Resp. random q's

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Resp. random q's
2010-01-26 18:39:26

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  1. What is Rhinnorrhea?
    Perfused, nasal drainage (runny nose)
  2. Complications of a cold'?
    Secondary complications--sinusitis, otitis media, pneumonia
  3. What is coryza?
    cold like symptoms?
  4. What influenza virus is most common?

    What is the incubation period

    What does it cause for the respiratory epithelium?
    Influenza A virus

    18-72 hrs

  5. What are some manifestations of influenza?

    Diagnostic tests?
    same as common cold plus nassopharyngeal inflammation

    chest x ray, wbc
  6. Treatment for influenza?

    Amantadine, symtril, rimanadina (flumadine)

    sinusitis, otitismedia, tracheobronchitis
  7. What is a complication of a URI or influenza?

    What is the most causative agents?

    streptococci, staphylococci, haemophilus influenzae
  8. Manifestations of sinusitis

    • pain
    • dental infections can work way up
    • headache, fever, malaise
  9. Treatment for sinusitis

    • antibiotics for at least 2 weeks
    • decongestants
    • mucolytic agents (break mucous bonds)
    • analgesics

    • periorbital abcess
    • can lead to brain absess
    • can lead to hearing loss and sepsis
  10. upper pharynx tonsils=

    side tonsils=
    pharyngeal tonsils or adenoids

    palantine tonsils
  11. bact has high fever and sudden onset

    viral has low fever and slow onset
    Pharyngitis and tonsilitis
  12. What tests for phary. and tonsil.?

    strep tests

    can lead to heart and kidney issues
  13. Strep treatment?
  14. I&D
    Incision and Drainage
  15. What to do for a tonsillectomy?
    • Keep pt on side
    • when awake, semi fowlers
    • make sure kids don't clear throat
    • no milk
    • nothing red

    7-10 days scab comes off and may bleed again
  16. Complications of phar and tonisl?
    glomerulonephritis (7-10 days after infection)

    rheumatic fever (3-5 weeks after infection)
  17. Acute rhinitis?

    chronic rhinitis?

    caused by virus--early fall and spring-- contagious 2-3 days after exposure

    result of repeated infections or prolonged effects of allergy

    dustmites, trees, dander, weeds, etc
  18. What is the main cause of Epilottitis?

    H. influenza

    day or two of sore throat, may have dyspnea, sudden inspiratory stridor with sudden fever

  19. Laryngitis treatment
    need even temps. steam helps.
  20. Treatment of Diptheria?
    strict isolation, antioxidants, antibiotics
  21. Treatment for Pertussis?
  22. Treatment for Nasal trauma or surgery
    reduction of fracture, rhinoplasty
  23. Complications of nasal trauma or surgery
    hematom, septal deviation, tear in dora(??) CSF leak

    If dripping clear, see if + for glucose. if it is, then its CSF
  24. What is some post op care for a deviated septum?
    nasal tampon, fowlers, analgesics, mouth care

    will lose smell for a week or so
  25. SMR for deviated septum=
    sub mucosal reduction
  26. Manifestations of Nasal Polyps?

    rhinnorrhea, loss of smell, "nasal voice"

    laser. have nasal tampon.
  27. What is the etiology for laryngeal obstruction?


    edema, foreign body, head of neck trauma, aspiration, laryngospasm

    coughing and choking, dyspnea, stridor

    Remove obstruction
  28. Manifestations of laryngeal trauma?
    crepitus, voice change, inspiratory stridor, hemoptysis
  29. Risk factors of obstructive sleep apnea?
    age, obesity, large neck circum., alcohol, CNS depressents
  30. Secondary effects of obstructive sleep apnea?


    Day time sleepiness, impaired intellect, memory loss, personality changes, heart disease

    Some of the above plus headache and loud snoring


    EEG (electroencephalogram)
  31. Laryngeal begign tumors etiology?

    Risk factors of melignant tumors?
    people who shout, smoke, and have hoarse voices

    people who smoke, consue alc, poor nutrition, HPV, expose to asbestos
  32. Manifestations of larygeal tumors? (three things)
    Glottic-- changes in voice and hoarsness

    Supraglottic-- painful swallowing, sore throat, feel lump in throat

    Subglottic-- airway obstruction
  33. Treatment for malignant tumors
    • radiation therapy (early cancer)
    • chemotherapy (combination with r. therapy)
    • surgery
    • partial laryngectomy-- voice preserved (half of larynx removed)
    • total laryngectory-- speech is lost (larynx, epiglottis, thyroid cart., hyoid bon, and several tracheal rings removed)
    • radical neck dissection-- if cervial lymp nodes are done
  34. Nursing care for tumor surgery
    suction and trache care, communications are huge, soft food is best