs to other tissues.
anemic if your body doesnt make enough RBC.

44
Q

what is histoxic hypoxia?

A

when the cells are not able to use oxygen properly- when oxygen enters the cells something stops it from being used

45
Q

how is hypoxia diagnosed?

A

pulse oximetry
arterial blood gas test
pulmonary function test
imaging xrays, ct scans
walking to examine

46
Q

what is the treatment for hypoxia?

A

inhaled steroids that can open up airways to treat asthma or other lung diseases. bronchodilators, corticosteroids

diuretic reduce excess fluid

airway pressure mask

supplemental oxygen

severe acute hypoxia:
mechanical ventilation in hospital.

47
Q

what is hypercapnia?

A

to much co2 in the blood. body creates co2 when cells make energy.

RBCs carry co2 from your organs+ tissues to the lungs to breathe it out. if it cant be breathed out it becomes a waste product

48
Q

what are symptoms of hypercapnia?

A

SOB
headaches
persistant tiredness during the day
disorientation
confusion
paranoia
depression
sezuires

chronic symptoms:
tiredness, headaches, SOB- lead to confusion

acute symptoms: headaches, SOB

49
Q

what are the causes of hypercapnia?

A

hyperventilation- breathing to slowely to remove co2

V/Q mismatch: when your body has enough air coming into your body (ventilation) but not enough blood flow to the lungs (perfusion) or vise versa.
this can happen due to a lung disease that creates dead space or areas that are not getting blood flow in the small air sacs. alveoli lungs fill with air but cant remove all of co2 from the blood.

COPD and sleep apnea lead to hypercapnia

conditions that reduce the ability to regulate breathing:
stroke, sedative overdose, obesity hypoventilation and hypothyroidism.

conditions that affect muscle control:
multiple sclerosis, nerve or spinal cord injuries, amyotrophic lateral sclerosis and muscular dystrophy.

difference in the chest or spine anatomy:
toxins, pulmonary embolism, vascular disease

50
Q

what are the risk factors of hypercapina?

A

chronic respiratory distress: COPD, asthma, emphsema can impair the lungs to remove C02

obesity- restrict lung function and lead to hypoventilation

neuromusular disorde- effect the muscles in breathing such as muscular dystrophy

sleep apnea- cause periods of shallow breathing during sleep leading to increased c02 levels

51
Q

what are the risks of having hypercapnia?

A

respiratoryacidiosis- ph in blood is lower than normal. blood is more acidic than it should be

respiratory failure- cant get enough oxygen to the tissues in the body

cardiac arrest

coma

52
Q

how is hypercapnia diagnosed?

A

blood test to measure the amount of co2 in the blood

pulse oximetry
arterial blood gas test
imaging
pulmonary function test

53
Q

what treatment do you give to a hypercapnia pt?

A

bronchodilators
testing for underlying conditions
non invasive ventilation
oxygen theraphy (sometimes make it worse can increase V/Q missmatch or cause RBC increase c02 in blood. blood vessels in well ventilated areas to dilate)
med to reverse overdose
mechanical overdose