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19 Cards in this Set
- Front
- Back
common resp problems
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cancer of larynx
asthma COPD resp infections plueral effusion pneumothorax pulmonary embolism acute respiratory failure |
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clincal manifestsations
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dsynpnea
orthopnea cough sputum wheezing rhonchi chest pain |
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symptoms anal
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onest
location duration characteristics aggravating |
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diagnostic eval
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pulmonary function
pulse oximetry ABG D-Dimer cultures |
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D-Dimer
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fibrin degredation fragment made through fibrinolysis
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thorascopsopy
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go in through ribs and take tissue sample from lung
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obstructive sleep apnea patho
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risk for CAD and instant death
repeated events result in hypoxia/hypercapnea stroke htn mi |
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obstructive sleep apnea clinical manifest
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fatigue
exessive daytime sleepiness frequent notcurnal awakening snoring irritbility impotence sys HTN dysrhythmias pulmonary HTN polycythemia enuresis |
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obstructive sleep apnea physical chareacteristics
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obese
post medipause thick neck fat neck |
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cancer of the larnx dx
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history, visual inspeciton by direct laryngoscopic exam and biopsy
tumor markers p53/cyclin d1 ct/mri lymph node involvment |
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medical management of larynx ca
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early stage one or two tx with rad and cehmo
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sx managee larynx ca
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cocal cord stripping, cordectomy
laser sx partial laryngectomy total laryngectomy radical neck dissection with lymph involvement |
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nursing management larynx
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maintain airway
humidify hair pain control incisional and wound care enable effective communication pt safety -drowning -ID as neck breather -protect airway foreign ob/cold air -signs URI |
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complications of larynectomy
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resp distress/hem
fistula nerve injury impaired swallow infection/delayed healing depress aspiration weight loss trach stenosis recurrence |
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asthma define
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limited airflow
decrease elastic recoil obstructed lumen thickened walls chronchoconstriction no interstitial support increased air trapping/dead space |
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medical management of asthma
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maintain patent aireway
maintain effective gas exchange prevent complications |
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controlling inflam in asthma
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inhaled corticosteroid or systemic
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asthma manifest
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chest tightness
dsypnea wheezing cough tachypnea/cardia allergic response anxiety |
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status asthmaticus
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severe prolonged
unresponsive to usual tx risk for resp failure |