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ADULT II EXAM 3
yup
56
Health Care
Undergraduate 3
06/27/2012

Additional Health Care Flashcards

 


 

Cards

Term
for ARDS you should ?, for all other resp disorders you should?
Definition
RESTRICT fluids, push fluids for other disorders
Term
RHOncHI
Definition
exHalation, snORing,
Term
wHeezes
Definition
exHalation, High pitched, caused by blocked airflow
Term
in COPD the stimulation to breathe comes from..
Definition
low Pa02, instead of increased Co2. so, you wanna breathe because you're deprived of O2
Term
ARDS meds..
Definition
mucosal barrier fortifier- sucralfate-keeps alveoli from collapsing?.. abx for infection, pain mds, diuretics
Term
beginning stage of ARDS
Definition
injury reduces blood flow to the lungs, making platelets aggregate, these platelets releases substances- serotonin, bradykinin Hist, these substances inflame and damage the alveolar membrane,
Term
middle stages of ARDS
Definition
histamines and other shit increase capillary permeability, allowing fluid to shift into the interstitial space-- tachnypea, dyspnea,
Term
later middle stages of ARDS
Definition
Fluid in alveoli make them collapse, impairing gas exchange, thick frothy sputum. o2 and co2 levels in blood decrease, hypoxemia and hypocapnia
Term
final stage of ARDS
Definition
hypoxemia leads to metabolic acidosis, Co2 will increase at this point, decreased pH, O2, and bicarbonate.. mental confusion will ensue
Term
TB patho
Definition
macrophages surround the bacilli and form tubercles - tubercles in lungs then go through the process of caseation, liquefaction, and cavitation - lesions visible on Xray
Term
diet for TB
Definition
high protein, high calorie
Term
more Co2 equals.. accumulation of excess Co2 in lungs
Definition
acidosis
Term
tension pneumothorax
Definition
positive pressure builds up then the pleural space
Term
open pneumothorax
Definition
an opening through the chest wall allows positive atmospheric pressure to enter the pleural space
Term
spontaneous pneumothorax
Definition
occurs with bleb rupture
Term
a high hco3 indicates
Definition
metabolic alkalosis, or metabolic compensation for chronic respirtatory acidosis
Term
signs of ARF
Definition
abnormal breath sounds, metabolic alkalosis, or metabolic compensation for acidosis - elevated WBCS(infection)
Term
drugs that treat ARF may cause
Definition
hypokalemia and hypochloremia- from diuertics and corticosteroids
Term
cor pulmonale
Definition
right sided heart failure
Term
flail chest
Definition
segment of the rib cage breaks off, move around, causes a lot of pain, kills half the people who have it. accompanied by pulmonary contusions
Term
paradoxical chest movement can be seen in..
Definition
flail chest
Term
pursed lip breathing helps the patient by.
Definition
increasing airway pressure
Term
most important part of upper resp, why?
Definition
glottis, fundamental defense mechanism of the lungs- COUGHING
Term
the right bronchus is..than..
Definition
shorter, wider and more vertical than the left bronchus
Term
the bronchi are lined with..
Definition
cilia
Term
type 2 alveolar cells..
Definition
secrete surfactant- a phosholipid protein that reduces surface tension, preventing alveolar collapse
Term
chest tube "water seal" purpose
Definition
allows air to exit the pleural space on exhalation and prevent air from entering on inhalation
Term
tidaling- rise and fall of water seal level w/ pts respiration
Definition
indicative of patent pleural chest tube
Term
before suctioning you should do what to the client
Definition
hyperoxygenate the
Term
normal ph
Definition
7.35-7.45
Term
normal pCo2
Definition
35-45 mmHg
Term
normal HCo3
Definition
22 to 26 meq
Term
normal Po2
Definition
80-100 mmHg
Term
spontaneous pneumothorax
Definition
occurs with the rupture of a pulmonary bleb
Term
open pneumothorax
Definition
an opening through the chest wall allows air into the pleural space
Term
tension pneumothorax
Definition
blunt chest injury, a build up of positive pressure occurs in the pleural space
Term
ARF occurs when
Definition
insufficient o2 is transported to the blood, or inadequate Co2 is removed from the lungs, and the clients comensatory mechanisms fail
Term
ARDS.. is different from ARF bc
Definition
it occurs as a complication of some other coniditon, caused by a diffuse lungs injury and leads to extravascular fluid
Term
pleural effusion
Definition
collection of fluid in pleural space, mediastinal shift away from the fluid
Term
empyema
Definition
collection of pus within pleural cavity
Term
knife like pain on insp/exha in lower lat lobes
Definition
pleurisy
Term
histoplasmosis
Definition
fungal lung infection/occurs by inhalation of spores
Term
when (P/V ration) ventilation exceeds perfusion..
Definition
a dead space exists.. emboli
Term
which type of lung cancer is most closely associated with smoking?
Definition
small cell lung cancer- (sclc)- fast growing
Term
non small cell lung cancer includes
Definition
squamous adeno and large cell carcinomas
Term
sxs superior vena cava syndrome
Definition
thoracic tumor, facial edema, edema in neck, nosebleeds, peripheral edema, and dsypnea. later- mental status changes, HYPOTENSION, hemorrhage and cyanosis
Term
stomach secretes..
Definition
pepsin, renin, lipase, mucus, and HCl,
Term
the stomach has the intrinsic factor which..
Definition
is necessary for absorption of b12
Term
pancreas secretes three digestive enzymes
Definition
amylase, lipase, trypsin (hormones-insulin, glucagon)
Term
after upper gi series pt may have.
Definition
stools may be light colored for several days
Term
lower gi series uses a
Definition
barium enema
Term
prior to fecal occult blood test, advise patient to not eat..
Definition
red meat, iron and high fiber for 1-3 days before test
Term
important factor in removal of pancreas
Definition
monitor for signs of hyperglycemia
Term
low hnh could indicate
Definition
a bleed
Term
uclerative colitis is
Definition
inflammatory disorder of the large bowel
Term
crohns disease makes the small intestine look like
Definition
congested, thickened, fibrosed, and narrowed intestinal wall. ulceration present
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