Respiratory Problems And Disorders 2

Question 1

Chronic inflammatory disease of airway that causes spasm in the bronchi and has triggers

Answer 1

Asthma

Question 2

Types of triggers

Answer 2

Intrinsic: flu, common colds, URTI

Question 3

Types of triggers

Answer 3

Intrinsic: flu, common colds, URTI
Extrinsic: Dust, pollens, Furr

Question 4

Symptoms: Bronchoconstriction - DOB, Wheezing d/t lack of airway passage, Nasal flaring, use of accessory muscle, restlessness, cold and clammy skin

Answer 4

Asthma

Question 5

Early sign of Asthma?

Answer 5

Hyperventilation

Question 6

Late sign of Asthma

Answer 6

Hypoventilation

Question 7

Asthma Pathophysiology

Answer 7

Triggers > Irritation > Inflammation > Mucus Production (Goblet cells) > Mucus clogging > DOB > Dec. O2 > Dec. BF > hypoxia > Cyanosis

dec. O2 > Anaerobic Metabolism > Lactic Acid > generalized pain

Question 8

Diagnostic Tests for Asthma

Answer 8

ROENT (X-ray)
Incentive Spirometry
Peak Flow meter

Question 9

Peak flow meter parts

Answer 9

Red zone (0-49%)
Yellow zone (50-79%)
Green zone (80-100%)

Question 10

What zone in the peak flow meter needs medication treatment?
What medications are these?

Answer 10

Yellow Zone
ABS meds:
- Antihistamine
- Bronchodilators
- Steroids

Question 11

MGMT: Acute attack for asthma

Answer 11

Epinephrine

Question 12

Rapid bronchodilator, Short effect

Answer 12

Epinephrine

Question 13

MGMT: Latent Phase

Answer 13

Theophylline & Aminophylline

Question 14

Long acting bronchodilator, SNS effect

Answer 14

Theophylline, Aminophylline

Question 15

Complications of Asthma

Answer 15

Status Asthmaticus

Question 16

Inflammation of the Bronchi/ Bronchial tubes

Answer 16

Bronchitis

Question 17

Common cause of bronchitis

Answer 17

SMOKING
Chronic Smoking
Radon Gas
Air Pollution
Asbestos Exposure
Cement company

Question 18

Destruction of the walls of overdistended alveoli due to chronic inflammation

Answer 18

Emphysema

Question 19

Emphysema is also known as?

Answer 19

Barrel Chest

Question 20

Emphysema is the result of what disease?

Answer 20

Bronchitis

Question 21

Result of Emphysema to Patients

Answer 21

Pink puffer

Question 22

MGMT: Emphysema - C.O.P.D.

Answer 22

Increase Calorie, Protein, Fat, Decrease CHO diet
O2 LF = 1-3 LPM via nasal cannula
Pursed Lip Breathing
Drugs: bronchodilators:
- Sympathomimetics: AL SAL SAL
Albuterol (STAT), Salbuterol(Long acting), Salbutamol (Short acting)

Question 23

Methylxanthines q 4

Answer 23

Theophylline
Aminophylline

Question 24

MGMT FOR EMPHYSEMA: Leukotrine Modifiers (3L’s)
No BREASTFEEDING
INCREASE OFI
TAKE WITH MEALS

Answer 24

Looks like to sing (Bronchodilators)
Long term use
Long onset = 1-2 wks

Question 25

MGMT FOR EMPHYSEMA: Corticosteroids
what should you WOF?

Answer 25

Oral Candidiasis
- Mouth wash/ rinse wash

Question 26

Agranulocytosis component

Answer 26

GOTCHA!
GI Irritants
Osteoporosis (long term use of corticosteroids)
Teratogenic
Cataract
Hyperglycemia
Agranulocytosis

Question 27

MGMT FOR EMPHYSEMA: Anticholinergic that needs special inhalers

Answer 27

Ipratropium

Question 28

Respiratory drive in which the body uses oxygen chemoreceptor instead of carbon dioxide receptors to regulate the respiratory cycle

Answer 28

Hypoxic drive

Question 29

Normal level of hypoxic drive for lung capacity (4-6 LPM)

Answer 29

92%

Question 30

• Disease in the alveoli / within the lungs
• buildup of FLUID in the lungs d/t blood backup in the pulmonary vasculature

Answer 30

Pulmonary Edema