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PTRS 826 Exam 2 > Restrictive Lung Disease > Flashcards

Restrictive Lung Disease Flashcards

1
Q

Failure of the respiratory system ___1___ the subjects ___2___ level and ____3____.

A
  1. Reduces
  2. Energy
  3. Reserve
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2
Q

List the types of Restrictive Lung Disease (3)

A
  1. Pulmonary Fibrosis
  2. Disease of the spine/chest wall
  3. Disease of the neuro/MSK system
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3
Q

Disease: Reduced lung volume, normal expiratory flow rates, less hypercapnia

A

Restrictive Lung Disease

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4
Q

Those with RLD typically have ____1____ conditions and ____2____ ____3_____.

A
  1. Chronic
  2. Diffuse
  3. Fibrosis
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5
Q

Disease:

Relentlessly progressive disease

Lung tissue thickened, stiff, scarred

Causes range from autoimmune to occupational exposure

Typically in those > 65 yo

Median survival 2-3 yrs after Dx

A

Pulmonary Fibrosis

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6
Q

List the types of Pulmonary Fibrosis (5)

A
  1. Sarcoidosis
  2. Lupus
  3. Rheumatoid Disease
  4. Scleroderma
  5. IPF
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7
Q

Disease:

Systemic granulomatous disease w/unknown etiology

African American

20-30 yo

F > M

A

Sarcoidosis (can be in any organ)

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8
Q

Disease Signs and Symptoms:

Specific organ dysfunction

Cough/Dyspnea

Generalized weakness

Fatigue

Weight loss

Malaise

Fever

A

Sarcoidosis

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9
Q

Disease:

Systemic Autoimmune Disease

Women of child bearing age

Chronic w/Remission and Exacerbation

A

Lupus

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10
Q

Disease:

Systemic Disease with Pleuropulmonary Manifestation 50% of the time

F > M

A

Rheumatoid Disease

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11
Q

Disease:

Involves blood vessels and connective tissue

F > M

Autoimmune, progressive, poor prognosis

Death due to pulmonary involvement

A

Progressive Systemic Sclerosis [Scleroderma]

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12
Q

Disease:

Chronic, slow, progressive dyspnea

Chronic inflammation and fibrosis

Lacks causative relation w/known disease/etiologic agents

Middle aged

M > F

A

Idopathic Pulmonary Fibrosis

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13
Q

Disease: Pathologic conditions of the respiratory tract that result direclty from the inhalation of gas or particular matter in the air

A

Environmental Lung Diseases

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14
Q

List the categories of environmental pulmonary pathogens (4)

A
  1. Infectious agents
  2. Organic dust
  3. Inorganic dust
  4. Gases
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15
Q

Disease: Caused by the inhalation of inorganic dust

A

Pneumoconioses

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16
Q

Types of Pneumoconioses:

  1. Silica
  2. Silicates
  3. Carbon [coal, graphite]
A
  1. Silicosis
  2. Asbestosis
  3. Pneumoconioses
17
Q

Term: Elimination of fluid build up from pleural effusion

A

Pleurodesis

18
Q

Pleural effusion is a __________ process

A

Restrictive

19
Q

List the possible effects of inhalation of irritant gas (7)

A
  1. Hyperemia
  2. Edema
  3. Epithelial Injury
  4. Mucosal Sloughing
  5. Coughing
  6. Dyspnea
  7. Cyanosis
20
Q

Term: Posterior curvature of the spine

A

Kyphosis

21
Q

Term: Lateral curvature of the spine

A

Scoliosis

22
Q

Term: Both posterior and lateral curvature of the spine

A

Kyphoscoliosis

23
Q

Term: Swayback

A

Lordosis

24
Q

List the disease of the Neuromuscular system that are related to Restrictive Lung Disease (4)

A
  1. Myasthenia Gravis
  2. Gilliam Barre
  3. ALS
  4. Quadraplegia
25
Q

Disease:

Disease of the NMJ

Mm weakness/fatigue

Autoimmune

F > M

Watch NIF and VC for changing condition

A

Myasthenia Gravis

26
Q

Disease:

Acute form of inflammatory polyneuritis of unknown cause

Effects peripheral nerves

Young/Middle Aged

Ascending Paralysis

Watch NIF and VC for changing condition

A

Guillain-Barre Syndrome

27
Q

Term: Single breath inspiratory force that measures the strength of inspiratory mm

A

NIF

28
Q

Disease: Inflammatory or neolastic disease of the spinal cord

A

ALS

29
Q

List the muscles affected by the following levels:

  1. C3-5
  2. C5-6
  3. T1-11
  4. T8-12
A
  1. Diaphragm
  2. Scalenes
  3. Intercostals
  4. Abdominals
30
Q

Many times an _____1_____ onsets masks the developments of _____2______ lung disease. ______3______ diffusing capacity, caused by an alveolar wall _____4_____ leads to _____5_____ lung compliance, _____6_____, _____7_____. These patients are at high risk for _____8_____.

A
  1. Insidious
  2. Restrictive
  3. Decreased
  4. Tickening (fibrosis)
  5. Decreased
  6. Hypoxia
  7. Hypocarbia
  8. Pneumonia
31
Q

All lung disease, whether obstructive or restrictive may lead to _______________.

A

Pneumonia

32
Q

Disease:

Acute inflammation process that effects the gas exchange units of the lung

Response to inflammation = fluid/RBC’s pour into alveoli (clog things up)

PMN/Macrophages move in

Consolidation occrus

A

Pneumonia

33
Q

Term: Alveoli become filled with fluid

A

Consolidation

34
Q

Anything on CXR in the ___1___ of the lung is potentially __2__.

A
  1. Apex
  2. TB
35
Q

Disease:

Gradual or Arupt onset

Maliaise, chills, fevers, cough, chest pain, dyspnea

Pleural effusion

A

Pneumonia

36
Q

Pneumonia: With no necrosis, _____1_____ without sequelae is expected. With _____2_____ changes, fibrous __3__ tissue develops and there may be measurable loss of ___4___ function

A
  1. Resolution
  2. Destructive
  3. Scar
  4. Lung
37
Q

Patients with RLD need continual ____ ______ _________.

A

Low, flow, oxygen

PTRS 826 Exam 2 (10 decks)

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