resp.txt

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Author:
Marie
ID:
208260
Filename:
resp.txt
Updated:
2013-03-19 11:00:08
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resp
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resp
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  1. CHRONIC OBSTRUCTIVE PULMONARY DISEASE is also known as
    COPD; COLD(CHRONIC OBSTRUCTIVE LUNG DISEASE); CAL(CHRONIC AIRWAY LIMITATION)
  2. types of COPD
    "CHRONIC BRONCHITIS, EMPHYSEMA, ASTHMA"
  3. BRONCHITIS
    "INFLAMMATION OF BRONCHI, MAYBE ACUTE OR CHRONIC"
  4. CHRONIC BRONCHITIS
    "INFLAMMATION OF BRONCHI, PRESENCE OF A PRODUCTIVE COUGH THAT LASTS 3MO. PER YEAR FOR 2 CONSECUTIVE YEARS"
  5. PATHOPHYSIOLOGY of BRONCHITIS
    THICKENING AND RIGIDITY OF BRONCHIAL MUCOSA; EXCESS SECRETIONS DEVELOP WITH NARROWING OF AIRWAYS; LEADS TO OBSTRUCTION OF EXPIRATION -LATER TO INSPIRATION; MORE SUSCEPTIBLE TO LOWER RESP. INFECTIONS
  6. Prevention of BRONCHITIS
    AVOIDANCE OF SMOKING AND OTHER IRRITANTS (ALLERGENS); IMMUNIZATION FOR INFLUENZA and PNEUMONIA; Air quality control – inside and outside
  7. EMPHYSEMA
    Alveolar wall destruction; Over distention of air spaces distal to the terminal bronchioles
  8. S&S of BRONCHITIS
    PERSISTENT COUGH; COPIOUS SPUTUM ; DYSPNEA ON EXERTION; WHEEZING ON EXPIRATION; FREQUENT INFECTIONS; GEN. APPEARANCE -BLUE BLOATER --DUE TO PRESENCE OF CYANOSIS AND EDEMA
  9. types of EMPHYSEMA
    centriacinar – most common; panacinar and paraseptal
  10. Blue bloater
    BRONCHITIS
  11. Pink Puffer
    EMPHYSEMA
  12. S&S of EMPHYSEMA
    "Progressive dyspnea on exertion & eventually at rest; AP enlarged; Hyper resonant; Over inflation; Flattened diaphragm; ABG normal till late; Enlarged heart, right ventricular lift and axis deviation"
  13. risk factors for COPD
    "SMOKING (PRIMARY); HEREDITY; AGING; Also air pollution, second-hand smoke, childhood resp infections"
  14. hypoxia
    DECREASED O2 IN TISSUES DUE TO INADEQUATE DELIVERY OF O2 TO SATISFY METABOLIC REQUIREMENTS OF CELLS OF BODY
  15. BODY’S RESPONSE TO HYPOXIA
    "CYANOSIS (CENTRAL CYANOSIS-DOES NOT OCCUR UNTIL THERE IS 5Gm. or less of OXYGENATED HGB); CLUBBING OF FINGERS-BULBOUS,SPONGY NAILBEDS GREATER THAN 160 DEGREES; POLYCYTHEMIA-INCREASE IN TOTAL RBC. MASS"
  16. HYPERCAPNIA IN COPD
    RETENTION OF CO2 IN THE BLOOD -PaCO2>45 mm. Hg.; COPD PATIENTS EXPERIENCE CHRONIC HYPERCAPNIA (DUE TO TRAPPING OF CO2 IN THE AIRWAYS; UNEVEN MATCH UP OF VENTILATION AND PERFUSION IN THE LUNGS); COPD PTS. INSENSITIVE TO HIGH CO2
  17. manifestations of ASTHMA
    "NARROWING OF AIRWAYS WITH DYSPNEA,COUGH, wHEEZING; REVERSIBLE, IN ACUTE FORM; ACUTE ATTACKS- LAST MIN.-HRS.; ATTACKS MAY BE INTERSPERSED WITH SYMPTOM FREE PERIODS"
  18. Types of Asthma
    "EXTRINSIC (ALLERGIC), INTRINSIC (IDIOPATHIC), MIXED"
  19. S&S of asthma
    "COUGH, DYSPNEA , WHEEZING, LATER-SWEATING,TACHYCARDIA,DIMINISHED BREATH SOUNDS"
  20. Tests for asthma
    IgE & ABG’S-INITIAL vs. LATE FINDINGS
  21. Care for asthma
    Prevention of chronic asthma and asthma exacerbations; Maintenance of normal activity levels; Maintenance of nomral or near-normal lung function; Minimal or no side effects while receiving optimal medications; Client satisfaction with program of care
  22. Ominous signs
    "Inability to ausculate wheezing in an asthmatic patient can indicate lack of air movement and acute respiratory distress (Airways too constricted & Immediate, aggressive treatment); Continuous coughing can occur with bronchospasm in attempt to exhale and clear airway"
  23. Meds for asthma
    CONTROLLER vs. RELIEVER DRUGS - BRONCHODIALATORS-Reliever Drugs (METAPROTERENOL(ALUPENT) & TERBUTALINE(BRETHINE)); LOW FLOW HUMIFIED O2 (1-3 LITERS ); MAST CELL INHIBITORS-CROMOLYN SODIUM- Controller Drugs (Inhibit release of histamines & Only used to prevent attacks); LEUKOTRIENE MODIFIERS-SINGULAIR-block inflammatory process; I.V. FLUIDS-QUIET ENVIRONMENT; SKIN TESTING FOR ALLERGENS
  24. "MONITOR P.E.F.R -using peak flow meter"""

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