respiratory - Patho Exam 1B

Question 1

Atypical Pneumonia : Pneumocystis Carinii

Answer 1

is like a yeast infection and it is related to immune suppression (HIV, transplant)

Question 2

Atypical Pneumonia : Mycoplasma

Answer 2

“walking pneumonia”
-mild PNA, pt may complain of persistent cough, HA & earache
-bacterial “like” organism, properties of both bacteria & virus

Question 3

Atypical Pneumonia : Legionella

Answer 3

gram neg organism
spread via water systems

Question 4

Atypical Pneumonia : aspergillus

Answer 4

-fungal PNA
-released from walls of old buildings, reconstruction, stored grains, dead leaves, compost
affects lung tissue

Question 5

what happens when PNA droplets are inhaled

Answer 5

inflammatory rx is stimulated and vasodilation occurs -> infection begins to spread inot the respiratory tract and alveoli

Question 6

what cells in the lungs stimulate mucus secretion

Answer 6

goblet cells

Question 7

clinical manifestations of PNA

Answer 7

fever, chills, cough, malaise, pleural pain, dyspnea & hemoptysis

Question 8

respiratory distress

Answer 8

maintained oxygenation by increased WOB
S/S: tachypnea & cardia, accessory muscle use, stirdor/wheezing, agitation, delayed cap refill, pale

Question 9

respiratory failure

Answer 9

cannot compensate for inadequate oxygenation even w/ extra effort
prepare for arrest -> CPR
S/s: RR>60, retractions, grunting, mottling, head bobbing, severe air hunger, bradycardia & hypotension

Question 10

respiratory arrest

Answer 10

bradypnea, inefficient respirations, cyanosis/grey, no air movement
preform CPR