Hd-Lsp-1- Respiratory

Front 1

Antidote to drug -overdose, respiratory depression

Back 1

Narcan

Front 2

Resp depression occurs at what ph

Back 2

ph less than 7.15 or ph greater than 7.45

Front 3

Where is rate and depth of resp controlled

Back 3

medulla oblongata- inspiratory and expiratory center

Front 4

What acid base levels reflect resp failure

Back 4

PO2 less than or = to 50mmhg or PCO2 greater than 50mmhg with PH less than 7.25

Front 5

What is Croup

Back 5

Severe inflammation of upper airways- by a virus

Front 6

Manifestations of Croup

Back 6

Inspiratory stridor with bark like cough, and laryngeal edema to various degrees

Front 7

Who's affected by croup

Back 7

Kids up to 3 yrs

Front 8

Croup tx

Back 8

Aerosolized epinephrine, , decadron, cool mist, antipyretics

Front 9

Manifestations of resp failure

Back 9

Decreased resp excursion
Acessory muscle use
Retractions

Front 10

Treatment of Resp failure

Back 10

Morphiner
Ativan
Bronchodilators
O2
Intubate
Mech vent with peep

Front 11

S/S of inhalation of a foreign body

Back 11

Drooling , mostly with kids

Front 12

Best way to see Sinusitis

Back 12

Use illumination to visualize blockage

Front 13

Sinusitis s/s

Back 13

H/A, cough in the prone position, fever, sore throat

Front 14

Sinusitis Teaching

Back 14

Throw away tooth brush after abts

Front 15

Larengeal edema treatment

Back 15

Epinephrine and ice packs to the throat

Front 16

Causes of Laryngeal edema

Back 16

Severe inflammations of the throat, such as croup, anaphylaxis, scarlett fever

Front 17

Chronic Bronchitis is?

Back 17

A form of COPD where airways are narrowed and filled with mucous that impairs airway clearance

Front 18

Is Chronic Bronchitis reversible?

Back 18

No the narrowing of the small airways is irreversible leading to hypoxemia and CO2 retention

Front 19

Manifestations of Chronic Bronchitis

Back 19

Dyspnea, increased sputum with a productive cough prolonged expiration and rhonchi and wheezing

Front 20

DX of Chronic Bronchitis

Back 20

CXR- hyperinflation
PFT's - expiratory volumes are decreased but residual voulumes are increased

Front 21

What do these Chronic Bronchitis dx mean

Back 21

You breathe in but because of narrowed airways from mucous and inflamm the air can't get back out( lungs hyper inflate and air trap)

Front 22

Diet needs for Chronic Bronchitis

Back 22

Protein, Vit C, nitrogen, and calories

Front 23

What color is a person with chronic bronchitis

Back 23

They will be dusky to cyanotic (they are hypoxic and have hypercapnia and acidosis)

Front 24

What will you notice about Chronic Bronchitis

Back 24

They are pale, cyanotic, edematous, breathing fast, appear soa with little exertion, digital clubbing

Front 25

S/S of hypoxemia and hypercapnia (may occur toghether)

Back 25

H/A, irritable, confused, cardiac arrhythmia's increased heart rate , asterixis

Front 26

What is a freq s/s of hypercapnia

Back 26

Morning headache

Front 27

s/s of hypocapnia

Back 27

tachypnea, vertigo, tingling of extremities, muscle weakness and muscle spasm

Front 28

What is hypocapnia

Back 28

It means you have PCO2 of less than 35mmhg in resp alkalosis usually by a state of hyperventilation- blowing off to much carbon dioxide

Front 29

Early S/S of resp depression

Back 29

anxious, restless, confused, and the resp rate becomes slow and shallow

Front 30

Late s/s of resp depression

Back 30

lethargic and possible cyanotic

Front 31

Why does COPD cause hypoventilation

Back 31

It traps air in the alveoliand decreases the exchange of gases

Front 32

Why does increased airway resistance cause hypoventilation

Back 32

It prevents air from reaching the lungs , there is an actual decrease in the diameter of the airway and it decreases ventilation

Front 33

Things that increase airway resistance

Back 33

Laryngeal edema, Croup, asthma, COPD sinusitis, chronic bronchitis, sleep apnea, trapped foreign body

Front 34

Effects of Hypoventilation

Back 34

Hypoxemia, Hypoxia and hypercapnia because O2 can't get in and CO2 cant get out

Front 35

What is atelectasis

Back 35

A decrease in the available Os absorbing surface- alveolar collapse(localized)

Front 36

What are the s/s of Atelectasis

Back 36

diminished breath sounds, dyspnea, anxiety, cyanosis, diaphoresis, tachycardia, retractions

Front 37

What does atelectasis look like in

Back 37

Very nervous, breathing hard and fast with lots of chest movement (retractions), turning blue (lack of O2)

Front 38

Treatment for atelectasis

Back 38

bronchodilators, db/c, analgesics inspirometry

Front 39

What is Flail chest

Back 39

having 2 or more fx ribs in 2 or more places= chest trauma

Front 40

What does flail chest look like

Back 40

See-saw breathing(paradoxical chest wall movement), and will become cyanotic be sob, and intense pain on inspiration

Front 41

abg-flail

Back 41

hypoxemia, and hypercapnia because gas x-change is impaired

Front 42

Why does mediastinal shift occur with flail chest

Back 42

when patient breaths in the ribs move in and shift the mediastinum to the unaffected side

Front 43

v/q ratio with flail chest

Back 43

decreased ventilation and increased dead space

Front 44

What can the CO2 retention in flail chest lead to

Back 44

respiratory acidosis from the hypercapnia

Front 45

What is a bad complication that should be watched for with Flail Chest

Back 45

Tension Pneumothorax

Front 46

Mild flail chest

Back 46

Splint when coughing and deep breathing

Front 47

Which side should you place a flail chest patient on

Back 47

The affected side to support the rib segment

Front 48

What is a pneumothorax

Back 48

collapsed lung the parietal or visceral pleura is punctured

Front 49

What happens with the airflow in peumothorax

Back 49

Atmospheric air enters the pleural space(- the normal neg atmospherice pressure is what maintains lung inflation)

Front 50

Closed Pneumothorax is and caused by

Back 50

rupture, bleb or blister on the lungs surface emphysema can cause it