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Respiratory conditions study notes
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mmmm
is the most
virulentut
infection
Contagious
for 24 hrs before
SIS
and 5
days
after
subsides
usually
days
n dd
Tamiflu
Sls
onset Zanamivir
Antiviral meds must be
taken w n
Muscle aches
2DAYS_of
onset of
Sls
chills Prevention
is
KEY
fatigue
Educate
pt
on
vaccine
cough
get
in
September
sore throat contraindicated in
pt
W
allergies
Pandemic
Influenza
strict
isolation
IMPLICATIONS
percautions
Pneumonia
history
use
PER
Ear
or sinus
Infections
swlshat
is
going
around
in the community
P E R T
S
S I S vaccine TDP w booster
after
0
gram
pertussis
bacteria attach to cilia
and
damage
them
y
not
soereandiunttesen
PHASE
1
PHASE
2
followed
by
a WHOOPING sound
PHASE 3
less severe
weakness
may
last
6 10
weeks
macro tides
doriot
use
suppressants
antihistamines b
c
they
are not
effective and
can induce
a
episode
donot
use corticosteroids broncho dilators
PULMONARY EMBOLISM
of one or more
pulmonary
a
thrombus
fat
or air embolus
or tumor tissue COMPLICATIONS
palm
HTN
Most
common cause
is DVT
palm
infarction
51g
Dyspnea
Dimer
measures the amount
of
Cross
linked
fibrin
fragments
chest
pain
scan
w
contrast
for
for
pt
w
crackles
or
wheezes palm
Angio
no contrast
in mental
Status
Bas
Hypotension
EKG to
rule out
impending
Doom
feeling
TREATMENT
Oz
therapy
indicated
ABCts
Prevention is
in semi Fowlers
helps improve
ventilation
Incentive
meds
IVC to
prevent
further
emboli
IV Heparin
warfarin
Ford's'Fgaffan
farmeonaeitkry.Y.ge
for
bleeding
man
indication PLUERAL EFFUSION
of
disease
space
fluid
accumulation can be
a
result of
A
pulmonary capillary pressure
found
in heart failure
Oncotic
pressure
r
pleural
membrane
permeability
from
chronic
kidney
or liver
obstruction
of
lymphatic
flow
disease
most
commonly
associated with infections
5
5
dyspnea
underlying
cause
non
radiatiating
chest
ex
give pt
pain
worse
w inhalation diuretic
Diminished breath
sounds
Thoracentesis
Dullness
w
percussion
DS
Chest X
THORACENTESIS L
def
of intra
pleural
fluid
For
therapeuticpurpose
W
Anticag
lung
Sls
respiratory
Usually
1,000 1,2000mL of fluid
is
removed
BEFORE
DURING
consent
forms
monitor
BIP
on
assess
pain
gather
all
supplies
arm
and
vitals AIRTIGHT
pt
sitting
w
dressing
up leaning
over ie
on
a
table sterile
field
for
pathology
aseptic prep
WI
to
send
local
anesthetic
DS h x
physical
exam
Chest
XRay
blood cultures
sputum analysis
Thoracentesis
w
Bronchoscopy
pulse OX
sputumspecimen
to
identify
which antibiotic
to
CARE
Use
UNLESS
in
medical
emergence
then
HCP
whichto
use
pneumococcal vaccine
pain
management
the
pt
to
deep
prevents
Hai
cough
hygiene
sterile
technique
w
suctioning
ask
to
caution
w ventilator
use
avoid
antibiotics use
DRUG
THERAPY
Antibiotics
SHOULD SEEIMPROVEMENT 3 5 DAYS
based
on
known
or
likely
hmmmm
start
w
1 then switch to oral when
Improved Breath
sounds
is stable
Iv
in
Other meds
Iv
w
chestdiscomfort
a
analgesics
a
Repeatchest
in
wks
antivirals for flu
NURSING CARE
CURR
confusion
adequate
hydration
Urea BUN 20mmol
IL
turn
pt
Q
Hrs
High
calorie
frequent
R
Rate
230
min
weight
if
is
B
Blood
K
19
mmHg
unable
to
cough
I
have
pt splint
coughing
to
help
w
pain
consider
hospitalization
degrees
w
eating
3
or more
hospital
admit
Twice
daily
consider rev
Early
PROMOS
Oxygen
RT VAP
take full course of antibiotics
avoid
smoking
alcohol Hydration
hydration
up
Nutrition
TUBERCULOSIS
caused
by
Tmm
Lungs
most common
Area
Factors the Influence
TB transmission
but
can
be
in
of
organisms
expelled
into
the
air
cerebral cortex
concentration
of
a
gpoines
Pott's Disease
Qowmomotheostysetffnosffreextitonedptmunay
adrenal
glands
lodge
in
brochioles
and alveoli
occurs
calcified
granuloma
Gnon lesion
or
infection is walled off
only
of
pts develop
Active
TB
1
Classification
Pulmonary
mm
weeks to
developSls
Primary
Infection
when bacteria
are
COMMON
Isoniazidated
Mmm
initial
dry
cough
that
Infection
becomes
infected
NO ACTIVE DISEASE
Sls asymptomatic
fatigue
malaise Active TB Disease
or
Anorexia
weight
loss
reactivated
TB
low
fever
sweats
www
SIS
Hemoptysis
miliary
bloody
cough
organismsspread
via
bloodstream
Sls
that
can
present
acutely
fatal if
high
chills depending
on the
organs
affected
generalized
like
symptoms
fever
pleuritic
cough
productive
cough
lymphadenopathy
crackles
enlarged
liver
or
spleen
suppressed
less
likely
to
Elderly
have
a
pleural
chest
fever
and
cough
Elderly
Pt
change
in
function
pneumonia
Abdominal TB
Spinal
destruction
Bacterial
meningitis