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14 Cards in this Set
- Front
- Back
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complications of asthma
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status asthmaticus
pheumothorax atelectasis |
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status asthmaticus
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life threatening condition that occurs when a severe asthman exacerbation fails to respond to usual tremt
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finding of status asthmaticus
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altered consciousness
cyanosis elevated paco2 pulsus paradoxus (> 20mm hg) PEFR less than 100 L/min in adults FEV1 < 1L |
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std therapy status asthmaticus
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oxygen admin
iv rehydration inhaled b agonists anticholinergic iv corticosteroids |
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affressive therapy
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for acute exacerbation
if pt has pulm acidosis-> intubation and mechanical ventilation |
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pneumothorax
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accumulation of air in the pleural space
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sx of pneumothorax
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sudden pleuritic chest pain
dyspnea hacking cough anxiety |
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physical findings pneumothorax
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tachypnea
hypotension dec fremitus tympany on chest percussion diaphoresis pallor |
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therapy of pneumothorax
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oxygen
aspiration of pleural air via a chest tube analgesic |
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atelectasis
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collapsed lung
inhibits gas xchange during respiration and may occur as a result of airway obstruction |
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ashmatics atelectasis
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involves right middle lobe or entire lung
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atelectasis sx
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worsening dyspnea
anxiety |
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atelectasis physical findings
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hyperventilation
diminished breath sounds dec chest excursion mediatinal shift toward the affected side cyanosis |
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atelectasis therapy
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incentive spirometry
postural drainage chest percussion coughing deep breathing exercise bronchodilators bronschoscopy to remove secretions |
