Respiratorylearningguideinstructorcopy

Respiratorylearningguideinstructorcopy - Learning Guide...

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Learning Guide Upper Respiratory Tract 1. Differentiate the following: Pathophysiology Manifestations Treatment Deviated septum Nasal fracture Epistaxis 1. Deviated septum – separates the external nares, 80% of population have deviated septum, could result in difficulty breathing through the nose, can result in recurrent infection, can be present at birth due to trauma treatment of deviated septum – initially manage the s/s of the condition, use decongestants to reduce nasal congestion, antihistamines to prevent cold and allergy symptoms, nasal cortisone spray to reduce inflammation and runny nose, medications are only a temporary fix. Surgical repair – septoplasty cure symptoms such as nosebleeds and nasal congestion but NOT nasal or sinus conditions that are related to allergies. Septoplasty is preferred surgical treatment but can not be done on those under 18 years old due to continued growth of cartilage. Nasal fracture – can be broken during sports, accidents, fights and falls, swelling makes it difficult to tell if the nose is actually broken, after swelling decreases a broken nose may appear crooked and possibly broken. Nasal fracture is the most common site specific bone injury of the facial skeleton. Morbidity includes airway obstruction due to dorsal nasal collapse, septal deviation, vavlular collapse, epistaxis or poor cosmetic outcome. s/s nose pain, swelling, crooked or bent appearance, bruising around the eyes, runny nose or nosebleed, grating sound or feeling when the nose is touched or rubbed, blocked nasal passages Epistaxis – 90% arise in anterior nasal septum due to the location of arterial vessels, susceptible to trauma, nose picking, drying, and infection Posterior usually secondary to blood disorders – dyscrasias, hypertension or diabetes. Results from trauma, foreign bodies, topical corticosteroid use, nasal spray abuse, street drug use, anatomic malformation, allergic rhinitis, tumor 2. What does Lewis state about infection in relation to a deviated septum? “There is conflicting evidence to support that severely deviated septum may block drainage of mucus from the sinus cavities, resulting in infection or sinusitis.”
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3. List the signs and symptoms related to a deviated septum. Obstruction of one or both nostrils – may be difficult to breath and more noticeable when client has cold or upper respiratory tract infection or allergies – anything that would cause nasal passages to swell and narrow, nasal congestion – postnasal drip most common and occurs when mucus is blocked from flowing out of the nose causing it to drip and linger in the back of the throat, nose bleeds – when the surface of the mucus become dry risk increase, frequent or recurrent sinus infections – can result from blocked mucus and are often marked with facial pain and headache, noisy breathing during sleep – occurs during sleep and is more common in young children with deviated septum 4. When can a deviated septum occur? Deviated septum occurs when the nasal septum is displaced to one side. Could
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Respiratorylearningguideinstructorcopy - Learning Guide...

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