CHAPTER 17 HAND OUT NOTES
The most common complaint in patients with a respiratory disease is
Dyspnea
A critical step when using a CPAP unit to treat a patient with severe respiratory distress is
Ensuring an adequate mask seal with minimal leakage
A person who experiences sharp chest pin followed by increasing Dyspnea after coughing likely has?
A pneumothorax
Apneustic breathing is characterized by
A sustained otters of tachypnea and increased tidal volume
One of the hallmarks of a pulmonary embolism is
Cyanosis that does not resolve with oxygen therapy
Patients with pneumonia often experience a coughing fit when they roll from one side to the other because
Movement loosens pulmonary secretions and stimulates coughing
Lung Cancer: Indications/Symtpoms
Persistent cough, bloody purulent, unexplained dyspnea, unexplained weight loss
A patients peripheral pulses become extremely weak during inhalation. This is called
Pulses Paradoxus
A patient with orthopnea
Seeks a sitting position when short of breath
Quiet Tachy ones suggests possible
Shock
Difficulty with exhalation is lost characteristic of
Supraglottic swelling
Polycythemia is a condition in which
Excess red blood cells are produced in response to chronic hypoxia
To generate the optimal particle size, most nebulizer need to have a gas flow of at least
6L/min
What type of medication can cause thick sputum?
Antihistamine
What type of medication is montelukast
Leukotriene blocker
Retractions of the sternum or ribs during inhalation
Are especially common in infants and small children
Hypoventilating patients
Become hyper approx and acidotic
Unresponsive patient who has overdosed on a Cns depressant drug would be expected to have which type of respiration
Bradypneic
The main stem bronchus ends at the level of the
Bronchioles
Blood-tinged sputum can be caused by
Bronchitis
Reactive airway disease is characterized by
Bronchospasm, edema, and mucus production
Which medication causes smooth muscles relaxation relaxation and is used to treat severe asthma
IV magnesium Sulfate
The body's immediate response to mild hypoxemia
Increased Heart Rate
Which of the following medications is an anti Cholinergic bronchodilator
Ipratropium
Intubation of a patient with severe asthma
Is clearly indicated if the orient condition does not resolve following field corticosteroid therapy
In contrast to negative pressure ventilation, positive pressure ventilation
Is the forcing of air into the lings
Paroxysmal nocturnal Dyspnea may be a sign of
Left side heart failure
Which of the following clinical findings is suggestive of pneumonia in a orient with copd?
Fever and localized crackles
A patient presents with a barrel chest, muscle wasting, and pursed-lip breathing. These symptoms are a sign of which condition?
Emphysema
Deep sleepers or intoxicated people have which respiratory pattern
Cheyne stokes
Emphysema is caused by..
Chronic obstruction of the alveolar walls
If a patients initial presentation makes you suspicious about a particular respiratory condition, you can must
Confirm your suspicions with a thorough assessment
