T2 - Airway Infections (Josh) Flashcards

1
Q

Rhinitis is commonly called – – or — and is an inflammation of — —

A

hay fever

allergies

nasal mucosa

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2
Q

Sinusitis:

Non-surgical management

A

Broad-specturm antibiotic

Analgesics

Decongestants

Steam humidification

Hot/Wet packs over sinus area

Nasal saline irrigation

Increase fluids (thins secretions)

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3
Q

Pharyngitis:

What is the main thing we need to do?

A

determine why you have it

can range from strep (which can lead to serious complications) to cancer

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4
Q

— is a rare complication from pharyngitis.

A

Epiglottitis

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5
Q

— — is a medical emergency that can close the airways.

A

Acute Epiglottitis

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6
Q

What is a Rapid Antigen Test (RAT)?

A

screening process for group A beta-hemolytic streptococcal antigen

***results in 15 mins

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7
Q

Tonsillitis:

How long should you be on antibiotics?

A

7 - 10 days

***tonsillitis is usually bacterial

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8
Q

Peritonsillar Abcess (PTA):

What is this a complication of?

A

Acute Tonsillitis

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9
Q

Peritonsillar Abscess (PTA):

What are clinical manifestations of PTA?

A

Pus causing one sided swelling with deviation of uvula

Trismus and difficulty breathing

Bad breath, swollen lymph nodes

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10
Q

Peritonsillar Abscess (PTA):

What is treatment for PTA?

A

Percutaneous needle aspiration of abscess

Antibiotics

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11
Q

What should you immediately think of when you hear the word ‘abscess’?

A

Draining it

Antibiotic treatment

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12
Q

Laryngitis:

Clinical Manifestations

A

Acute hoarseness

Dry cough

Difficulty swallowin

Temporary voice loss (aphonia)

**NO WHISPERING

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13
Q

Laryngits:

Treatment plan

A

Voice Rest (best thing you can do)

Steam inhalation

Increase fluid intake

Throat lozenges

Reduce tobacco and ETOH

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14
Q

— is a highly contageous acute viral respiratory infection.

A

Influenza

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15
Q

Antiviral meds for Pandemic Influenza

A

oseltamivir (Tamiflu)

zanamivir (Relenza)

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16
Q

Influenza:

For antiviral meds to work, when should they be taken?

A

within 24-48 hrs

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17
Q

What is pneumonia?

A

excess fluid in lungs resulting in inflammatory process

18
Q

Pneumonia can be cause by Atelectasis. What can cause Atelectasis?

A

prolonged immobility, leading to lungs not expanding enough

19
Q

Ventilator Associated Pneumonia (VAP):

Preventing it?

A

Hand hygiene

Oral care

HOB 30 degrees or more

20
Q

Pneumonia:

What procedure is done to diagnose it?

A

Chest X-ray

21
Q

Severe Acute Resp. Syndrome (SARS):

What family of viruses causes SARS?

A

coronaviruses

22
Q

Severe Acute Resp. Syndrome (SARS):

Pathophysiology

A

virus infection of resp. tract cells triggering inflammatory response

23
Q

Severe Acute Resp. Syndrome (SARS):

How do you cure?

A

no known cure…only treat symptoms

24
Q

Pulmonary Tuberculosis:

Pulmonary TB is highly communicalb eand is cause by – —

A

Mycobacterium tuberculosis

25
Q

Pulmonary TB:

How is TB transmitted?

A

via aerosolization

26
Q

Pulmonary TB:

What is secondary TB?

A

incidence increased related to onset of HIV

27
Q

Pulmonary TB:

What are clinical manifestations?

A

Progressive fatigue

Lethargy

Nausea

Anorexia

Weight Loss

Irregular Menses

LOW GRADE FEVER, NIGHT SWEATS

Cough, mucopurulent sputum, blood streaks

28
Q

TB:

Diagnostic Assessment

A

Manifestation of S/S

NAAT (results in 2 hrs)

Sputum smear of acid-fast bacillus

Sputum culture of M. tuberculosis

Mantoux test

29
Q

TB:

Which Mantoux test results are positive?

A

induration of 10 mm or greater

***immunosuppressed may be positive at only 5 mm

30
Q

TB:

Medical interventions

A

Combo drug therapy with strict adherence

**6 mths to a year

31
Q

TB Meds:

What do we need to know?

A

Isoniazid (hepatotoxic)

Rifampin (orange pee)

Pyrazinamide (joint swelling)

Ethambutaol (E for Eye; vision isssues)

  • **all are hepatotoxic
  • **monitor liver enzymes
32
Q

TB:

When are they no longer considered infectious?

A

after 3 negative sputum cultures

33
Q

What is a lung abscess?

A

localized area of lung destruction caused by liquefaaction necrosis

34
Q

Lung Abscess:

Which organism typically causes it?

A

pyogenic bacteria

35
Q

Lung Abscess:

Clinical manifestation

A

Pleuritic chest pain

36
Q

Lung Abscess:

Interventions

A

Antibiotics

Drainage (thoracentesis)

Frequent mouth care for Candida albicans

37
Q

Inhalation Anthrax is caused by which organism?

A

Bacillus Antracis

***from contaminated soil

38
Q

Drug therapy for Antrax?

A

Ciprofloxacin

Doxycycline

Amoxicillin

***100% fatal if untreated

39
Q

What is Pulmonary Empyema?

A

Collection of pus in pleural space

40
Q

Pulmonary Empyema:

What are most common causes?

A

Pulmonary infectoin

Lung abscess

Infected pleural effusion

41
Q

Pulmonary Empyema:

What are interventions?

A

Empty empyema cavity

Re-expand lung

Control infection