607 - Lec 6 - Pulmonary Diagnosis Treatment

Front 1

what are some restrictive - chest wall compliance problems?

Back 1

1. SCI
2. kyphoscoliosis.
3. obesity.
4. truma or rib fracture.
5. burny injury

Front 2

what are some restrictive - lung compliance problems?

Back 2

1. ARDS
2. IPF
3. pneumonia.
4. sarcoidosis.
5. Pulmonary edema.
6. Pulmonary emboli.

Front 3

what are bacteria pneumonia signs?

Back 3

crackles, decreased or absent BS, productive cost with rust colored spetum.

Front 4

what are viral pneumonia symotpoms?

Back 4

fever, dyspnea, crackles, persistent non-productive cough.

Front 5

how does P.T. help with pneumonia?

Back 5

1. deep breathing exercises.
2. coughing exercises.
3. positioning.
4. increased mobility.

Front 6

what is idiopathic or interstitial pulmonary fibrosis?

Back 6

inflammatory process destroying or distorting the alveolar wall.

Front 7

what are clinical signs of pulmonary fibrosis?

Back 7

progressive DOE, non-productive , cough, wheezes, hemoptysis, clubbing, cyanosis.

Front 8

what are treatments for pulmonary fibrosis?

Back 8

1. supplemental O2.
2. corticosteroids.
3. aerobic/conditioning exercises.
4. lung transplant.

Front 9

what is adult respiratory distress syndrome?

Back 9

severe hypoxemia and increased alveolar capillary permeability.

Front 10

what is ARDS caused by?

Back 10

trauma, shock, aspiration, inhaled toxins, metabolic.

Front 11

what are clinicals signs of ARDS?

Back 11

decreased breath sounds, crackles, increased RR.
lower FRc, VC, Vt.

Front 12

what are exercises for ARDS?

Back 12

deep breathing, coughing, increased mobility.

Front 13

what is atelectasis?

Back 13

primary, injury or truma.
secondary- mucus plug or physical blockage of airway or collapse of the lung.

Front 14

what are signs of atelectasis?

Back 14

cough with increased sputum production, crackles/wheezes, absent BS, decreased chest wall expansion in the affected area

Front 15

What will happen if atelectasis is left untreated?

Back 15

develops into pneumonia.

Front 16

what is the mechanism of obstructive lung disease?

Back 16

1. destruction of elsatic tissue cause loss of recoil/elasticity.
2. chest wall will expand as usual but can not pull the chest wall back down during expiration.
it's difficult to get air out.

Front 17

what is emphysema?

Back 17

abnormal & permanent enlargement of alveoli with alveolar wall destruction.

Front 18

what are clinical signs of emphysema?

Back 18

barrel chest, dyspnea, SOB, prolonged expiration, flat diaphragm, hyperinflation, increased BS

Front 19

how to treat emphysema?

Back 19

mobility & exercise with low flow O2, bronchodilators, pursed lip breathing.

Front 20

what is asthma?

Back 20

chronic inflammatory disease in response to inhaled irritants.

Front 21

what are clinical signs of asthma?

Back 21

wheezes, decreased BS, sOB, dyspnea, non-productive cough, possible accessory muscle use.

Front 22

how to treat asthma?

Back 22

increase respiratory function with breathing exercises, remove secretions, increase aerobic exercise tolerance.

Front 23

what is bronchieectasis?

Back 23

permanent abnormal dilation of bronchi. it's due to destruction of elastic and muscular components of bronchial walls.

Front 24

what are clinical signs of bronchiecttasis?

Back 24

chronic couh, copious amounts of foul smelling sputum, increased RR, crackles and wheezes.

Front 25

what are treatments for bronchiectasis?

Back 25

PD and P&V, increase exercise tolerance, decrease respiratory work.

Front 26

what is cystic fibrosis?

Back 26

multisystem disorder involving exocrine glands.

Front 27

what are clinical signs of cystic fibrosis?

Back 27

febrile, weight loss, increased respiratory work, clubbing, cyanosis. increased fatigue and shortness of breath. usually green adn thick increased sputum production.

Front 28

what are treatments of cystic fibrosis?

Back 28

PD, P&V, aerobic exercise, coughing exercises, mechanical devices if necsesary. (PEP, flutter valve, HFCC vest, IPV).

Front 29

what is chronic bronchitis?

Back 29

obstructive disease with productive cough on most days for 3 month over 2 years.

Front 30

what are clinical signs of chronic bronchitis?

Back 30

wheezes, JVD, LE edema, may have an increase ins ecretions with a change in color or increased cough with decreased secretion prodcution. hyperinflation, peripheral edema, prolonged expiration.

Front 31

what are treatments for chronic bronchitis?

Back 31

P&V, PD, increase exercise tolerance.