Respiratory Diseases Flashcards

1
Q

What is dacryocystitis

A

Inflammation of lacrimal sac

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2
Q

What is epistaxis

A

Nose bleed

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3
Q

What is included in respiratory tract disease

A

Nasal disease
Laryngeal disease
Tracheal disease

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4
Q

Causes of nasal diseases

A
Allergies
Foreign bodies
Infections
Trauma
Neoplasia 
Coagulopathies
Hypertension
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5
Q

Clinical signs of respiratory disease

A
Sneezing
Facial swelling
Dyspnoea
Snorting 
Facial rubbing
Anorexia
Nasal discharge
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6
Q

Types of nasal discharge

A

Serous
Mucoid
Mucopurulent
Haemorrhagic

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7
Q

Diagnostic tests for nasal disease

A
  • History and full physical examination
  • Blood tests e.g. haematology, biochemistry, clotting profile, serology
  • radiograph / rhinoscopy
  • magnetic resonance imaging (MRI) / computer tomography (CT)
  • nasal flush for cytology / nasal swab for culture
  • nasal biopsy and histopathy
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8
Q

Treatment for nasal disease

A

ID and correct underlying cause
Antibiotics/antifungals
Surgery
Radiotherapy

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9
Q

Nursing care for nasal disease

A
Monitor vital and clinical signs
Admin medication prescribed by vet
Clean nose and observe discharge 
Encourage animal to eat
Isolate suspected infectious disease cases
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10
Q

Causes of laryngeal disease

A

Laryngitis
Laryngeal paralysis
Oedema
Trauma

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11
Q

Clinical signs

A
Loss of voice
Dysphonia (change in voice)
Coughing
Increases concentration of mucus in throat 
Exercise intolerance or dyspnoea
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12
Q

Diagnostic tests for laryngeal disease

A

History and full physical examination

Laryngoscopy

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13
Q

Treatment for laryngeal disease

A
ID and correct underlying cause
Antibiotics
Anti inflammatories
Oxygen therapy
Sedation
Tracheostomy 
Surgical correction (laryngeal paralysis)
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14
Q

Nursing care for laryngeal disease

A
Monitor vital and clinical signs 
Admin medication/ oxygen as prescribed 
Avoid stress/excitement
Place in quiet environment 
Use harness
Restrict barking/meowing
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15
Q

Causes of tracheal disease

A

Tracheitis
Tracheal collapse
Trauma

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16
Q

Clinical signs of tracheal disease

A

Dry hacking cough
Honking noise
Exercise intolerance
Dyspnoea (tracheal collapse)

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17
Q

Diagnostic tests for tracheal disease

A
History and full physical examination 
Radiography 
Tracheoscopy 
Tracheal wash
Transtracheal lavage
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18
Q

Treatment for tracheal disease

A

ID and correct underlying cause
Antibiotics
Anti-inflammatories
Cough linctus

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19
Q

Nursing care for tracheal disease

A
Monitor vital and clinical signs 
Admin medication/oxygen as prescribed 
Place in quiet environment 
Avoid dry, dusty or smoky atmosphere 
Use harness
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20
Q

What is acute respiratory disease

A

Lungs are unable to function correctly. Lacking transfer of oxygen to circulation and excretion of carbon dioxide from the body tissues

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21
Q

What is a result of acute respiratory disease

A

Hypoxia (oxygen deficiency) and hypercapnia (elevated carbon dioxide levels)

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22
Q

Causes of acute respiratory disease

A
Upper respiratory obstruction
Lower airway disease
Pulmonary thromboembolism 
Poisoning
Extra pulmonary causes
Respiratory muscle paralysis 
Failure of respiratory control centre
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23
Q

Clinical signs for acute respiratory disease

A
Depends on underlying cause 
Dyspnoea 
Tachypnoea
Apnoea
Orthopnoea 
Cyanosis
Hypoxia
Tachycardia 
Weak pulse
Collapse 
Unconscious 
Death
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24
Q

How to deal with acute respiratory disease obstruction

A
Oxygen asap
Attempt to bypass the obstruction 
If collapsed place in sternal 
Keep airway clear of secretions 
Head and neck extended with tongue pulled forward
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25
Nursing care for acute respiratory disease
``` Monitor vital and clinical signs Admin medication/oxygen as prescribed Handle patient with care Place in quiet environment Keep airway clear of secretions ```
26
What causes chronic pulmonary disease
``` Chronic bronchitis Lungworm Pleural effusions Pneumonia Pulmonary neoplasm Foreign body Asthma ```
27
Clinical signs of chronic pulmonary disease
``` Chronic cough Exercise intolerance Dyspnoea Increased respiratory noise Breathlessness ```
28
Diagnostic tests for chronic pulmonary disease
``` History and full physical examination Blood tests for haematology and biochemistry Radiograph Bronchoscope Faecal analysis Bronchoalveolar lavage ```
29
Treatment for chronic pulmonary disease
``` ID and correct underlying cause Antitussives Anti inflammatories Bronchodilators Expectorants Mucolytics Antibiotics Anthelmintics Limited exercise, clean atmosphere, chest courage, weight loss ```
30
Nursing care for pulmonary disease
``` Monitor vital and clinical signs Administration of medication/oxygen as prescribed Handle patient with care Place in quiet environment Ensure oxygen therapy is maintained ```
31
Extra pulmonary causes
Diaphragmatic rupture Pneumothorax Pleural effusion
32
Causes of diaphragmatic rupture
Trauma | Congenital
33
Clinical signs of diaphragmatic rupture
``` Dyspnoea Tachypnoea Thin sunken abdomen Shock Restlessness Weakness ```
34
Treatment for diaphragmatic rupture
``` Oxygen therapy Surgical repair IV fluids Antibiotics Analgesic ```
35
Nursing care for diaphragmatic rupture
Elevate head higher than hindquarters Keep stress to minimum Monitor vital and clinical signs Admin medication prescribed
36
Clinical signs of pneumothorax
``` Dyspnoea Tachypnoea Orthopnoea Abdominal breathing Distress Cyanosis SC emphysema Thoracic wound Penetrating foreign body Depends on volume of air in thoracic cavity ```
37
Treatment for pneumothorax
``` Oxygen therapy Thoracocentesis Protective dressing over wound Surgery Depends on underlying cause ```
38
Nursing care for pneumothorax
Do not remove penetrated foreign body Keep stress to minimum Monitor vital and clinical signs Admin medication prescribed
39
What is hydrothorax
Fluid in pleural cavity
40
What is haemothorax
Blood in pleural cavity
41
What is chylothorax
Chyle accumulating in pleural cavity
42
Clinical signs of pleural effusion
``` Dyspnoea Tachypnoea Cyanosis Orthopnoea Shock Muffled heart and lung sound Exercise intolerance ```
43
Treatment for pleural effusion
``` ID and correct underlying causes Oxygen therapy Thoracocentesis Thoracotomy Antibiotics Analgesics ```
44
Nursing care for pleural effusion
Monitor vital and clinical signs Admin medication prescribed Keep stress to minimum
45
How often should a tracheostomy tube be cared for
Every 15 minutes or every 2-3 hours depending on patient needs
46
Issues associated with tracheostomy tubes
Obstruction Dislodgement Occlusion
47
How often should nebulising of a tracheostomy tube be done
For 10-15 minuets every 4-6 hours to dehumidify
48
How should a tracheostomy tube be cleaned
Sterile gloves for cleaning wound with 0.05% chlorhexidine solution working away from the wound. Dry gauze can be placed around tube to absorb exudate
49
How long should a patient be pre oxygenated prior to suctioning
Several minutes
50
How often should the inner cannula of a tracheostomy tube be replaced
Ever 4-6 hours
51
Goals of tracheostomy management
Prevention of secretions from building up and blocking tube, aseptic wound care and humidification of air
52
Process of suctioning a tracheostomy tube
Aseptic technique Sterile, soft, long pliable catheter (silicone) Do not turn suction on until catheter is in place Intermittent and light moving catheter in circular motions Should take less than 15 seconds. Giving them a break Discontinued if vagal response, cough, gag Ideally wear gloves
53
What is brachycephalic obstructive airway syndrome
Group of conditions associated with brachycephalic breeds
54
Common breeds associated with BOAS
English and French bull dogs Pugs Shih-tzu
55
Clinical signs of brachycephalic obstructive airway syndrome (BOAS)
Dyspnea exercise intolerance abnormal and increased respiratory noise including stertor and stridor. Episodes of severe dyspnea can lead to cyanosis, hyperthermia, and syncope.
56
Surgical intervention for BOAS
Surgical correction of stenotic nares | Removal of elongated soft palate
57
What is myocarditis
Inflammation of the myocardium
58
What is veterinary cardiomyopathy
Abnormal heart muscle including hypertrophic and restrictive cardiomyopathy
59
What is endocardiosis
Degeneration and scarring of the heart valves (usually mitral)
60
What is cardiac tamponade
Fluid in the pericardium builds up and results in compression of the heart
61
Definition of patent ductus arteriosus (PDA)
``` Most common Ductus arteriosus (embryonic duct) connects the pulmonary artery and aorta (enabling blood to bypass lungs) remains patent Common at birth because foetus does not need to breath in womb ```
62
Define aortic (left) or pulmonic (right) stenosis
Narrowing of aortic or pulmonary valve, obstructing the flow of blood leaving the ventricle. Leading to hypertrophy
63
Define ventricular/arterial septal defects
Hole in septum between right and left atria/ventricle
64
Define persistent right aortic arch
Oesophagus is trapped between ligamentum arteriosus, aorta, pulmonary artery and heart base
65
What is tetralogy of fallout
Combination of ventricular septal defect, pulmonic stenosis, compensatory right-sided hypertrophy and overriding aorta
66
Define endocardiosis
Chronic degeneration of heart valves especially mitral valve leaving them thickened and nodular
67
Define endocarditis
Inflammation of endocardium caused by bacterial infection which travels to heart via blood
68
Define dilated cardiomyopathy
Myocardium thins and looses ability to contract efficiently causing heart to enlarge
69
Define hypertrophic cardiomyopathy
Thickened myocardium leading to reduced myocardial relaxation, inadequate cardiac output and heart failure
70
What is pericardial effusion
Accumulating fluid in pericardial sac | Cardiac tamponade
71
Definition of heart failure
Heart unable to maintain adequate circulation causing reduction in cardiac output and development of heart failure
72
Diagnostic procedures for heart disease
``` History and full physical examination Blood tests for routine biochem or culture Fluid sample for culture and cytology Blood pressure Thoracic radiographs Echocardiography Electrocardiograph ```
73
What is echocardiography
Ultrasound examination of heart to assess structure and function Thickness and contractility of ventricular walls and septum can be assessed Abnormal soft tissue masses and pericardial effusions can be seen
74
Electrocardiogram
Measures electrical activity of the heart Diagnose arrhythmia Chamber enlargement can be detected in conjunction with other tests P wave resembles arterial systole
75
Treatment of heart disease for acute
Establish and maintain airway | Administration of oxygen
76
Treatment of heart disease for chronic
``` ID and treat underlying cause Positive inotropes (myocardial stimulants) ACE inhibitors Diuretics Anti arrhythmia drugs Beta blocker Venodilators ```
77
Nursing care of acute heart disease
Monitor vital and clinical signs Cage rest with minimal stress Admin drugs (fluid) as prescribed by vet Perform CPR
78
Nursing care for chronic heart disease
``` Monitor vital and clinical signs Admin medication as prescribed Cage rest with minimal stress Controlled exercise Low sodium diet or low calorie (obese) ```