Pulmonary Diseases II – Flashcards

Excerssive mucas production

(starts in the upper-moves lower)

Hyperplasma & hypertrophy mucus-producing glands

prolonged exposure to irritants

Cought

Sputum

Effect on the alveoli

Normal diffusion

open to infection

Dyspnea w/ airway resistance

Productive cough

Rhonchi

(Rhonchi in the Bronchi)

Peripheral edema (R sided HF-goes into lungs because the lungs are shot)

Cyanosis "Blue bloaters"

Finger clubbing;Hypoxema: overproduction of RBC

Bulbous finger tips

Hypoxemia

Ploycythemia

Slow progression 

smoking

allergens

respiratory infection

Decreased in alveolar surface

increase residual volume

reduction in arterial PO2

Loss of surfacant

failure on supporting structures

increase in PCO2

'Barrel chested"

Pursed lip breathing

cough

wheezing & rhonchi

"Pink puffer"

dreased breath sounds

worsting dyspena

Paroxysmall noturnal dyspnea (PND)

sputum production

generalized malaise

orthopnea

tripod position

purse-lipped breathing

accessory muscle use

IV access

O2

monitor VS, cad rhythms

visualize sputum is productive cough

assist ventilations

COPD adds to the wkload of the heart

Albuterol

Alupent

Reactive airway disease

Extrinsic: Pollen, dust, pet dandra 2nd hand smoke

(little kids)

Instrinsic: Stress, fatague, physical exhertion)

(adults)

Acute eposides

Reversible airflow obstruction

-Bronchospasm

-Excess mucus

-Inflammation

Increase on resp system results in:

increase in ass muscle use & respiratory fatigue

Tripod pos

Resp distress

ALOC

Expir & Insp wheezing

Diaphoresis & pallor

chest tight

short word strings

tachypnea

tachyvcardia

elveted BP

albuterol HHN

Epinephrine 1:1000 SQ

IV

high low O2

Assit vent

Albuterol HHN

Epinephrine SQ

Bacterial

Viral

Mycoplasmal

Aspiration

Risk factors

Cig smoking

prolonged exposure to cold: (homeless)

Inflammation

Congestion

Hemorrhage

Influenza A

Happens w/in small groups (i.e. soilders in barracks)

secondary bacterial infection

Transmission: droplets (fungus)

Occurance: Yong adults, familes, households

RX: antibiotics

2ndary bacterial pneuonia

Viral pneumonia

SxS

cough

Pleurtic chest pain (chest tied in w/ breathing pattern, hard w/ this pattern)

 fever w/ chills

Sterptococcus Pneumoniae bacillus (aka strep throat)

Infection in the alveoli

Fluid & purulant sputum

Aspiration

SxS: Green / Yellow sputum

Foreign material

Inflammation

Physiology effects

-Volume

-pH

Aspiration of:

Stomach contents

Toxic materials, chemical or inhalants

Bacterial:

Secondary complications

mortality

ALOC

Head injury

seizure activity

AODA

depressed cough reflex

intubated patients

anesthesia

infection

shock /FB aspiration/near drowning

Dyspnea

Cough

Bronchospasm

Decrease breath sounds

Wheezing/rhonchi/rales

Cyanosis

ABC's

Airway support

High flow o2

ventilation ass PRN

IV fluids

To prevent airway collapse

to improve oxygenation & ventillation

transmits positive pressure throughout the respiratory cycle

CHF

pulmonary edema

Acute respiratory distress syndrome (ARDS)

sleep apnea

COPD

asthma

drwning pneumonia

CPAP ventilator

CPAP face mask w/straps

endotracheal tube

oxygen source w/connecting tubing

Resp setting

resp rate

Oxygen concentration (FiO2)

Tital Volume 

Peak pressure settings

Presure relief valve

PEEP