Exam 3

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Author:
jbrodie727
ID:
79680
Filename:
Exam 3
Updated:
2011-04-14 16:55:58
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Cardiac Respiratory
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Cardiac and Respiratory Exam 3
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  1. What drug treats pneumococcal
    Penicillin G
  2. What drug treats streptococcus pneumonia?
    Zithromax (azithromycin); amoxicillin
  3. What drug treats H influenza?
    Doxycycline
  4. What drug treats Pseudomonas aeruginosa?
    Ciprofloxin
  5. What drug treats Mycoplasma pneumonia?
    Erythromycin
  6. What drug treats Legionella pneumonia?
    Erythromycin with rifampicin often added
  7. What is a suitable alternative for a patient allergic to Penicillin?
    Erythromycin
  8. The S/Sx of pulmonary edema are:
    • ·
    • dyspnea,

    • ·
    • wet audible rales on inspiration,

    • ·
    • cough up pink
    • frothy sputum

    • ·
    • O2 sat drops below 80%

    Pleural effusion
  9. Chest X-ray showing a pocket of consolidation is normally what?
    Lung abcess
  10. a drug used to break down clots & increase arterial
    blood flow is
    t-PA
  11. Profuse, purulent (thick, yellow, green, or rust-colored) or change in color
    Bacterial infection
  12. Thin, mucoid sputum
    Viral bronchitis
  13. Gradual increase in sputum
    Chronic bronchitis or bronchiectasis
  14. Pink-tinged, mucoid sputum
    Lung tumor
  15. Profuse, pink, frothy sputum welling up from throat-also audible rales
    Pulmonary edema
  16. Foul smelling sputum + halitosis
    • Lung abscess, bronchiectasis, or anerobic infection
    • (e.g. fusospirochetal or fungal)
  17. Bloody sputum
    Pneumonia; TB
  18. Thick morning sputum, black specks –
    smoker sputum
  19. Thick yellow to tan sputum with rusty streaks is characteristic
    Pneumococcal pneumonia
  20. Interventions for epistaxis
    qMonitor airway and breathing

    qVital signs

    qReduce anxiety

    qPatient teaching

    • qAvoid nasal trauma, nose picking, and
    • forceful nose blowing

    qAir humidification
  21. Common signs of influenza in children:
    • •Not drinking
    • enough fluids

    • •Severe or
    • persistent vomiting

    difficulty waking
  22. Influenza signs in adults
    • •Difficulty breathing or
    • shortness of breath

    • •Pain or pressure in the
    • chest or abdomen

    •Sudden dizziness

    •Confusion

    • •Severe or
    • persistent vomiting

    • •Flu-like symptoms improve
    • but then return with fever and worse cough
  23. Manifestations of viral pneumonia in younger adults:
    qHeadache

    qHighly contagious

    qFever

    qMyalgias

    qArthralgias

    qDry, hacking, nonproductive cough

    qPleurisy
  24. Signs of viral pneumonia in older adults
    •Flu-like symptoms

    qHeadache

    qFever

    qFatigue

    qMalaise

    qMuscle aches

    qPleurisy
  25. S/Sx of hypertensive crisis:
    • •HA, N&V, blurred vision, seizures,
    • confusion, renal insufficiency, stupor, & coma
    • •Severe, abrupt increase in SBP & DBP


    • •SBP >140 - 240 mm Hg & DBP >
    • 100-120 mm Hg


    •AKA Malignant HTN – Life threatening

    • •Rate of increase in BP is more important than
    • the absolute value
  26. ST elevation = acute myocardial injury
    ST depression = myocardial ischemia
    Q wave - forms several days after MI = death &
    scarring of affected area.

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