Respiratory MDT

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Author:
dabrojr
ID:
83570
Filename:
Respiratory MDT
Updated:
2011-05-04 03:11:16
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RESP MDT Pulmonary
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Respiratory test in MDT Pulmonary
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  1. These are the types of people known for getting a foriegn body obstruction
    • Young,
    • Elderly,
    • Endentulous or with Dentures,
    • People who dont chew thier food
    • Persons who drink alcoholic beverages
  2. SIgn is simple crackles
    Bronchiopnuemonia
  3. Progressive excertional dyspnea
    COPD
  4. DDX for Foriegn Body obstruction
    • Sarcardosis
    • Tuberculosis
    • Bulla
    • Fibrosis
  5. Victims whom obstruction removed outside the hospital
    Examined by direct or indirect laryngoscope
  6. Pt education for foriegn body obstruction
    Depending on causitive factors, IE no talking while chewing and avoiding ETOH
  7. Air enters the plueral cavity and is trapped during expiration
    Tension Pneumothorax
  8. Signs on exam findings of tension pnuemothorax
    • JVD
    • Trachael Deviation
  9. TX for tension pnuemothorax
    Needle Decompression
  10. Blunt trauma with Borborygmi present in chest
    Diaphragmatic injury
  11. You notice your PT chest wall movement is paradoxical, this happens with multiple rib fx what is this called
    Flail Chest
  12. What is early TX for flail chest
    • Maintain PT airway, effective ventilation and oxygenation
    • Aggressive pain management
  13. If your PT has a flail chest and is unable to move secretions what should you do
    • Encourage pulmonary toilet
    • Chest pt
    • Postural Drainage
  14. Obstruction or occulsion of a vessel in the lung by an embolus (sudden lodge in pulmonary artery)
    Pulmonary embolism
  15. What is the most commom S/S of pulmonary embolism
    • Tachypnea
    • Tachycardia
  16. What is your Operational TX for pulmonary embolism
    • O2
    • MEDEVAC
  17. This occurs when chest becomes air tight after penetration
    Closed Pnuemthorax
  18. Occurs in the abscense of an underlying cause, typically in tall, thin young men who smoke; subplural apical blebbs or bullae may be present
    Spontaneous Pneumothorax
  19. Signs and exam findings of pnuemothorax
    • Possible unilateral rise and fall
    • Absent tactile fremitus
    • Hyperresonance to percussion
    • Decreased or absent breath sounds
  20. Both air and blood in the plueral space is considered what
    Hemopnuemothorax
  21. Injury to left lower rib is responsible for rupturing what organ in 20% of all cases
    Spleen
  22. Injury to right lower ribs is associated with what injury in 10% of all cases
    Hepatic
  23. Associated with an increased incidence of lung contusions, pneumonia and atelctasis
    Multiple rib fx
  24. Pt with multiple rib fx should be hospitalized for
    • FX to 1st and 2nd rib
    • Suspected visceral injury
    • Sternal FX
    • Antecedent physiologically significant pulmonary disease
    • if parenternal analgesics are required
  25. Signs and exam findings for pulmonary contusion
    • Chest pain
    • Dysnea
    • Pulmonary infintrates on x-ray
  26. Marked by rapid onset of profound dysnea that usually occurs 12-48 hours after initial injury or illness
    • ARDS
    • Acute Respiratory Distress Syndrome
  27. Inflamation of the mucus membrane of the bronchi
    Acute Bronchitis
  28. when do you use Antibiotics to treat acute bronchitis
    If complicated by co-morbility
  29. PT are more than likely to have copious sputum production as well as an abrupt onset of illness, high temperatures, chills, and devellopment of significant pleural effusion
    Bacterial pneumonia
  30. Fevers, Chills Cough, with or without sputum, dysnea, HA, Myalgia, and malaise
    Acute bacterial pneumonia
  31. PT education for pneumonia
    Encourage cough and deep breathing
  32. Dominated by constitutional symptoms such as fever, mylaise, and HA, rather than respiratory symptoms; onset of symptoms are gradual
    Atypical pnuemonia
  33. Bronchopneumonia resulting from inhalation of foriegn material usually food particles, vomit into bronchi, fluid, blood saliva, or gastric content. Sometimes developing secondary pneumonia
    Aspiration Pneumonia
  34. Circumscribed collection of purulent exudates frequently associated with swelling and other signs of inflamation in the lungs
    Lung Abscess
  35. Cough with expectoration of foul smelling(putrid) purulent sputum, fever, pluritic chest pain and poor dental hygiene
    Lung Abscess
  36. Pain that is usually localized around the second to 5th intercostal space, worsens with movement and breathing, and pain is a limiting factor
    Costochondritis
  37. May result form underlying lung process, pain may vay from vague discomfort to an intense stabbing sensation, aggravated by breathng and coughing, may be reffered to distant regions, onset is usually sudden
    Pleuritis
  38. Complications of hyperventilation
    • Hypocapnia
    • Respiratory alkalosis
  39. What is the TX for Hyperventilation
    Have PT breath into a paper bag and try to get them to remain calm
  40. Non-specific symptoms of chronic hyperventilation
    • Fatigue
    • Dysnea
    • Anxiety
    • Palpatations
    • Dizziness
  41. Characteristics of acute hyperventilation syndrom
    • Hyerpnea
    • paresthesias
    • Carpopedal spasm
    • Tetany
    • Anxiety
  42. Inflamatory response from non caseating granulomas; usually asymptomatic and discovered incidentally; spontaneous improvement or clearing is common, onset usually in the 3rd or 4th decades
    Sarcoidosis
  43. A mild "smokers Cough", lung hyperinflation, wheezing, recurrent respiratory infections, and prolonged expiratory phase are early findings
    Bronchitis
  44. Burns to the face, singed nasal hair, blistering around the mouth, soot on the tongue or in the pharynx, burned speks of carbon in the sputum, excessive coughing, wheezing respirations, and excessive restlessness or confusion
    Smoke inhalation (thermal injury
  45. Binds to hemoglobin, it forms carboxyhemoglobin, preventing red blood cell from transporting O2
    Carbon monoxide
  46. A colorless, odorless, tasteless gas generated by the incomplete combustion of fuels
    Carbon Monoxide
  47. HA, Tachycardia, irritability, cutaneous flushing, mental confusion, vomiting, incontinence and cyanosis
    Carbon monoxide poisoning
  48. TX includes High flow O2, encourage deep breathing and coughing, and should be hospitalized for 24 hours
    Thermal Injury or smoke inhalation
  49. Pt should be hospitalized if Carboxylhemoglobin are higher than
    25%
  50. HA (most common sign), nausea vomiting, dysnea on excertion, and palpitations; symptoms are often worse on the second and third day; more severe manifestations include pulmonary edema and encephalopathy
    • High Altitude Cerebral Edema
    • (HACE)
  51. TX for acute mountain sickness
    • Acetzolamide (250 PO BID-TID
    • Dexamethasone 4mg PO/IM/IV QID
    • Analgesics and antemetics for supportive therapy
  52. An acute or chronic disorder characterized by widespread and largely reverisble reduction in the caliber of bronchi and bronchioles, due in varing degrees of smooth muscle spasms, mucosal edema, and excessive mucus in the lumens of airways
    Asthma
  53. Types of asthma
    • idiopathic or intrinsic
    • Cardiac Asthma
    • Occupational Asthma
    • Asthmatic Bronchitis
    • Drug induced
    • Allergic or extrensic
    • Triad Asthma
    • Excercised induced
  54. A nocturnal cough may be the only symptom
    Occupational Asthma
  55. TX for ASthma
    • Mild-Lowdose corticosteriod
    • Moderate-Low dosed inhaled corticosteriod, long acting beta antagonist
    • Severe- High Dose inhaled corticosteriod, long acting beta gonist
  56. A medical emergency demading prompt and effective tx characterized by effusion of serous fluid into the alveoli and interstitial spaces of the lungs
    Pulmonary edema
  57. Secondary to CHF, due to increased left atrial pressure with fluid transudation; typical cause include MI or severe ischemia, valvular regurgitation or ventricular septal defect, and mitral stenosis
    Cardiagenic classification of pulmonary edema
  58. Secondary injury of the pulmonary capillaries with resulting leakage of fluid; sepsis, drugs, inhalation of smoke or toxic substance, near drowning, burns, aspiration, pancreatitis, high altitude an danemia
    Non-cardiogenic (ARDS) Classification of pulmonary edema
  59. Presents with a characteristic clinical picture of severe dyspnea, production of pink frothy sputum, diaphoresis, and cyanosis
    Acute pulmonary edema
  60. TX precaution of Pulmonary edema
    Avoid Liberal IV fluids
  61. 10-25% of PT are asymptomatic at the tme of diagnosis, initial symptoms include nonspecific complaints such as cough with or without hemoptysis, dyspnea, and chest pain;late symptoms include weight loss(most common) and weakness
    Lung Cancer

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