Respiratory Problems.docx - Pulmonary Disorders Student Handout I Asthma(Chronic Reactive Airway Disorder(we will fill in blanks after video \u2013 just

Respiratory Problems.docx - Pulmonary Disorders Student...

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Pulmonary DisordersStudent HandoutI.Asthma (Chronic Reactive Airway Disorder) (we will fill in blanks aftervideo – just listen)A. Asthma is obstruction is of the _small___ airwaysWhen the smooth muscle in the bronchioles contract the lumen becomes smaller ( _constricts____ the airway)_wheezing______ occurs as a result of being unable to get air out of the small airways. The wheezing is usually heard upon _expiration___.Asthma TriggersCIGARETTE SMOKE!Car Exhaust and environmental pollutantsPaint and SolventsFoodStressAspirin is common triggerGastric reflux (GERD)The severity of the constriction determines the severity of theasthma attack.Patient is _short__ of _breath__ and needs to use their emergency _inhaler_Asthma is associated with 2 other conditions: __eczema ____ and allergiesC. PATIENT TEACHINGEnvironmental factors, such as __changes_____ in temperature (especially warm to cold) and humidityAir _pollutants_____ Strong odors (perfumes)Seasonal _allergens____ (grass, tree, and weed pollens) and perennial allergens – mold, feathers, dust, roaches, animal dander, foods treated with sulfites)
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Stress and emotional distressMedications (aspirin, NSAIDS, beta-blockers, cholinergics)Enzymes, including those in laundry detergentsChemicals (household cleaners)Sinusitis with post nasal dripViral Respiratory _infections____D. Asthma Treatment (we will fill in blanks after video – just listen)1.Treatment varies from person to person & depends on severity of asthma2.Short term treatment: _beta_____ _2_ agonist inhaler (rescue inhaler); nebulizer; steroid inhaler; oxygenIf ineffective (at hospital) then IV treatments are initiated: Beta 2 agonists IV steroids (anti-inflammatory)Magnesium SulfateEpinephrineCPAP or BIPAPWhen all else fails…._intubation____and mechanical ventilation3.Long term treatment (depends on severity of asthma)The goal is to _control______ the symptomsWell controlled = less than _2__ asthma attacks a week and never more than once a day2 modes of delivering drugsNebulizerInhalerDrugs (2 categories)1.Anti-inflammatory: Steroids, Leukotriene Inhibitors2. Bronchodilators: Beta Agonists, TheophyllineHold beta blocker for wheezing. Beta agonist speeds up HR
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E. More Patient TeachingWe are teaching the patient to recognize _triggers______Instruct the client how to properly self-administer _medications________A _nebulizer____________ is another method of delivering the same medication that is in an inhalerNursing Considerations: Overdosage can cause _cardiac arrest___________________Side Effects: _tachycardia____and __tremors___After steroid inhaler: Client should rinse out mouth or may get __fungal______ infection
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  • Fall '16
  • Denise Cauble
  • Nursing

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