Respiratory MDT

These are the types of people known for getting a foriegn body obstruction

SIgn is simple crackles

Progressive excertional dyspnea

DDX for Foriegn Body obstruction

Victims whom obstruction removed outside the hospital

Pt education for foriegn body obstruction

Air enters the plueral cavity and is trapped during expiration

Signs on exam findings of tension pnuemothorax

TX for tension pnuemothorax

Blunt trauma with Borborygmi present in chest

You notice your PT chest wall movement is paradoxical, this happens with multiple rib fx what is this called

What is early TX for flail chest

If your PT has a flail chest and is unable to move secretions what should you do

Obstruction or occulsion of a vessel in the lung by an embolus (sudden lodge in pulmonary artery)

What is the most commom S/S of pulmonary embolism

What is your Operational TX for pulmonary embolism

This occurs when chest becomes air tight after penetration

Occurs in the abscense of an underlying cause, typically in tall, thin young men who smoke; subplural apical blebbs or bullae may be present

Signs and exam findings of pnuemothorax

Both air and blood in the plueral space is considered what

Injury to left lower rib is responsible for rupturing what organ in 20% of all cases

Injury to right lower ribs is associated with what injury in 10% of all cases

Associated with an increased incidence of lung contusions, pneumonia and atelctasis

Pt with multiple rib fx should be hospitalized for

Signs and exam findings for pulmonary contusion

Marked by rapid onset of profound dysnea that usually occurs 12-48 hours after initial injury or illness

Inflamation of the mucus membrane of the bronchi

when do you use Antibiotics to treat acute bronchitis

PT are more than likely to have copious sputum production as well as an abrupt onset of illness, high temperatures, chills, and devellopment of significant pleural effusion

Fevers, Chills Cough, with or without sputum, dysnea, HA, Myalgia, and malaise

PT education for pneumonia

Dominated by constitutional symptoms such as fever, mylaise, and HA, rather than respiratory symptoms; onset of symptoms are gradual

Bronchopneumonia resulting from inhalation of foriegn material usually food particles, vomit into bronchi, fluid, blood saliva, or gastric content. Sometimes developing secondary pneumonia

Circumscribed collection of purulent exudates frequently associated with swelling and other signs of inflamation in the lungs

Cough with expectoration of foul smelling(putrid) purulent sputum, fever, pluritic chest pain and poor dental hygiene

Pain that is usually localized around the second to 5th intercostal space, worsens with movement and breathing, and pain is a limiting factor

May result form underlying lung process, pain may vay from vague discomfort to an intense stabbing sensation, aggravated by breathng and coughing, may be reffered to distant regions, onset is usually sudden

Complications of hyperventilation

What is the TX for Hyperventilation

Non-specific symptoms of chronic hyperventilation

Characteristics of acute hyperventilation syndrom

Inflamatory response from non caseating granulomas; usually asymptomatic and discovered incidentally; spontaneous improvement or clearing is common, onset usually in the 3rd or 4th decades

A mild "smokers Cough", lung hyperinflation, wheezing, recurrent respiratory infections, and prolonged expiratory phase are early findings

Burns to the face, singed nasal hair, blistering around the mouth, soot on the tongue or in the pharynx, burned speks of carbon in the sputum, excessive coughing, wheezing respirations, and excessive restlessness or confusion

Binds to hemoglobin, it forms carboxyhemoglobin, preventing red blood cell from transporting O2

A colorless, odorless, tasteless gas generated by the incomplete combustion of fuels

HA, Tachycardia, irritability, cutaneous flushing, mental confusion, vomiting, incontinence and cyanosis

TX includes High flow O2, encourage deep breathing and coughing, and should be hospitalized for 24 hours

Pt should be hospitalized if Carboxylhemoglobin are higher than

HA (most common sign), nausea vomiting, dysnea on excertion, and palpitations; symptoms are often worse on the second and third day; more severe manifestations include pulmonary edema and encephalopathy

TX for acute mountain sickness

An acute or chronic disorder characterized by widespread and largely reverisble reduction in the caliber of bronchi and bronchioles, due in varing degrees of smooth muscle spasms, mucosal edema, and excessive mucus in the lumens of airways

Types of asthma

A nocturnal cough may be the only symptom

TX for ASthma

A medical emergency demading prompt and effective tx characterized by effusion of serous fluid into the alveoli and interstitial spaces of the lungs

Secondary to CHF, due to increased left atrial pressure with fluid transudation; typical cause include MI or severe ischemia, valvular regurgitation or ventricular septal defect, and mitral stenosis

Secondary injury of the pulmonary capillaries with resulting leakage of fluid; sepsis, drugs, inhalation of smoke or toxic substance, near drowning, burns, aspiration, pancreatitis, high altitude an danemia

Presents with a characteristic clinical picture of severe dyspnea, production of pink frothy sputum, diaphoresis, and cyanosis

TX precaution of Pulmonary edema

10-25% of PT are asymptomatic at the tme of diagnosis, initial symptoms include nonspecific complaints such as cough with or without hemoptysis, dyspnea, and chest pain;late symptoms include weight loss(most common) and weakness