when does biologic death occur with cardiovascular pt
4-6 minutes
who is at greatest risk for CVA?
hyertensive pt
t/f CVA can be detected on a pano
true
what is used for angina pain?
nitroglycerin
t/f nitroglycerin can help with MI pain
false-nitroglycerin cannot help with MI pain
if pt does not respond to a second dose of nitroglycerin what should be done?
assume MI attack and call EMS
what are the signs and symptoms of angina?
pale
faint
sweaty
trouble breathing
anxiety or fear
pain radiate to left or right arm, neck, mandible and possibley absent in chest area (rare)
what shoud you watch for with a pt who has hypertension?
other than the fact that they may have a heart attack in your chair??? or right POSTURAL HYPOTENSION
what is needed for secondary hypertension?
surgical or other correction of the cause is needed
what are the type types of tuberculosis?
active and latent
what is the etiology (orgnaism) of tuberculosis?
mycobacterium tuberculosis
what test is done to detect if a person has been infected with TB
mantoux skin test
does a mantoux skin test show if a person has active TB?
nope
what are five drugs used to treat TB?
Rifapentine
Rifampin
Isoniazid
Pyracinamide
Ethambutol
WOW did you smell that guy he was RRIPE!
what is the etiology of COPD
tobacco and exposure to occupational and environmental pollutants
what is contraindicated for a COPD pt?
epi
N2O
supine
what position should be used for a pt with COPD
6'oclock....oh wait no upright or semi-upright (which can still be done at 6'oclock if ya like..ENJOY)
what does a pt have if they have had a cough with expectoration for at least 3 months for 2 years or more.
Chronic bronchitis
how would you describe a chronic bronichitis pt...remember your BBBB's
Bronchitis=Blue Bloater Both (inspiration and expiration breathing difficulty)
what type of pt has difficulty on breathing during expiration, minimal no productive cough and is barrel chested?
emphysema
would a pt with emphysema have weight loss or gain?
weight loss
how would you describe a pt with emphysema? EEPP!
emphysema=expiration and pink puffers
what are the signs and symptoms of viral pneumonia?
cough
sputum
mild fever
dyspnea
what pulmonary condition is caused by a virus or bacteria?
pneumonia
what is dyspnea
labored or difficulty breathing
what is the most prevalant form of pneumonia? least?
viral
bacterial
which form of pneumonia is nosocomial?
bacterial
what is the tx for bacterial pneumonia
antibiotics
what is the tx for viral pneumonia
no tx just rest
what are the signs and symptoms of bacterial pneumonia
sudden onset
coughing, purulent, sputum
fever
chest pain
dyspnea
tachypnea
what does a pt have who exhibits these symptoms: (yes I want you to diagnose, I know it goes against everything we have been taught but get over it) nasal obstruction, fever, chills, constant mid face pain, palpation over sinus area with tenderness and swelling
sinusitis
what is the etiology of sinusitis?
bacterial infection of the sinus
what are the triggers for sinusitis?
URI, dental infection and direct trauma
what is the treatment for sinusitis?
antibiotics
decogestant
what are the oral findings of sinusitis?
dry mouth
PRESSURE ON MAX MOLARS cause symptoms of a tooth ache
what is chronic inflammatory respiratory disease consistas of recurrent episodes of dyspnea, coughing, wheezing, due to bronchial inflammation muscular constriction and is REVERSIBLE
asthma
what are the side effects of albuterol?
xerostomia
oral candidiasis
what are the oral manifesations of inhalers (bronchodilators)? 5
xerostomia
caries and gingivitis
enamel erosion
oral candidiasis
what are tow meds to treat acute asthma?
albuterol (bronchodilator), theophylline
when scheduling an appt for an asthma pt what should you remind them of prior to their appt?
remind them to bring their inhaler
t/f if asthma pt is uncontrolled you should reappoint until they are controlled
true
what time of day is best for an asthma pt?
late morning/late afternoon appts
what type of LA should be avoided with asthma pt
sulfites
when should epi be given to an astham pt?
if pt decompensates...that tells you a lot I know..sorry?
Author
cassiedh
ID
82840
Card Set
comp pt final
Description
cardiovascular disorders and pulmonary/respiratory conditions
