Respiratory system diseases 1,2,3 Flashcards
orthopneoa
adopting posture to facilitate breathing
- neck extension
hyperpnoea
- increased resp effort (deeper) without dyspnoea
respiratory distress clinical signs
- tachypnoea/hyperpnoea
- orthopnoea
- visibly distressed/mouth breathing
- resp noises
- inspiratory (stertor/stridor) upper airway
- expiratory (wheezes, crackles on auscultation) lower airway
- cyanosis
- tachycardia, weak pulse
types of dyspnoea
- inspiratory- abnormal resp noises
- expiratory- abnormal auscultation
- mixed- parenchymal disease
oxygen administration options in conscious patients
- flow by
- face mask
- nasal prongs
- nasal catheter (longer term use)
- oxygen tent
- incubator
oxygen administration options in unconscious patients
- intubation
- tracheostmony
upper resp tract diseases (larynx, pharynx, trachea)
- BOAS
larynx- laryngeal paralysis (dog, lymphoma (cat)
pharynx- poly (cat), foreign body
trachea- tracheal collapse
Cinical signs of URT disease
- inspiratory dyspnoea
- nasal discharge
- sneezing/reverse sneezing
- stertor
nursing considerations for URT disease
- sedation
- oxygen
- keep cool
- avoid collars
- exercise
common causes for nasal disease
inflammatory: idiopathic
infectious
- bacterial
- virus
- fungal (aspergillus)
neoplastic
trauma
foreign body
dental disease
nursing care for nasal disease
- treat dyspnoea first
- stop any haemorrhage
- remove foreign object
- monitor fluid/food intake
- decongestant therapy
- isolate cats (possinly infectious)
investigations of nasal disease under GA
- full oral examination
- dental probing
- nasopharyngeal swab in cats
- imaging
- rhinoscopy
Aspergillosis cause
Aspergillus fumigatus
Aspergillosis clinical signs
- nasal discharge/bleeding
- sneezing
- pain
- nasal depigmentation
- predisposed in meso/dolichcephalic breeds
Diagnosing aspergilliosis using rhinoscopy
identification of fungal plaques
aspergilliosis treatment
- mechanical debridement endoscopically
- trephination into frontal sinus (drilling)
- topical antifungal
primary abnormalities in BOAS
- excessive soft tissues
- stenotic nares
- elongated/thick soft palate
- hypoplastic trachea
compensation in BOAS
harder inspiration
causing negative pressure in throat, neck, chest
causing laryngeal collapse and hiatal hernia
BOAS diagnosis
- physical exam
- fluoroscopy
- CT scan
BOAS nursing care
- owner education
- discourage breeding
- calm and stress free
- weight management
- avoid excessive heat
- harness instead of collar
cough: pathophysiology
- protective reflex to clear excess secretions/foreign material
- also associated with cong. heart fail.- enlarged left atrium puts pressure on airway
investigation of lower resp disease
- faecal analysis (lungworm)
- radiography/CT
- bronchoscopy
Bronchoscopy
- small tube down trachea
- collects broncho-alveolar lavage samples
Bronchoscopy equipment
- endoscope
- sterile saline
- collection pots
- mouth gag
- urinary catheter
- syringes