Respiratory Diseases Flashcards
Pathophysiology of cystic fibrosis
Faulty gene mutation which means cells in human body are unable to move salt and water around effectively. Results in build-up of mucus in lungs and digestive system.
Symptoms of cystic fibrosis
Poor lung function, frequent lung infections, inability to digest foods (fats) and may cause diabetes, bone disease and infertility.
Diagnosing cystic fibrosis
Sweat test (see salt content) and genetic blood/saliva test.
Treating cystic fibrosis
-ABX to prevent and treat infections
-Medications to manage mucus- reduce levels and make easier to cough up
-Broncodilators to widen airways
-Exercises
-Chest clearing techniques
Cystic fibrosis nursing interventions
-Manage pulmonary symptoms
-Palliative care
-Malabsorption and nutritional deficiencies
-Hospitalizations
Bronchitis (COPD)
Airways are inflamed and narrowed.
Emphysema (COPD)
Affects the alveoli where gas exchange takes place. They break down=lungs become baggy and bigger holes which trap air
What is COPD and name 2 types
Airways are narrowed= harder to breathe out and air gets trapped in chest
Bronchitis & Emphysema
Why are airways narrowed with COPD?
-Lung tissue damaged so less pull on airways
-Mucus blocking airways
-Airway lining inflamed and swollen
Risk factors COPD
Breathing in harmful substances, smoking, air pollution
Symptoms of COPD
-Short of breath during everyday tasks
-Cough that last long time
-Wheezing cold weather
-More sputum or phlegm than usual
Diagnosing COPD
-Listen to chest
-Spirometer
-Chest x-ray
-Blood test (rule out other things e.g. anemia
-Test phlegm
Treatment for COPD
-Short term bronchodilator inhalers
-Long term brochodilators
-Steroid inhalers (used in combo with LT broncho
-Pulmonary rehab
-Oxygen therapy
-Flu and pneumonia vaccine
Nursing intervention COPD
-Oxygen therapy
-Patient education
-Exercise tolerance
-Annual reviews
Pathophysiology Asthma
-Muscles around walls of airway tighten so airways become narrower
-Lining of airways become inflamed and begins to swell
-Sticky mucus or phlegm can build up
Symptoms of asthma
-Recurrent cough with a wheeze
-Shortness of breath (often worse at night & early morning)
-Tight chest
Signs of severe asthma attack
-Normal symptoms being severe
-Tachycardia
-Confusion/dizziness
-Hypoxic