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CHA 1: Unit 6 Respiratory Questions And Answers Rated A+ New Update Assured Satisfaction

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CHA 1: Unit 6 Respiratory

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CHA 1: Unit 6 Respiratory

Cystic Fibrosis Treatment Goals - Client will absorb adequate nutrients daily Client will maintain patent airway Family demonstrated adequate coping cystic fibrosis (CF) - Autosomal-recessive trait Hereditary disorder; altered functions of exocrine glands: Lung, Pancreas, Sweat Gland, Reproduct...

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cha 1 unit 6 respiratory

Institution CHA 1: Unit 6 Respiratory
Course CHA 1: Unit 6 Respiratory

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CHA 1: Unit 6 Respiratory
Cystic Fibrosis Treatment Goals - Client will absorb adequate nutrients daily

Client will maintain patent airway

Family demonstrated adequate coping

cystic fibrosis (CF) - Autosomal-recessive trait

Hereditary disorder; altered functions of exocrine glands: Lung, Pancreas, Sweat Gland, Reproductive
Organs

Characterized by: lung congestion, infection, and malabsorbtion of nutrients by the pancreas

symptoms of cystic fibrosis - Thick mucus

Chronic cough

Dyspnea

Freq respiratory infections

Clubbing of fingers

Increased AP diameter with hyper-resonant chest

Rales, rhonci

Failure to gain weight/malnutrition

Meconium ileus

Always hungry

Abdominal distension

Steatorrhea

Fat soluble vitamin deficiencies (increased bruising)

Sweat, tears abnormally salty

,Decreased or absent sperm count

Viscous cervical mucous

Cystic fibrosis pulmonary manifestations - Respiratory infections

Chest congestion

Limited exercise tolerance

Cough and sputum production

Use of accessory muscles

Decreased pulmonary function

Changes in chest x-ray

Increased anteroposterior diameter

Cystic Fibrosis Diagnostic Test - sweat test-chloride test (excess chloride release)

PFT-monitor current status

CXR-monitor current status

DNA Testing

Cystic Fibrosis Treatment - Postural drainage and percussion

Good hygiene

Moistened oxygen

Nebulized meds

Antibiotics (Tobramycin solution for inhalation)

Dornase alfa

Pancreatic enzyme

Diet: High calorie & protein, moderate fat

Water-miscible forms of Vit A, D, E supp

Generally not breast fed, not enough protein

,Pancreas-lung transplant

Tobramycin (TOBI) - used to treat chronic P. aeruginosa infection in CF patients

Dornase alfa (Pulmozyme) - decreases viscosity of mucus and improves lung function.
improvement monitored by pfts. use once daily.

Pancreatic Enzyme Replacement - Pancreatic enzymes (pancreatin and pancrelipase); action: aid
in the digestion of starches, fats, protein; side effects: anorexia, N/V, diarrhea, hypersensitivity, sneezing,
lacrimation, skin rashes; nursing responsibilities: do not use with antacids, avoid inhaling powder, client
education: take with meals

Cystic Fibrosis Family Teaching - Functions of oxygen and how to regulate flow

Postural drainage

Encourage them to think about fitting the treatment/illness into family life (DO both parents work)

Respiratory Distress Syndrome (RDS) - A respiratory disorder that affects premature infants born
without enough surfactant in the lungs. It is treated with respiratory support and surfactant
administration

Production starts at 24 weeks (gestation)

Patho

Poorly developed alveoli are difficult to inflate.

-alveolar instability/diffuse atelectasis results

-Decreased pulmonary vasoconstriction (severe hypoxia)

Poor lung perfusion and lack of surfactant

-Increased alveolar capillary permability

, -Fluid and protein are leaking into the interstitial area and alveoli, hyaline membrane formation

atelectasis - collapsed lung; incomplete expansion of alveoli

Normal Newborn Assessment - -RR 30-60 /minute

-Brief periods of apnea (less than 15 seconds) with no color or HR change

-HR 120-160 while awake (sleeping can be as low as 80 and crying as high as 180)

-Synchronous chest and abdominal movement

respiratory distress syndrome (RDS) Symptoms - -RR >60/min, shallow & irregular

-Apnea longer than 20 seconds

-Labored breathing (retractions, grunting, nasal flaring, chin tug, head bobbing, decreased BS)

-Frothy sputum and expiratory grunt

-Hypothermia-inadequate functioning of metabolic process that require O2 to produce heat

-Flaccid & unresponsive d/t severe hypothermia

-Cyanosis & peripheral edema

-BP falls

Flaccid - (adj.) limp, not firm; lacking vigor or effectiveness

Cyanosis - a bluish discoloration of the skin resulting from poor circulation or inadequate
oxygenation of the blood.

Hypothermia - abnormally low body temperature

Frothy sputum - pulmonary edema

Respiratory Distress Syndrome (RDS) Treatment(s) - 1st prevent labor

-Dobutamine (stop labor), may develop tachycarida for mon

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