Respiratory pathology

• chronic inflammation of the lungs
• emphysema: barrel chest, SOB, wheeze, clubbing, fatigue, resp acidosis, freq resp infections, productive cough

chronic bronchitis: bronchi become inflamed/scarred, similar ss

• TX: breathing tx, venturi mask (allows for O2 adjust)
• NRB nor recommended.  Respiratory drive from O2-not CO2.  keep them 88-90%

• allergic reaction  IgE
• early-histamines, prostaglandins, leukocytes released
• permeability-->mucus-->obstruction

late (24-48 hours) inflammation-->hypoxia.  CO2 trapping-->RAAS activation

• status asthmaticus: distress refractory to meds
• test; FEV1-forced exp. volume (L/sec). an increase of 12% with bronchodilator=asthma
• PEAK FLOW-  80-100% green  50-79% yellow (inhaler), <50 red (emergent)

• Tx: bronchodilators=relievers, B agonists, anticholinergics. short-acting
• CONTROLERS-corticosteroids, theophyline (stimulant-take w/food).    Long lasting

• Combinations.  still need Rx inhaler handy
• antitussives (work on medulla oblongata)

• Progressive genetic disease
• Build up of mucus in the lungs-->infection-->damage-->failure

SS: cough, infections, wheezing, poor growth, greasy turds, salty sweat

Diagnostic: sweat-chloride test, GI enzyme

Tx: mucolytics, bronchodilators, antibiotics, pancreatic enzyme supplements, CFTR modulator therapy (target malfunction protein)

Inflammation of nose/sinus- increased when lean forward

• Acute= 1 month or less
• Chronic=more

Tx spray, decongestants, px meds, H1 antagonist, Sx (Caldwell-Luke)

• complication that results from infection
• PH ↓  leads to acute kidney damage

exudates fill alveoli-->impairs O2/CO2 exchange

ss: fever, tachypnea, dyspnea, chills, cough, CP, fatigue, myalgia (muscle px), arthralgia (joint px)

LABS WBCs (30-300), ABGs, sputum cultures w/ gram stain

• End result of DVT
• ss tachypnea, hypoxia, pleuritic CP, collapse to floor, fever
• test chest xray (wont show up for 24 hrs), angiogram, ABGs

Tx O2, cough, ROM exercises