Lower respiratory E2

  1. What is the most common symptom for acute bronchitis? How long does it last?
    Cough: up to 3 weeks
  2. T or F: Green sputum is a reliable indicator of infection in Acute bronchitis
    False: clear, mucoid sputum is often present; some produce purulent sputum
  3. This term means there is fluid in the lungs that accumulates.
    Consolidation
  4. List some tx of acute bronchitis
    • 1. cough suppressants
    • 2. bronchodilator inhalers for wheezing
    • 3. High-dose corticosteroids may be used
    • 4. Abx: not prescribed unless prolonged infection
    • 5. Zanamivir or Tamiflu if a viral infection
  5. How soon should an antiviral be administered after initial onset of acute bronchitis d/t a viral infection?
    48 hours
  6. This dz is characterized as a highly contagious infection of respiratory tract with uncontrollable, violent coughing.
    Pertussis
  7. State if these s/s will occur early or late in acute bronchitis:

    1. Tachypnea
    2. Use of Accessory Muscles
    3. Breathless when speaking
    4. Dyspnea on Exertion
    5. Dyspnea at rest
    • 1. Early
    • 2. Late
    • 3. Late
    • 4. Early
    • 5. Late
  8. Say if these s/s of chronic bronchitis will be early or late:

    1. Hypotension
    2. Tachycardia
    3. Arrythmias
    4. Mild Hypertension
    5. Cyanosis, cool, clammy skin
    • 1. Late
    • 2. Early
    • 3. Early/late
    • 4. Early
    • 5. Late
  9. T or F: Pertussis occurs from a bacterial infection
    True
  10. What respiratory dz does this patient have:

    1. Inspiration after each cough produces a "whooping sound"
    2. Vomiting may occur with cough
    3. More frequent at night
    4. May last 6-10 weeks
    Pertussis
  11. T or F: You should give a patient with pertussis cough suppressants and antihistamines to help with their violent coughing.
    False: They are ineffective and may induce coughing episodes
  12. T or F: corticosteroids and bronchodilators are indicated for some with pertussis coughing
    False: they are not useful in reducing symptoms
  13. Which abx is usually used to treat Pertussis?
    Macrolides (erythromycin, azithromycin)
  14. What are 3 ways organisms reach the lungs that can cause PNA?
    • 1. aspiration of normal flora from the nasopharynx or oropharynx
    • 2. Inhalation of microbes present in the air
    • 3. Hematogenous spread from a primary infection elsewhere in the body (ex: S. Aura)
  15. What assessment and lab findings indicates an improvement with someone who has CAP (community acquired PNA)?
    • Fever goes down
    • breath sounds are better
    • O2 sats improve
    • Labs show WBC goes down
  16. What is opportunistic PNA?
    • 1. Altered immune response including: HIV, long-term corticosteroid therapy, radiation therapy
    • 2. Herpes virus can cause viral PNA
  17. What are diagnostic interventions with someone who has PNA? 3
    • Chest x-ray
    • Gram stain of sputum and sensitivity test
    • Complete CBC, WBC differential
  18. T or F: You will offer foods high in calories with someone who has PNA?
    True
  19. What respiratory dz would you expect with these symptoms:

    Fever of 103
    Consolidation
    Increased mucus production
    Dyspnea
    Confusion
    PNA
  20. This term is palpation of vibrations on the chest during breathing
    Tactile Fremitus
  21. List tx and interventions for PNA: 6
    • 1. O2
    • 2. ABX
    • 3. Fluids
    • 4. rest
    • 5. Antipyretics
    • 6. Analgesicsc
  22. When is Thoracentesis indicated?
    Fluid collection of pleural cavity
  23. This is a condition in which excess fluid builds around the lung with someone who has _____.
    Pleural effusion: PNA
  24. Pericarditis and Meningitis are complications of which respiratory dz?
    PNA
  25. This term is a collection of pus in the space between the lung and the inner surface of the chest wall (pleural space)
    Empyema
  26. What does HMO stand for during PNA care?
    • Head of bed 30 degrees
    • Mobility
    • Oral Care
  27. List reactivation reasons of TB
    • 1. lowered resistance
    • 2. age
    • 3. Immunosuppression, including HIV
    • 4. Malnutrition
    • 5. ETOH and drug abuse
    • 6. Diabetes, renal disease, cancer
  28. What resp. dz does this patient have:

    Cough and fatigue
    Weight loss
    Low grade fever
    Night sweats
    Hemoptysis
    TB
  29. Hemoptysis is a late sx of which resp. dz?
    TB
  30. What are diagnostics ordered for someone who might have TB?
    • Sputum specimens
    • Smear
    • Culture
    • DNA fingerprinting
    • Positive skin test
    • CXR
  31. List the minimum measurement of induration in the TST readings of these patients:

    1. HIV, Recent contacts of TB, Organ transplants
    2. Children <5yo, Mycobacteriology lab personnel
    3. Injection drug users, Recent arrivals from high-prevalance countries
    • 1. >5mm
    • 2. >15mm
    • 3. >10mm
  32. What are some false positive reasons for a false positive TST test?
    • Nontuberculous mycobacteria
    • BCG vaccination
    • Problems with TST administration
  33. Will a recent TB infection cause a false-positive or false-negative TST?
    false-negative
  34. What are the 4 drug regimen of TB meds. initially 2 months? Which 2 drugs are then dropped off?
    • INH
    • Rifampin (dropped)
    • Pyraazinamide (dropped)
    • Streptomycin or Ethambutol
  35. Which drugs are used during a latent TB?
    9 month regime of ONLY INH.
  36. How long does sputum culture have to be free of TB before they can d/c medications?
    3 months
Author
edeleon
ID
330306
Card Set
Lower respiratory E2
Description
lecture and book notes
Updated