226 E5 Respiratory .docx - NUR-226 E5 Respiratory General manifestations of respiratory disease 1 Sneezing a Reflex response to remove irritant from UPT

226 E5 Respiratory .docx - NUR-226 E5 Respiratory General...

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NUR-226 E5 Respiratory General manifestations of respiratory disease1.Sneezinga.Reflex response to remove irritant from UPTb.Associate with inflammation or foreign material2.Coughinga.Irritation d/t nasal dischargeb.Inflammation or foreign material in LRTc.d/t inhaled irritants3.Sputuma.Yellowish-green, cloudy, thick: bacterial infectionb.Rusty, dark-colored: pneumococcal pneumoniac.Lg amount of purulent, smelly: bronchiectasisd.Thick, tenacious: asthma or CF; bloody (maybe from chronic cough); maybe a sign of tumor or TBe.Hemoptysis (bloody)i.Bright red, frothy: pulmonary edema ABG T1.Normal values: a.Ph 7.35-7.45b.CO2 35-45i.>35 alkalosis ii.>45 acidosis c.HCO3 20-262.Uncompensated: ph abnormal CO2/HCO3 one of them abnormal other fine 3.Partial: ph abnormal CO2/HCO3 both fine4.Fully compensated: ph normal CO2/HCO3 abnormal OBSTRUCTIVE LUNG DISEASE ASTHMA1.What is a.Bronchial obstruction i.Hypertensive or hyper responsive airwaysii.Often allergic correlations iii.Mostly affect kids, also adults 2.S/S a.cough/wheezing***/rapid and labored breathing/thick-sticky mucous/tachy/hypoxia 3.ACUTEa.TX now->persistent severe attack b.SABAi.Beta 2 adrenergic agonist 1.Albuterol (Proventil)2.Pirbuterol (Maxair)ii.Methylxanthines (not used not on exam) iii.Anticholinergics
iv.Anti-inflammatory drug 1.Oral glucocorticoids 2.Mast cell stabilizer 3.Leukotriene modifier4.CHRONICa.LABAi.Salmetrol (Serevent Diskus) Chronic bronchitis 1.Susceptibility a.Smoking 2.S/Sa.Mucous alot b.Smoking #1 cause c.Inflammation d.Pale pallor e.Clamming f.Cold 3.TXa.Stop smoking b.Expectorants c.Bronchodilators d.Steroids e.low-flow oxygen Emphysema 1.Susceptibility a.Genetic ALPHA 1- antitrypsinb.Cigarret smoking c.

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