Respritory Flashcards

1
Q

Goal of treating pneumonia

A

Clear breath sounds / normal breathing pattern

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2
Q

Goal of tb treatment

A

Normal pulmonary function
- teaching of disease/ not spreading

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3
Q

Copd main goal

A

Relief of symptoms - ability to do adls
- overall improve quality of life

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4
Q

Asthma goal

A

Have minimal symptoms during the day and night
- maintain acceptable activity levels

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5
Q

What need to be gathered during nursing assessment of a respiratory patient

A

Health history - meds/symptoms/ work habits
Physical assessment- labs / vitals

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6
Q

Types of pneumonia

A

Viral
Bacterial
Mycoplasma
Opportunistic

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7
Q

Opportunistic pneumonia

A

A decreased immune system causes a person to develop pneumonia

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8
Q

Aspiration pneumonia

A

Abnormal entry of oral or gastric material into lower airway

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9
Q

Risk factors for aspiration pneumonia

A

Decreased level of consciousness
Difficulty swallowing
Insertion of nasogastric tube

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10
Q

How is pneumonia classified

A

According to causative organism, characteristics of disease
Radio graphic appearance

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11
Q

Signs and symptoms of pneumonia

A

Cough - productive or non predictive
Green yellow or rusted colored
Fever chills
Confusion

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12
Q

Tests for pneumonia

A

History/ physical exam
Chest x-ray
Bronchoscope
Blood culture

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13
Q

How is phenomena treated

A

Antibiotics

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14
Q

Nursing care for pneumonia

A

Collaborate with respiratory therapist
Collect any specimen
Give antibiotics
Oxygen
Promote hydration
Breathing excercises early ambulation

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15
Q

Nutritional therapy regarding pneumonia

A

Prevent dehydration
Small frequent high calorie meals
—- daily weight!,

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16
Q

Acute bronchitis

A

Self limiting inflammation of bronchi - most caused by viruses

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17
Q

What causes acute bronchitis

A

Pollution
Chemical inhalation
Smoking
Asthma

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18
Q

Pertussis

A

Wooping cough
- highly contagious

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19
Q

Tuberculosis (tb)

A

Infectious disease transmitted via airborne route from infected droplets of mycobacterium tuberculosis

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20
Q

How is tb transmitted

A

Close frequent prolonged exposure

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21
Q

Multi drug resistant tuberculosis

A

Resistant to most potent first line drugs - isoniazid and rifampin

22
Q

What are some risk factors for tb

A

Poor underserved minorities
Homeless
I’ve drug users

23
Q

Can latent tb be transmitted

A

No - just positive test but not active bacteria

24
Q

Pulmonary tb usually takes how long to develop

A

2-3 weeks

25
Q

How long do you wait for a tb test reading

A

48- 72 hours

26
Q

Active tb disease drug therapy

A

Two phases - initial / continuation

27
Q

Initial tb drug

A

Isoniazid
Rifampin
Pyazinamide
Ethambutol

28
Q

Continuation tb Drugs

A

Isoniazid
Rifampin

29
Q

Drug given for latent tb

A

Isoniazid

30
Q

MDR TB

A

Sensitivity test helps determine drugs need

31
Q

Bronchietasis

A

Airway damage due to build up of mucus

32
Q

Emphysema

A

Damage to air sacs

33
Q

Copd

A

Systemic disease
- chronic inflammation it is both excessive mucus (bronchitis) & damaged air sacs (emphysema)

34
Q

Copd risk factors

A

Tobacco smoke
Passive smoking
Air pollutants
Age
Infection
Hiv
Tb

35
Q

Main characteristic of Copd is the inability to _______ air

A

Expire

36
Q

True or false
Not all patients with Copd with have sputum production

A

True

37
Q

People with Copd with have an increase oh red blood cells

True or false

A

True
- due to trying to get more oxygen

38
Q

What are some complications of Copd

A

Acute respiratory failure
Pulmonary hypertension
Pneumonia
Atelectasis

39
Q

How is Copd diagnosis

A

History / physical exam
Spirometry - - confirm diagnosis to see how well you can breath in / out

40
Q

What is an okay % of o2 for a Copd

A

88-92%

41
Q

How high can a nose cannula go up to?

A

6L

42
Q

Face mask can give how much oxygen

A

5- 8

43
Q

Bronchodilators

A

Relax smooth muscle in airway

44
Q

Asthma

A

Immune response triggered by something

45
Q

Early phase response in asthma

A

30-60 minutes after exposure to allergen or irritants

46
Q

Late phase response in asthma

A

Airway inflammation occurs 4-6 hours after initial attach due to activation of inflammatory cells

47
Q

Short acting inhaled adrenergic agonist

A

Bronchodilator
Ex- albuterol

48
Q

Corticosteroids

A

Anti inflammatory
- beclomethasone
Budesonide

  • teach to give last since it leaves residue
49
Q

Long acting inhaled b2 inhalers

A

Bronchodilators
Salmeterol
Formoterol

50
Q

Short acting/ long acting muscarinic agonist

A

Anti cholinergic- reduces broncospasms
- ipratropium
Tiotropium