Exam (elaborations)
NURO 504 Module 4 Respiratory Exam Questions And Accurate Answers
- Course
- Institution
NURO 504 Module 4 Respiratory Exam Questions And Accurate Answers ...
[Show more]
Content preview
NURO 504 Module 4 RespiratoryExam Questions And Accurate
Answers
acute bronchitis - Answer infection of the lower resp tract limited to trachea and bronchi
appear as an inflammatory response to uncomplicated URI
other causes = smoking, exposure to irritating fumes, gastric relux,
Chronic bronchitis - Answer Chronic bronchitis is long term exposure to smoking or
pollutants. - diagnosed as cough for 3 or more months over past 2 years
Acute bronchitis S/S - Answer · S/S = low grade fever, malaise, fatigue, sore throat,
chest pain & cough - may be productive or nonproductive - lasts for longer than 5 days, -
acute bronchitis last from 3 to 4 weeks
Acute Bronchitis Physical findings - Answer LS normal except over bronchi, X ray =
should not show infiltrates, Pneumonia = SOB or pain on inspiration, high fever,
tachycardia, rales or decreaed BS or if symptoms develop quickly
Acute Bronchitis Tx - Answer Tx = supportive with improvement within 1 to 2 weeks - if
cough persists and wheezing is noted, albuterol should be prescribed = 2 puffs Q 4 to 6
hours PRN.
Meds - Guaifenesin, Tessalon Perls, dextromethophan - 30mg PO Q 4-6, promethazine
with codeine.
Influenza - Answer Flu virus -onset is abrupt, typically during October to April, herd
immunity through immunization is the optimal protection. Passed along by droplets,
incubation is ave 2 days.
S/S -high fever, profound malaise and dry cough differentiate between cold/flu. Viral
symptoms should resolve within a week,
Influenza treatment - Answer Tx - rest, fluids, saline gargle,
Pharm - dextromethorphan for coughs, ipratropium bromide - anticholinergic nasal
spray helps relieve rhinorrhea, sneezing, and congestion. Antibiotics should be
AVOIDED. Tamiflu or Relenza are used within 48hrs of onset of symptoms may shorten
the extent.
ONLY USE TAMIFLU for pregnant pts
, When should you use Antibiotics? - Answer Bacterial causes should be assessed if
symptoms do not resolve within 8 to 10 days, maxillofacial pain is present, or fever
higher than 39 (102), severe symptoms for 3 to 4 days at onset, or doubling-sickening -
getting better than worse again - Preferred options are Augmentin or Doxycycline -
Azithromycin, trimethoprim-sulfamethoxazole (Bactrim) and cephalosporins should not
be used due to the risk of resistance to these drugs
Asthma - Answer Chronic allergic inflammation of the airways associated with
intermittent worsening of symptoms - reversible obstruction from bronchospasm,
edema, mucus production, hyper-responsiveness to stimuli. 10% of all women
experience asthma.
Epithelial damage of goblet cells, goblet cell hyperplasia, no cilia to mobilize secretions,
and deposition of interstitial collagen
- Destruction contributes to poor response to corticosteriods
R/F - poverty, poor air quality, atopy = a hyper allergic reaction of the body, more
prominent in young boys and older women, fam Hx,
Asthma in Pregnancy - Answer associated with GHTN, GDM, PPH, preterm birth,
abruption, C/S, low birth wt, cleft lip and palate. Use of asthma meds is safer than
uncontrolled asthma. Avoid corticosteroids in first trimester - increases risk of cleft
lip/palate. Long term use = preterm birth and low birth weight
Asthma Management - Answer - Routine monitoring of symptoms and lung function
- Patient education
- Controlling environmental factors (triggers) and comorbid conditions
- Pharmacologic therapy: must be individualized
· B2 agonist
· Corticosteroids: used in all pateints with persistent asthma
· Leukotriene modifiers
· Anticholinergics
·methylxanthines
Asthma S/S - Answer Hx of persistent cough (particularly at night), recurrent wheeze,
difficult breathing and chest tightness, symptoms made worse by exercise, viral
infection, inhalant of allergens, smoke, changes in weather, laughing or crying to hard,
stress, menstrual cycles.
Physical findings = wheezing, prolonged expiratory phase, use of accessory muscles,
hyperinflated chest, breathing easier in upright positions, increased nasal swelling,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Zayla. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now