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50 Cards in this Set
- Front
- Back
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Manifestations of Lower Respiratory Disorders are:
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Excess Mucous production
Dyspnea Hemoptysis Chest Pain |
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Spitting up blood or bloody mucous
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Hemoptysis
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_______ effects of L.R.D are:
Fever Malaise Anorexia Clubbing of nails Cyanosis |
Systemic
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Chronic respiratory disorder begininng in infancy where an acute lung injury has happened. Most children recover, some die
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Bronchopulmonary Dysplasia
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________ ventaliation leads to barotruamas, oxygen toxicity, inflammation, cellular damage, and death.
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Mechanical
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S&S of bronchopulmory dysplasia include:
Tachycardia, Tachpynea Increased effort for breathing Air trapping causes ______ chest Activity intolerance pallor, cyanosis |
Barrel
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Dx of BPD is by:
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Chest X-ray
Physical Exam If child needs to be on mechanical ventalition longer than 28 days |
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Treatment for BPD include:
_________ Chest PT Medications |
OXYGEN
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Tissue damage due to changes in pressure
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Barotraumas
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______ are used to treat pulmonary edema
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Diuretics
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_______ decrease airway resisitance
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Bronchodilators
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Oral or Inhaled _________ decrease inflammation of the airway
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Cortisteriods
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Always monitor the infants weight and ______ calorie damand and give ____-calorie formula
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Increase
High |
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________ is caused by a virus or acteria and it causes inflammation and obstruction of the bronchioles. MOST COMMON in toddlers and preschoolers.
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Bronchiolitis
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The most common cause of bronchiolitis is ________
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RSV: respiratory syncytial virus
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Bronchiolitis is most seen from month _____ to March
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October
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You get this dx from _____ contact
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Direct
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Most children have a _______ before developing bronchiolitis
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URI
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Symptoms for the ______ ______ days include:
Serous Nasal Drainage Low grade fever Anorexia Child not interested in playing |
First Several Days
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After several days there is an onset of ____ ________ _____ manifested by:
Tachypnea- RR of 60-80 breaths/min Wheezing,crackles, rhonchi Deep, frequent cough Rapid, shallow respitations nasal flaring and retractions Cyanosis |
Acute Respiratory Distress
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DX of broncholitis is by:
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H&P
Chest X-ray (shows hyperinflation) Viral Cultures |
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Treatment for Broncholitis is:
____________!!!! Hydration Humidification of air Ventilation support |
ISOLATION
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____ prevention is of the utmost importance
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RSV
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______ is an antiviral respiratory drug that is resevered for hospitalizied children with severe RSV and are high risk
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Ribavarin
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You do not want to hear _____ breath sounds
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Decreased
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Decreased o2 sats are the best indicator for the severity of the disease and you should adminster ____ as ordered
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O2
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REMEBER!!!
Stranger _____ and seperation _____ are common in this age group |
Anxiety
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The parent and infant cannot go home until they have correctly demonstrated how to use a _____ _______
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Bulb syringe
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The parents have to know that it will take ______ for the child to be completely well. Need to know to ______ fluids and to limit activities
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Weeks
Incease |
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Bronchitis is most commonly misdiagnosied with _________
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Asthma
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Main difference between between asthma and bronchitis is ______
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coughing
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____ is a coarse, hacking cough that is worse at night. Cough may begin as non-productive then change with increased mucus production. Crackles and Rhonchi heard, and lowgrade fever and malaise are symptoms
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Bronchitis
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No ________ needed for bronchitis unless secondary infection occurs
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Antibotics
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Cough Suppresants are not ________ and Antihystimines should not be used due to their drying effects on secretions
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Recommended
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Inflammation of the bronchi which can be acute or chronic.
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Acute Bronchitis in Adults
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Impaired immune defense following a viral URI, a cold or an infection
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Acute
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Predominately caused by smoking or COPD
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Chronic
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Bronchitis can be caused by virus or bacteria, _______ of toxic gases or chemicals
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Inhalations
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S&S are a non-productive _______ that becomes productive by a sudden severe attack which can be aggravated by dry or cold air or dust.
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Cough
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Patients with ______ complain of:
Substernal Chest Pain Moderate Fever Malaise Dyspnea |
Bronchitis
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Dx tests include:
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H&P
Chest X-ray to r/o pneamonia Pulmonary Function Test ABG |
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ABG test will show an ____ in CO2 in the blood, with a decrease in 02
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Increase
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50% of bronchitis is _______ so broad spectrum antibotics are prescribed such as erythromycin or penicillin
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bacterial
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Asthma symptoms are worse at _____ and are often brought on by exercise, especially in cold weather.
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Night
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People with long standing severe asthma may have a ______ chest
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Barrel
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Symptoms of an asthma ______:
Audible wheezing Increased respiratory rate Tachycardia Retractions Dyspnea: unable to complete sentence between breaths Cyanosis Changes in level of consciousness Pulse ox show poor 02 saturation |
Attack
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Asthma can be medically induced by which meds?
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Aspirin
NSAIDS Sulfites Beta-Blockers |
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Occurs at time of expousure to the trigger; mast cells cause inflammation which cause bronchoconstriction, mucosal edema and mucus production
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Early Response
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4-12 hours after exposure; inflammatory cells are triggered causing prolonged inflammation and bronchoconstriction, mucosal edema and mucus production
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Late Response
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Respiratory _____ can be confused with resolution of attack
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Failure
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