Heart rate will increase
biggest reason you could see flushing- blood volume to increase
NOT ON TEST
mediator released from mast cells upon contact with allergens. COPD. asthma
nasonex- stops 8 of those 12
singular- main one
effects all 12 mediators, "steroids", are powerful drugs that can quickly reduce inflammation and pain. To maximize benefits, but minimize potential side effects, corticosteroids are usually prescribed in low doses or for short durations.
the nurse has4 pt.
20 yo f ns kvo
post static asthmatic is at discharge
lady screaming out in pain
Answer: post static asthmatic is at discharge
****you will hear nothing when you auscultate.
reg brochodialtors will not work
50/50% chance of survival- anoxia
ICS- an inhaled bronchodilator (trade name Atrovent), Ipratropium bromide
Asthma, COPD , Allergic rhinitis
why can't take formoterol?
outside the scope of practice of an RN?
Like albuteral.... can sudden cardiac death.
Adrenergic agonoist, B2 selective agonist, similar to salmeterol, more rapid onset of action
foradil- long acting albuterol.... an ER drug.
giving the client breaths that are 1 to 1.5 times the tidal volume through the ventilator circuit or via a manual resuscitation bag. quick breath
why wld a person with emphysema have hyperinflation?
increased pressure. you can blow out your aveoli
incomplete emptying of alveoli during expiration due to loss of lung tissue elasticity (emphysema), bronchospasm (asthma), or airway obstruction; cant perfuse appropriately. acid base. like tieing off a ballon. blowing it up and deflated. over stretching. body gets pissed off and sends fluid.
an abnormal condition of the lungs marked by decreased respiratory function. Risk factor: SMOKING, chronic bronchotis, age (smoking is modified risk factory)
lower-pitched sounds like snoring or rattling, secretions in larger airways (pneumonia, bronchitis, aspiration) larger airways. sounds like a train--- a bunch of air trapped off. lower trachea starts to become inflammed.
What two, generally smoking related diseases, are commonly associated with each other and form COPD?
chronic bronchitis and emphysema
chronic bronchitis and emphysema
****NTK MAJOR DIFFERENCE• Pulmonary Emphysema: Loss of elasticity and hyperinflation of the lungs. Aveloli collapse and air becomes trapped in lungs.
• Chronic Bronchitis: Inflammation of the bronchi and bronchioles caused by exposure to irritants, especially smoke. (vasodilation of airways and increased mucous)
• Consider age, gender, occupational history, and race
• Hypoxia, hypoxemia, fatigue, weakness
• Warm cyanotic extremities/lips, bounding pulse, distended neck veins
• Nausea or anorexia, chronic cough, acidosis
taking a beta agonist? what can it do it to your heart?
Bronchodilation - given to COPD and asthma patients. Beta antagonists contraindicated in these patients., increased myo. contraction, rate via av node
tx of clinical heart failure
Side effects:htn, angina prctoris, fatal cardiac arrhythmias
long acting beta agonists
important for asthma control but should not be used for rescue drugs, They have a slower onset and will not rapidly relieve bronchoconstriction, Patients have "gotten into trouble" ie developed life-threatening bronchodilatation from trying to use long acting B2s for acute symptoms.
sick building syndrome
a set of symptoms, such as headache, fatigue, eye irritation, and dizziness, that may affect workers in modern, airtight office buildings; believed to be caused by indoor pollutants
NTK: respiratory failure that results in cardiac failure or ominous of uncontrolled COPD.. lots of fluids on heart. can give viagra.
enlargement of the right ventricle of the heart due to disease of the lungs or of the pulmonary blood vessels.
An upright position in which the patient leans forward onto two arms stretched forward and thrusts the head and chin forward.
electolytes are monitored in COPD because
if lungs are taking a hit then your kidneys are in overdrive. Complete metabolic panel.
impaired gas exchange
ineffective breathing pattern
ineffective airway clearance
imbalanced nutrition: < body req.
NOT ON TEST....elevated pulmonary pressure resulting from an increase in pulmonary vascular resistance to blood flow through small arteries and arterioles., mean pulmonary artery pressure 5-10 mmHg above normal or >20 mmHg (normal value = 15-18 mmHg). TX viagra 5HT2- dialates pulm arteries and veins
- Effects on body systems
- Therapeutic uses
- Chemical characteristics
Example - Morphine
- CNS depressant
- narcotic analgesic
Schedule 1 drugs
Cocaine. prescription or legend drugs, schedule 1: high potential for abuse, no current medical use, lack of safety for use of drug under medical supervision (heroin, peyote, mescaline, hash, psilocybin, etc.
CAN look like TB and lung carcinoma; generally benign flinding; excess growth of grandular tissue. a chronic disease of unknown cause marked by the formation of nodules in the lungs and liver and lymph glands and salivary glands
atelectasis and pneumothorax difference
pneumothorax will have air in sac- collasped lung
atelectasis-collapse alveoli; acute condition like pneumonia; rarely will it be chronic except for Marfan syndrome
atelectasis can lead to pnemothorax