Respitory Flashcards
Rales
manifestations in
crackles in smaller airways, fluid in lungs and alveoli
CHF pneumonia
Rhonchi manifestations in
Larger airway obstruction of fluid COPD, pneumonia
Stridor manifestations in
occlusion in upper airway over trachea
02 admin for nasal cannula, simple mask, non-rebreather, soloshere
1-6lt 20-45%
5-10lt 40-60%
8-10lt 95%
8-10lt programed
Causes of res acidosis 4
decreased respirations (asthma, drug over dose)
COPD
Pneumonia
Atelectisis
Causes of res Alk 4
Anxiety/fear, PE, mechanical vent
Symptoms of both resp alk and acid 3
Rapid breathing, Decreased BP N/V
Opposites What is Acid 3
Hypoventilation, shallow res, hyper kalemia,
3 signs of Ac and Ak that are not opposites
Acid- decreased BP and vasodilation, mm weakness, dysrhythmias
Alk- numbness and tingling, lethergy and confusion, tachy
Parenchyma
section in kungs that has gas exchange
Hospital pneumonia hours after
intabation hours after
48hours
48-72 hours
Causes of plural effusion 4
Anything that causes permeability, build up of fluid, trauma, TB
Manifestations of a plural effusion that you don’t know 3
acidotic, empyema, inhale pain
COPD causes hyperplasia of goblet cells cause
increase mucus, decreased diameter of airway, difficulty secretions, decrease in cillia, alveolar walls and inflammation causes airway remodeling
What happens to diaphragm and blood with COPD
diaphragm flattens, polycythemia
3 things about asthma that you didnt know
aspirin and gerd can induce expirations may be longer
peak flow meter values
green-80-100
yellow 50-80
red 50 and below.
drug choice for step one
SABA
drug choice step two
Low dose ICS Inhaled cortico steroids with SABA
Drug choice step three
low dose ICS/LABA
Drug choice step four
med/high ICS/LABA
Albuterol use
2-4 puffs every 20 mins
Anticholenergic name
Atrovent
Atrovent considerations 2
not for late asthma less than twice a week
LABA name
salmeterol, Foradil, servent
LABA considerations
for mod-severe
never use alone for asthma
leukotrine modifiers 2 names
Singular acculate
What to use for moderate COPD
LABA- can be used alone and corticosteroids but not for long term
