Chapter 7: Respiratory II

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Created by:

kellenmontera  on April 23, 2012

Subjects:

Pathology Assessment

Classes:

Pathology Assesment, Athletic Trainers CSU-P

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Chapter 7: Respiratory II

Asthma
-Reversible airway obstruction resulting from hyperactivity
-Two Components
--Inflammation
--Spasm
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Terms

Definitions

Asthma -Reversible airway obstruction resulting from hyperactivity
-Two Components
--Inflammation
--Spasm
Asthma inflammation -Mucosal Edema
-Increased secretions
Asthma Bronchospasm -Smooth Muscle
-Increase Airway resistance
-Impedes airflow
Asthma triggers -Allergens
-Stress
-Anxiety
-Smoke
-Cold
-Exercise
Asthma S/S -Episodic attacks of SOB & wheezing
-Chest tightness
-Dry Cough
-Transient from minutes to days
-Tachypnea
-Tachycardia
-Wheezes
-Prolong Expiration
-Diminished breath sounds
Asthma Dx Test -Spirometry
-FEV1
-Peak flow meter
Asthma Treatment -Inhaled beta agonists (long/short acting)
-Steroid (inhaled/oral)
-Mast cell stabilizers
-Preventative
-Abortive
-Rescue
Exercised Induced Bronchospasm -10 to 15 minutes after onset of exercise
-Winter sports
-SOB
-Chest congestion or tightness
-Dry cough
-Feeling deconditioned
EIB Treatment -Inhaled beta agonists (Albuterol/Cromolyn MDI)
-Long acting beta agonists (Salmeterol/Singulair)
-Pre warm up bursts of physical activity @ 80-90% of max workload
Bronchitis -Inflammation condition of bronchial passages
--Acute
--Chronic
Acute Bronchitis -Viral
-COPD
-Environmental Allergens
Acute Bronchitis Txmt -Mucolytics
-Cough Suppressants
-NSAIDS
-Fluid/rest
Chronic Obstructive Pulmonary Disease -Related to asthma
-Nonreversible airway obstruction
-Long term smokers
-Two types
--Emphysemsa
--Chronic Bronchitis
Chronic Bronchitis S/s -Productive "smokers cough"
-Edema
-Cyanosis = Blue Bloaters
-Coarse rhonchi, wheezing
-Prolonged expiratory phase
Chronic Bronchitis -Bacterial
-Emphysema
-Txmt
--abx
Emphysema -Destruction of the aveoli and pulmonary capillary bed
-Decreased ability to oxygenate blood as the lung loses it elastic recoil properties
-Compensates with lowered cardiac output and hyperventilation
COPD S/S -Older
-Long standing smoker
-High respiratory Rate
-Ruddy Skin = Pink puffer
-Barrel chest due to hyperinflation
-Diffuse wheezing with decreased breath sounds
-Athletic participation is rare; due to not having pulmonary reserve
COPD EVAL/Txmt -Chest CT
-Oxygen
-Beta agonist
-Anticholinergic
-Glucocorticosteroids
-Smoking Cessation
Pneumonia -Condition that results in inflammation of lung parenchyma
-Viral
-Bacterial (streptococcus)
-Atypical bacteria (mycoplasma pneumoniae)
-Fungal
Pneumonia -SOB
-Pleuritic chest pain
-Productive cough (dark septum)
-Tachypnea
-Labored breathing
-Sputum cs
-CXR
Pneumonia Txmt -Zithromax
-Biaxin
-Cough Syrup
-Pneumococcal Vac.
Pleurisy -Inflammation of pleura that causes pain
-Pleuritis
-Pleuritic Chest Pain
-Pleural effusion
Pleurisy Etiology -Pneumonia
-Tuberculosis
-Rheumatic dz
-Chest trauma
-Cancer
-Asbestos
Pleurisy -Chest pain from any mvmt of chest wall (coughing, sneezing, laughing)
Pleurisy Dx tests -CBC
-CXR
-Chest CT
-Ultrasound
-Friction Rub
-Rales
-Rhonchi
-Decrease breath sounds

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parkerjp9 , kellenmontera