rbeck911 - Ivy Tech med surg 1 - respiratory illness signs and symptoms

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Focuses on the S&S of respiratory illnesses covered in the respiratory lecture notes from Ivy Techs med surg 1

Acute pharyngitis

Pt presents with a sore throat, difficulty swallowing, swollen lymph nodes, fever, malaise, cough, and lab reveals an increase in WBC. This patient is suspected to have...

chronic pharyngitis

Pt complains of a chronic cough and constant sore throat with mucus collecting in throat causing swallowing difficulty. S&S have persisted for over 2 years. When CA is ruled out, this patient is suspected to have...

Laryngitis

Pt c/o hoarseness with a sever cough. Pt also has aphonia (complete loss of voice. Pt has a hx of GERD. This patient is suspected to have

Sleep apnea

Obese male pt complains of waking suddenly and gasping for air. When you ask his wife about sleep habbits, she tells you that he snores and often quits breathing for greater than 10 seconds during HS. This patient is suspected to have ...

Atelectasis

A male, obese, post op patient with a hx of smoking presents with hypoxemia, dyspnea, tachypnea, tachycardia, and cyanosis. Breath sounds are bronchial and diminished and crackles can be heard. This patient is suspected to have...

Pneumonia

pt presents with fever alternating between chills and sweats, pleuretic chest pain with a productive cough. Hemoptysis, and dyspnea also present. Patient states that he has had a headache and fatigue for three days leading up the current symptoms. This patient is suspected to have...

Adult (Acute) Respiratory distress syndrome

A pt suffering from a car accident was taken into emergency surgery. 3 days post op, his condition has began to stabalize, however on your shift he begins to appear restless with tachycardia. You auscultate crackles and ronchi and see the patient has a o2 saturation of 89%. Pt states his lungs feel stiff, and then has a rapid onset of severe dyspnea. Pt is stabalized and sent to xray which reveals pulmonary edema. This patient is suspected to have....

Acute respiratory irritation

PT presents with SOB and pain upon inspiration. Pt states that he inhaled a hazardous material at the work place. Xray reveals pulmonary edema. This patient is suspected to have...

Occupational asthma

pt presents with sob, wheezes upon inspiration and expiration. Pt states that he only experiences these symptoms while at work. Pt denies exerting self before onset of symptoms and tells you that he wonders if he may be allergic to something at his work. This patient is suspected to have

Hypersensitivity pneumonitis

a pt presents with sob after painting a restaurant that has been closed for an extreme presence of fungus. This patient is suspected to have....

Pneumoconioses

A 55 year old pt is brought to you from working in a coal mine. He collapsed at work and is now awake complaining of progressive symptoms over a period of years that include SOB and the feeling that he cannot take a full breath. You know that there is a high dust presence in coal mines and suspect that this patient has developed....

Lung CA

A patient presents with a persistent cough that produces rust colored sputum. Patient states that he has had unexplained weight loss and fatigue within the past 6 months. Pt c/o chest pain, especially upon inspiration. Pt also states that he has dyspnea randomly throughout his day. This patient is suspected to have....

Pneumothorax - Moderate

Patient presents with intense pain especially upon inspiration. when you assess the patient, you notice tachycardia and that the patient appears anxious. Further inspection reveals asymmetrical chest expansion and breath sounds are diminished on the right side. Patient is not cyonotic and does not have jugular vein distention. This patient is displaying signs of .....

Pneumothorax - Severe

Patient presents with intense pain especially upon inspiration. when you assess the patient, you notice tachycardia and that the patient appears anxious. Further inspection reveals asymmetrical chest expansion and breath sounds are diminished on the right side. Patient is now turning cyonotic and inspection reveals jugular vein distention and tracheal deviation to the left side. Patients breath sounds are absent on right side. you suspect...

Emphysema

pt presents with barrel chest and is struggling to breath. + hx of smoking. Inspection reveals cyanosis around the lips, clubbing of the fingers, and pitting peripheral edema. Xray reveals cardiomegaly. This patient displays classic symptoms of....

Chronic bronchitis

pt presents with wheezes and is struggling to breath. Patient states an intolerance to activity. Patient also has copious amounts of sputum. This patient is suspected to have .....

Bronchiectasis

pt presents with cough and purulent sputum in large quantities. Hemoptysis and nasal stuffiness are among his complaints. You notice clubbing of the fingers. you suspect that this patient has....

Asthma

Patient presents with a cough, dyspnea with wheezes. Patient states "I know I am going to die". You notice that the patients expiration are prolonged and breath sounds are diminished. Hr is elevated and B/p is 164/88 Patient is definitely tachypnic. You know that this patient most likely is suffering from....

aging - normal physiological changes in older years

an elderly patient comes to you and states that her nose has enlarged over the years. You notice tonsillar atrophy and deviation in the trachea related to progressive spinal changes. She has a decreased vital capacity, decreased cough reflex, decreased breathing efficiency, and o2 sat of 93% on room air, and she is breathing at a rate of 22 breaths per minute. after checking her vital signs, you know that they are stable. You are not worried and inform the patient that these are all symptoms of....

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