Restrictive Lung Disease Flashcards
Failure of the respiratory system ___1___ the subjects ___2___ level and ____3____.
- Reduces
- Energy
- Reserve
List the types of Restrictive Lung Disease (3)
- Pulmonary Fibrosis
- Disease of the spine/chest wall
- Disease of the neuro/MSK system
Disease: Reduced lung volume, normal expiratory flow rates, less hypercapnia
Restrictive Lung Disease
Those with RLD typically have ____1____ conditions and ____2____ ____3_____.
- Chronic
- Diffuse
- Fibrosis
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
Pulmonary Fibrosis
List the types of Pulmonary Fibrosis (5)
- Sarcoidosis
- Lupus
- Rheumatoid Disease
- Scleroderma
- IPF
Disease:
Systemic granulomatous disease w/unknown etiology
African American
20-30 yo
F > M
Sarcoidosis (can be in any organ)
Disease Signs and Symptoms:
Specific organ dysfunction
Cough/Dyspnea
Generalized weakness
Fatigue
Weight loss
Malaise
Fever
Sarcoidosis
Disease:
Systemic Autoimmune Disease
Women of child bearing age
Chronic w/Remission and Exacerbation
Lupus
Disease:
Systemic Disease with Pleuropulmonary Manifestation 50% of the time
F > M
Rheumatoid Disease
Disease:
Involves blood vessels and connective tissue
F > M
Autoimmune, progressive, poor prognosis
Death due to pulmonary involvement
Progressive Systemic Sclerosis [Scleroderma]
Disease:
Chronic, slow, progressive dyspnea
Chronic inflammation and fibrosis
Lacks causative relation w/known disease/etiologic agents
Middle aged
M > F
Idopathic Pulmonary Fibrosis
Disease: Pathologic conditions of the respiratory tract that result direclty from the inhalation of gas or particular matter in the air
Environmental Lung Diseases
List the categories of environmental pulmonary pathogens (4)
- Infectious agents
- Organic dust
- Inorganic dust
- Gases
Disease: Caused by the inhalation of inorganic dust
Pneumoconioses
Types of Pneumoconioses:
- Silica
- Silicates
- Carbon [coal, graphite]
- Silicosis
- Asbestosis
- Pneumoconioses
Term: Elimination of fluid build up from pleural effusion
Pleurodesis
Pleural effusion is a __________ process
Restrictive
List the possible effects of inhalation of irritant gas (7)
- Hyperemia
- Edema
- Epithelial Injury
- Mucosal Sloughing
- Coughing
- Dyspnea
- Cyanosis
Term: Posterior curvature of the spine
Kyphosis
Term: Lateral curvature of the spine
Scoliosis
Term: Both posterior and lateral curvature of the spine
Kyphoscoliosis
Term: Swayback
Lordosis
List the disease of the Neuromuscular system that are related to Restrictive Lung Disease (4)
- Myasthenia Gravis
- Gilliam Barre
- ALS
- Quadraplegia
Disease:
Disease of the NMJ
Mm weakness/fatigue
Autoimmune
F > M
Watch NIF and VC for changing condition
Myasthenia Gravis
Disease:
Acute form of inflammatory polyneuritis of unknown cause
Effects peripheral nerves
Young/Middle Aged
Ascending Paralysis
Watch NIF and VC for changing condition
Guillain-Barre Syndrome
Term: Single breath inspiratory force that measures the strength of inspiratory mm
NIF
Disease: Inflammatory or neolastic disease of the spinal cord
ALS
List the muscles affected by the following levels:
- C3-5
- C5-6
- T1-11
- T8-12
- Diaphragm
- Scalenes
- Intercostals
- Abdominals
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_____.
- Insidious
- Restrictive
- Decreased
- Tickening (fibrosis)
- Decreased
- Hypoxia
- Hypocarbia
- Pneumonia
All lung disease, whether obstructive or restrictive may lead to _______________.
Pneumonia
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
Pneumonia
Term: Alveoli become filled with fluid
Consolidation
Anything on CXR in the ___1___ of the lung is potentially __2__.
- Apex
- TB
Disease:
Gradual or Arupt onset
Maliaise, chills, fevers, cough, chest pain, dyspnea
Pleural effusion
Pneumonia
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
- Resolution
- Destructive
- Scar
- Lung
Patients with RLD need continual ____ ______ _________.
Low, flow, oxygen
