Restrictive Lung Disease Flashcards

1
Q

During the 3rd trimester, pregnancy has what effect on the diaphragm, causing a decrease in what lung volume?

A

Decreased downward excursion of diaphragm causing a decreased in ERV and increased breathing work

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2
Q

What hormone level is increased during pregnancy causing an increase in ventilator drive?

A

Progesterone

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3
Q

Shortness of breath can also be defined as:

A

Dyspnea

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4
Q

T/F: High levels of oxygen for greater than 1 day can lead to interstitial lung disease

A

True

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5
Q

Increased muscle tone in and around an incision following surgery is defined as ______

A

Muscle splinting

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6
Q

What traumatic causes can lead to restrictive lung disease?

A

Crush injuries: rib fracture, lung contusion, frailty
Penetrating wounds: pneumothorax, hemothorax
Pulmonary laceration: pneumo and hemo
Thermal trauma- inhalation injuries, direct burn to thorax

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7
Q

Define hemothorax

A

entry of blood in pleural space

leads to VQ mismatch, decrease lung compliance, atelectasis

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8
Q

Define pneumothorax

A

entry of air into pleural space

leads to decreased lung volumes, VQ mismatch, impaired gas exchange

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9
Q

Autoimmune disease affecting both the kidneys and the lungs in which the immune system attacks healthy tissue. Hemoptysis the most common symptom

A

Goodpasture’s syndrome

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10
Q

Sternum protrudes ant, d/t childhood asthma and septal heart defects

a. Kyphoscoliosis
b. Pectus excavatum
c. Pectus carinatum

A

Pectus Carniatum

There will be no pulmonary compromise

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11
Q

Congenital, caved in sternum, respiratory s/s uncommon

A

Pectus excavatum

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12
Q

Kyphoscoliosis will increase or decrease dynamic lung volumes and capacities?

A

Decrease

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13
Q

Kyphoscoliosis patient will have ____ and _____ with a curve >120 degrees.

a. chronic alveolar hyperventilation, pulmonary hypotention
b. chronic alveolar hypoventilation, pulmonary hypertention

A

b. carbon monoxide will be abnormal

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14
Q

T/F: Ankylosing Spondylitis will have pleuritic chest pain but normal ABGs

A

True: commonly has decreased VC, IC and increased RR and FRC

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15
Q

Progressive degenerative myopathy common in boys starting in pelvic girdle and progressing to shoulders. Will have waddling gait, toe walking, frequent falls.

A

Duchenne Muscular Dystrophy

muscular hypertrophy and necrosis with regeneration

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16
Q

A common cause of death within Duchenne Muscular Dystrophy patients is: ___________

A

respiratory failure

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17
Q

Disease in which autoimmune system attacks ACH receptors at neuromuscular junction

A

Myasthenia Gravis

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18
Q

Muscular Dystrophy will have increased or decreased lung volumes?

A

Decreased

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19
Q

Myasthenia Gravis will have increased or decreased lung volumes?

A

Decreased, and decreased breath sounds

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20
Q

Demyelinating disease of motor nerous of peripheral nerves

A

GBS

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21
Q

T/F GBS patients may develop respiratory failure

A

True

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22
Q

T/F GBS patients will have decreased lung volumes

A

True

23
Q

Poliomyelitis may have decreased lung volumes and may cause paralysis of _____

A

diaphragm and intercostal muscles

24
Q

ALS patients often die from _____

A

acute respiratory failure

25
Q

__________: a complete or partial collapse of a lung or lobe of a lung — develops when the tiny air sacs (alveoli) within the lung become deflated. It’s a breathing (respiratory) complication after surgery

A

Atelectasis

26
Q

With paradoxical breathing the diaphragm is ____ and the accessory muscles are ____

Options: weak or strong

A

Diaphragm is strong, accessories are weak or absent

27
Q

Patient presents with decreased lung volumes, respiratory alkalosis, cough with pink frothy sputum. What might they have?

a. pulmonary emboli
b. DVT
c. pulmonary edema
d. pulmonary HTN

A

pulmonary edema

28
Q

Inflammatory process of the lung parenchyma that begins as an infection within the lower respiratory tract?

A

Pneumonia

29
Q

How can you get pneumonia?

A

Inhalation, aspiration

30
Q

Bacterial and viral pneumonia will both have dyspnea, fever, and tachypnea. Which one will have a productive cough and which will have a nonproductive cough?`

A

Productive- bacterial

Viral- non-productive

31
Q

What are major areas of the body for primary lung metastasis?

A

Pleura, lymph, bone, brain, kidney, liver

32
Q

What is the major cause of primary lung metastasis?

A

Smoking

33
Q

Excess fluid builds around the lung in the pleural space

a. pleural effusion
b. pleurisy
c. atelectasis

A

a

34
Q

Inflammation of visceral and parietal pleurae with abnormal lubrication fluid between the two layers

a. pleural effusion
b. pleurisy with effusion
c. atelectasis

A

b

35
Q

Inflammation that affects multiple parts of the body, commonly the lungs

a. atelectasis
b. sarcoidosis
c. neoplasms

A

b

36
Q

Lung diesease from inhaling fibers causing inflammation and scarring

a. pneumotitis
b. asbestosis
c. sarcoidosis

A

b

37
Q

Hyaline membrane disease from lack of complete maturation of lungs in infants <36 weeks of gestation secondary to inadequate surfactant production

A

Respiratory Distress Syndrome

38
Q

Respiratory distress syndrome can lead to this chronic syndrome in neonates

A

Bronchopulmonary Dysplasia/ pulmonary fibroplasia/ventilator lung

39
Q

After 20 years of age, lung compliance decreases by what percent in next 40 years?

A

20%

40
Q

★ Name the 3 hallmark signs of RLD?

A

Dyspnea, Non-productive cough, weight

41
Q

★ RLD patients will have difficulty with inspiration or expiration?

A

Inspiration

42
Q

★ RLD patients will have hypoxemia or hyperoxemia?

A

hypoxemia

43
Q

★RLD patients will have tachypnea or bradypnea?

A

Tachypnea

44
Q

★RLD patients will have increased or decreased breath sounds?

A

Decreased

45
Q

★RLD patients will have increased or decreased lung volumes?

A

Decreased

46
Q

★RLD patients will have increased or decreased lung capactities and diffusing capacity?

A

Decreased

47
Q

★T/F: all lung volumes will be decreased with RLD

A

True

48
Q

★T/F RLD patients will have difficulty with lung expansion and will have stiff lungs resistant to expansion

A

True

49
Q

★T/F Common s/s of RLD are cor pulmonale(RV heart failure and pulmonary hypertension

A

True

50
Q

★What two anatomical features are affected with RLD?

A

Lunch parenchyma and the thoracic pump

51
Q

What are the treatment options for Respiratory Distress Syndrome?

A

PEEP AND CPAP

Will decrease pulmonary HTN, hypoxemia and alveolar collapse

52
Q

procedure in which a needle is inserted into the pleural space between the lungs and the chest wall. This procedure is done to remove excess fluid

A

thoracentesis

53
Q

Normal amunt of fluid in the pleural space

A

10-25mL