Pulmonary Diseases Of The Elderly

Front 1

How is chronic bronchitis (CB) is diagnosed?

Back 1

The pt must have a chronic cough for at least 3 months of a year X 2 years. The cough is caused by bronchial hypersecretions. *FIY increased sputum production and ronchi heard*

Front 2

Define: Hemoptysis

Back 2

The expectoration of blood that arises from the larynx, trachea, bronchi, or lungs (usually bight red, frothy, might be mixed with sputum).

Front 3

S/S of pneumonia in the elderly?

Back 3

Increased respirations (>25 per min), increased sputum production, confusion in frail elderly, loss of appetite, hypotension (<100 systolic).

Front 4

S/S seen in the elderly during physical assessment when pneumonia?

Back 4

Adventitious breath sounds (inspiratory rales), dullness to percussion, & increased tactile fermitus.

Front 5

Chronic obstructive disorders are characterized by?

Back 5

Cough, dyspena, SOB, & reduced exercise tolerance

Front 6

Emphysema causes?

Back 6

Increased anteroposterior chest diameter, flattened diaphragm, & diminished breath sounds. *FYI there is little, if any, increase in sputum production

Front 7

S/S of asthma in the elderly?

Back 7

Chronic cough, wheezing, prolonged expiration, & decreased expiratory peak flow rates. * FYI Asthma is usually misdiagnosed in the elderly

Front 8

Typical presentation of pulmonary emboli?

Back 8

Usually sudden onset of tachypnea, dyspnea, pleuritic pain, cough w/ hemoptysis, low-grade fever, & later development of frictin rub.(sudden onset of atrial fib may suggest pulmonary embolism).