Study sets matching "upper respiratory"

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Study sets matching "upper respiratory"

168 terms
Upper Respiratory
Allergic rhinitis testing
Otitis media pathogens
When to take ear specimens for otitis…
Problems with taking ear specimen for…
- CBC for eosinophils... - Nasal secretions - smear for eosinoph…
- Streptococcus pneumonae... - Haemophilus influenzae... - Moraxell…
- If no improvement... - If fever develops while on antibiotic
- Scant specimens... - Cerumen has colonized
Allergic rhinitis testing
- CBC for eosinophils... - Nasal secretions - smear for eosinoph…
Otitis media pathogens
- Streptococcus pneumonae... - Haemophilus influenzae... - Moraxell…
22 terms
upper respiratory
upper respiratory infections
allergy symptoms
URI
influenza
illnesses caused by acute infection that involves the nose, s…
itchy water eyes... nasal congestion... sneezing - Very common... some…
Very Common:... -sneezing... -sore throat... Common:... -nasal discharge…
Very common:... -malaise... -fever... -fatigue... -malaise... -muscle pain... C…
upper respiratory infections
illnesses caused by acute infection that involves the nose, s…
allergy symptoms
itchy water eyes... nasal congestion... sneezing - Very common... some…
19 terms
Upper Respiratory
Allergic rhinitis
Deviated septum
Epistaxis
Rhinoplasty
the reaction of the nasal mucosa to a specific allergen.
a deflection of the normally straight nasal septum.
nosebleed
surgical repair of the nose
Allergic rhinitis
the reaction of the nasal mucosa to a specific allergen.
Deviated septum
a deflection of the normally straight nasal septum.
17 terms
Upper Respiratory
aphonia
epistaxis
exacerbation
decongestant
complete voice loss
nose bleeding
sudden worsening of symptoms
cause vascular constriction within the capillaries of the muc…
aphonia
complete voice loss
epistaxis
nose bleeding
Upper Respiratory
Histamine
Antihistamine action
Antihistamine actions
Antihistamine uses
released in response to allergic reaction, dilate arterioles,…
competes with histamine at receptor site, preventing effect o…
block histamine effect, preventing effect on tissue by blocki…
seasonal allergies, allergic rhinitis, allergic conjunctiviti…
Histamine
released in response to allergic reaction, dilate arterioles,…
Antihistamine action
competes with histamine at receptor site, preventing effect o…
Upper Respiratory
Acute Rhinitis (Coryza)
Acute Rhinitis (Coryza) Most common vi…
Acute Rhinitis (Coryza) SX
Acute Rhinitis (Coryza) Diagnostic Tes…
Most common infectious disease... Acute viral infection or peren…
*Rhinovirus... Coronavirus... Myxovirus... Adenovirus... Coxsackievirus... E…
*Red & swollen nasal mucosa congestion... *Sneezing... *Rhinorrhea…
None except to r/o allergic rhinitis, measles, rubella
Acute Rhinitis (Coryza)
Most common infectious disease... Acute viral infection or peren…
Acute Rhinitis (Coryza) Most common vi…
*Rhinovirus... Coronavirus... Myxovirus... Adenovirus... Coxsackievirus... E…
24 terms
Upper Respiratory
Frontal sinus
Nasal conchae
Nasal meatuses (superior, middle, infe…
Nasal vestibule
Frontal sinus
Nasal conchae
17 terms
upper respiratory
nose, nasal cavity, paranasal sinuses,…
external nare
internal nare
inferior nasal conchae
upper respiratory system
nose, nasal cavity, paranasal sinuses,…
upper respiratory system
external nare
10 terms
Upper respiratory
Nas/o
Rhin/o
Sept/o
Sinus/o
Nose
Nose
Septum
Sinus,cavity
Nas/o
Nose
Rhin/o
Nose
53 terms
Respiratory upper
nasal cavity
larynx
trachea
cribriform plate of ethmoid bone
nasal cavity
larynx
8 terms
Upper Respiratory
Adenoido
Laryngo
Naso/rhino
Pharyngo
Adenoids
Larynx, voice box
Nose
Pharynx, throat
Adenoido
Adenoids
Laryngo
Larynx, voice box
31 terms
Upper Respiratory
what does the upper respiratory tract…
what are the nostrils also known as?
what are the nares?
where are the nasal passages located?
nose, nasal passageways, pharynx, larynx, trachea
nares
external openings of the respiratory tube and they lead to th…
between the nares and the pharynx
what does the upper respiratory tract…
nose, nasal passageways, pharynx, larynx, trachea
what are the nostrils also known as?
nares
Upper Respiratory
diphenhydramine (antihistamine) side e…
diphenhydramine contraindications
fluticasone side effects
When should a patient not use an intra…
anticholinergic effects (urinary retention, dry mouth) hypote…
prostate hypertrophy or narrow-angle glaucoma
nasal irritation or nose bleeds
With known infection, be causes corticosteroids suppress immu…
diphenhydramine (antihistamine) side e…
anticholinergic effects (urinary retention, dry mouth) hypote…
diphenhydramine contraindications
prostate hypertrophy or narrow-angle glaucoma
39 terms
Upper Respiratory
What is included in the upper respirat…
What is the function of the upper resp…
What does lower respiratory system con…
What is Viral Upper Respiratory Infect…
-nose, sinuses, pharynx, larynx- closes when we swallow so fo…
-serves as passageway for air and CO2 exchange in the lungs... -…
-lungs-right has three lobes and the left is smaller and has…
-Most common cause is the rhinovirus... -spread by aero-solized…
What is included in the upper respirat…
-nose, sinuses, pharynx, larynx- closes when we swallow so fo…
What is the function of the upper resp…
-serves as passageway for air and CO2 exchange in the lungs... -…
47 terms
Upper Respiratory Infection Microbiology
Clinical Manifestation of Rhinitis
Pathophysiology of Rhinitis
Why doesn't rhinovirus spread further…
Greatest Source of Spread of Rhinoviru…
Nasal stuffiness, headache, sneezing
Rhinovirus infects cells lining nasal passages and pharynx ->…
Because rhinoviruses have an optimal growth temp. of ~32 degr…
Fingers; nasal mucosa and conjunctival surface of eye are mos…
Clinical Manifestation of Rhinitis
Nasal stuffiness, headache, sneezing
Pathophysiology of Rhinitis
Rhinovirus infects cells lining nasal passages and pharynx ->…
25 terms
Upper Respiratory
Rhinovirus. lasts? seasonal?
Rhino lasts... Adeno lasts... Coronoa lasts
Adenovirus causes? pathogenesis? survi…
Complication of adenovirus in children
Rhinitis-cold... IV Picorna: + RNA... naked, icosahedral... greater th…
Rhino 2-7days- not winter rhino ruins summer... Adeno 7days-3mon…
class I, naked, icosahedral, linear... exudative pharyngitis, co…
hemorrhagic cystitis
Rhinovirus. lasts? seasonal?
Rhinitis-cold... IV Picorna: + RNA... naked, icosahedral... greater th…
Rhino lasts... Adeno lasts... Coronoa lasts
Rhino 2-7days- not winter rhino ruins summer... Adeno 7days-3mon…
14 terms
Upper Respiratory
nasal septum
apex
external naris
ala
nasal septum
apex
24 terms
Upper Respiratory
What is a deviated septum?
What is a common nasal fracture?
Name 2 different nasal fractures?
Nursing management for nasal Fx?
deflection of the normally straight nasal septum, which alter…
Bilateral Fx, gives nose a flattened look.
unilateral and complex Fx, which may involve damage to adjace…
Maintain airway, reduce edema, prevent complication, elevate…
What is a deviated septum?
deflection of the normally straight nasal septum, which alter…
What is a common nasal fracture?
Bilateral Fx, gives nose a flattened look.
Upper Respiratory
nose, sinuses, pharynx, larynx, trachea
cleanses, humidifies and warms the air
ventilation
ventilation, perfusion, diffusion
Upper respiratory system consists of what parts
what is the function of the respiratory system
inspiration and expiration of air is called
three components of respiration are
nose, sinuses, pharynx, larynx, trachea
Upper respiratory system consists of what parts
cleanses, humidifies and warms the air
what is the function of the respiratory system
7 terms
Upper Respiratory
Decongestants... Actions... Uses... Therapeutic…
Antihistamines... Actions... Uses... Therapeuti…
Respiratory ... Antiinflammatory Agents... A…
Upper Respirator Diseases... Common Cold Tx
■Actions... -Stimulate alpha-adrenergic receptors of nasal mucou…
Actions... -Compete with allergy-liberated histamine for H1 rece…
intranasal corticosteroids... ■Actions... -Reduce inflammation; mec…
Common cold... -Limited to relief of symptoms... -Decongestants are…
Decongestants... Actions... Uses... Therapeutic…
■Actions... -Stimulate alpha-adrenergic receptors of nasal mucou…
Antihistamines... Actions... Uses... Therapeuti…
Actions... -Compete with allergy-liberated histamine for H1 rece…
5 terms
Upper respiratory
Antitussive
Decongestant
Antihistamines
Expectorant
Block cough reflex
Decrease blood flow to URT and decrease the overproduction of…
Block release of histamine that increase secretions and narro…
Increase productive cough to clear airways
Antitussive
Block cough reflex
Decongestant
Decrease blood flow to URT and decrease the overproduction of…
16 terms
upper respiratory
separates oral and nasal cavities
food passageway posterior to the trachea
closes off the larynx during swallowing
windpipe
palate (hard)
esophagus
epiglottis
trachea
separates oral and nasal cavities
palate (hard)
food passageway posterior to the trachea
esophagus
Upper Respiratory
Epistaxis
Epistaxis: Causes
Epistaxis: Treatment
Epistaxis: Considerations
Nosebleed
-Low humidity... -Allergies... -Upper Respiratory Infections... -Sinus…
-Apply localized digital pressure for minimum 5-10 minutes, s…
-Nasal packing may impair resp status... -Closely monitor resp r…
Epistaxis
Nosebleed
Epistaxis: Causes
-Low humidity... -Allergies... -Upper Respiratory Infections... -Sinus…
upper respiratory
Deviated Septum
Nasal Fracture
types of nasal fractures
Rhinoplasty
NO ASA OR NSAIDS for 2 weeks prior to surgery
#1 way to prevent= sports equipment... - epistaxis may be the on…
unilateral- produces little to no placement... bilateral- most c…
surgical reconstruction of the nose... 1. Oupatient= regional an…
Deviated Septum
NO ASA OR NSAIDS for 2 weeks prior to surgery
Nasal Fracture
#1 way to prevent= sports equipment... - epistaxis may be the on…
Upper Respiratory
rhinosinusitis
causes of rhinosinusitis
pharyngitis patho
s/s of pharyngitis
common cold
strep, pneumonia, flu
viral (adenovirus, flu, epstein-barr, herpes) or bacterial (b…
fiery-red pharyngeal membranes, swollen lymph nodes
rhinosinusitis
common cold
causes of rhinosinusitis
strep, pneumonia, flu
46 terms
Upper Respiratory
floor of nasal cavity
External nose
Bones and cartilage of external nose
roof of nasal cavity
palatine process of maxilla and horizontal plate palatine bon…
root, bridge, dorsum Nasi (creates nasofacial angle), apex, a…
nasal bone, maxillae frontal process, nasal part of frontal b…
frontal bone, cribriform plate of ethmoid, beneath cranial fo…
floor of nasal cavity
palatine process of maxilla and horizontal plate palatine bon…
External nose
root, bridge, dorsum Nasi (creates nasofacial angle), apex, a…
27 terms
Upper respiratory
Rhinitis
Rhinitis sx
Rhinitis pharmacologic
Sinusitis
Inflammation of nasal mucosa
Congestion sneezing itching rhinorrhea ha
Antihistamines corticosteroids nasal spray
Inflammation of mucous membrane of sinuses
Rhinitis
Inflammation of nasal mucosa
Rhinitis sx
Congestion sneezing itching rhinorrhea ha
53 terms
Respiratory upper
nasal cavity
larynx
trachea
cribriform plate of ethmoid bone
nasal cavity
larynx
125 terms
Upper Respiratory
#1 way to loosen secretions?
Ways to prevent respiratory infection
What causes pulmonary embolism?
How do we prevent DVTs?
Increase fluids. This thins the mucous and the patient is abl…
*WASH hands... *Avoid the sick... *Sneeze in the elbow... *Incentive s…
DVTs
*SCD's... *Low molecular weight heparin (Lovenox)
#1 way to loosen secretions?
Increase fluids. This thins the mucous and the patient is abl…
Ways to prevent respiratory infection
*WASH hands... *Avoid the sick... *Sneeze in the elbow... *Incentive s…
23 terms
Upper Respiratory
Upper Respiratory Tract
Upper Respiratory Medications
Antihistamines: MOA
Antihistamines: Side effects
-Nares... -Nasal cavity... -Pharynx... -Larynx
-Antihistamines... -Decongestants... -Intranasal Glucocorticoids... -A…
-Used for: Allergic Rhinitis... -H1 blocker: Prevents histamine…
-1st generation... +Drowsiness... + Dry mouth... + Anticholinergic…
Upper Respiratory Tract
-Nares... -Nasal cavity... -Pharynx... -Larynx
Upper Respiratory Medications
-Antihistamines... -Decongestants... -Intranasal Glucocorticoids... -A…
Upper respiratory
nasal cavity
pharynx
larynx
trachea
nasal cavity
pharynx
53 terms
Upper respiratory
Upper respiratory disorders
Upper respiratory drug therapy advanta…
Upper respiratory inhaler types
Metered dose inhaler
Cold... Cough... Influenza... Allergic rhinitis
Local increased therapeutic effects... Minimal systemic effects…
Metered dose inhalers (MDIs)... Dry powder inhalers (DPIs)... Nebul…
Use a chemical propellant to push the meds out of the cannister
Upper respiratory disorders
Cold... Cough... Influenza... Allergic rhinitis
Upper respiratory drug therapy advanta…
Local increased therapeutic effects... Minimal systemic effects…
11 terms
upper respiratory
2 most common conditions in PCP
first line for URIs
first line for allergic rhinitis
second line for URIs
viral URI and allergic rhinitis
decongestants
anti-histamines... leukotriene receptor antagonists
intranasal corticosteroids
2 most common conditions in PCP
viral URI and allergic rhinitis
first line for URIs
decongestants
120 terms
Upper Respiratory
pack years
Why should people on nicotine replacem…
Cranial nerve of the nose
Upper airways include
number of packs per day times number of years the patient has…
smoking while taking these drugs greatly increases circulatin…
cranial nerve I (olfactory)
1. nose... 2. sinuses... 3. pharynx... 4. larynx
pack years
number of packs per day times number of years the patient has…
Why should people on nicotine replacem…
smoking while taking these drugs greatly increases circulatin…
Upper respiratory
27 and 36 weeks gestation during each…
people in the baby's life being fully…
children, not adults.
weight loss, urinary incontinence, syn…
The Advisory Committee on Immunization Practices recommends a…
Cocooning refers to:
DTP vaccine is recommended for:
Pertussis can be associated with significant morbidity. Sever…
27 and 36 weeks gestation during each…
The Advisory Committee on Immunization Practices recommends a…
people in the baby's life being fully…
Cocooning refers to:
Upper Respiratory
Diphenhydramine
Why is PT taking diphenhydramine
Assessment for diphenhydramine
Side effects for diphendydramine
(Benadryl) 1st Generation antihistamine
For allergic reaction, insomnia or rhinitis (stuffy nose)
S/S of urinary dysfunction, note cbc during drub therapy, mon…
Nausea/vomiting, reduced secretions (dry mouth, constipation,…
Diphenhydramine
(Benadryl) 1st Generation antihistamine
Why is PT taking diphenhydramine
For allergic reaction, insomnia or rhinitis (stuffy nose)
19 terms
Upper Respiratory
Nasal surgery teach
Most important step in managing allerg…
allergic rhinitus manifestations
goal of sinitus and rhinitus medicatio…
no blowing nose, wait 4-6 weeks of lifting and strenuous acti…
identifying and avoiding triggers
sneezing, itching watery eyes, pressure, congestion, watery d…
to reduce inflammation
Nasal surgery teach
no blowing nose, wait 4-6 weeks of lifting and strenuous acti…
Most important step in managing allerg…
identifying and avoiding triggers
upper respiratory
rhinitis
types of rhinitis
perennial rhinitis
seasonal rhinitis
-inflammation and irritation of the mucous membranes of the n…
-acute/chronic... -allergic/nonallergic... -seasonal... -perennial
-dust... -dander... -plant pollens
pollen
rhinitis
-inflammation and irritation of the mucous membranes of the n…
types of rhinitis
-acute/chronic... -allergic/nonallergic... -seasonal... -perennial
Upper Respiratory
respiratory infections are...
infectious viruses
infectious bacteria
infants younger than 3 months have
cause of majority of acute illnesses in children
RSV... parainfluenza
Group A B-hemolytic Streptococci... Staphylococci... Chlamydia trac…
maternal antibodies for protection
respiratory infections are...
cause of majority of acute illnesses in children
infectious viruses
RSV... parainfluenza
Upper Respiratory
Allergic rhinitis
Deviated septum
Epistaxis
Esophageal speech
reaction of the nasal mucosa to a specific allergen
deflection of the normally straight nasal septum
(nosebleed) occurs in a bimodal distribution, with kids aged…
involves swallowing air, trapping it in the esophagus, and re…
Allergic rhinitis
reaction of the nasal mucosa to a specific allergen
Deviated septum
deflection of the normally straight nasal septum
8 terms
Upper Respiratory
Diphenhydramine
Loratadine
Certirizine
Pseuodoephedrine
sedating histamine blocker; used for allergic reactions, cold…
nonsedating histamine blocker; used for allergic reactions, c…
nonsedating histamine blocker; used for allergic reactions, c…
adrenergic nasal decongestant, constriction of small arteriol…
Diphenhydramine
sedating histamine blocker; used for allergic reactions, cold…
Loratadine
nonsedating histamine blocker; used for allergic reactions, c…
Upper Respiratory
Diphenhydramine
Chlorpheniramine
Promethazine
Fexofenadine
Benadryl- Anti 1st generation
Chlortimeton- Anti 1st generation
Phenergan- Anti 1st generation
Allegra- Anti 2nd generation
Diphenhydramine
Benadryl- Anti 1st generation
Chlorpheniramine
Chlortimeton- Anti 1st generation
upper respiratory
antihistamine
anitihistamine h1
anthihistamine h2
2nd gen antihistamines
-prevents histamine response... -h1,h2... -cold remedies... -most abso…
-extra vascular smooth muscles constrict
-increase in gastric secretions
lowe incidence of drowsiness,
antihistamine
-prevents histamine response... -h1,h2... -cold remedies... -most abso…
anitihistamine h1
-extra vascular smooth muscles constrict
Upper Respiratory
Upper Meds
Rhinitis
High Eosinophils
High Lymphocytes
1. Leukotrienes... 2. Mast Cell Inhibitors... 3. Antihistamines... 4.…
1. Inflammation of nasal mucosa can often involve the sinuses…
Hay Fever
Bacterial
Upper Meds
1. Leukotrienes... 2. Mast Cell Inhibitors... 3. Antihistamines... 4.…
Rhinitis
1. Inflammation of nasal mucosa can often involve the sinuses…
37 terms
Upper Respiratory
Oral Airway Contraindications
Nasal airway contraindications
Nasotracheal airway
Orotracheal airway
Facial trauma, oral surgery, unconscious patients
Facial fx, nasal obstructions
Difficult to insert, so don't use in emergency... Smaller tube... N…
Easy insertion: Good for emergencies
Oral Airway Contraindications
Facial trauma, oral surgery, unconscious patients
Nasal airway contraindications
Facial fx, nasal obstructions
Upper Respiratory
Deviated Septum Assessment
Deviated Septum Management
Nasal Fracture Assessment
Nasal Fracture Management
- septum bent to one side... - obstruction of nasal breathing... -…
- maintain airway and reduce edema... - nasal allergy control... -…
- Epistaxis (only sign maybe)... - edema... - hematoma... - raccoon eyes
- ice packs... - pre/post op teaching... - monitor/care for nasal p…
Deviated Septum Assessment
- septum bent to one side... - obstruction of nasal breathing... -…
Deviated Septum Management
- maintain airway and reduce edema... - nasal allergy control... -…
73 terms
Upper Respiratory
antitussive
decongestants
antihistamines
expectorants
drugs that block the cough reflex (dextromethorphan)
drugs that decrease the blood flow to an area by vasoconstric…
drugs that block the release or action of histamine, a chemic…
drugs that increase productive cough to clear the airways
antitussive
drugs that block the cough reflex (dextromethorphan)
decongestants
drugs that decrease the blood flow to an area by vasoconstric…
17 terms
Upper respiratory
Deviated Septum
Nasal Fracture
Nasal Surgery Care
Epistaxis causes
deflection of normally straight nasal septum ... concern: air mo…
unilateral, bilateral, complex... S/S: ecchymosis, edema, bleedi…
respiratory status: position, assess airway... pain management:…
trauma... foreign bodies ... nasal sprays... street drug use ... anatomic…
Deviated Septum
deflection of normally straight nasal septum ... concern: air mo…
Nasal Fracture
unilateral, bilateral, complex... S/S: ecchymosis, edema, bleedi…
61 terms
Upper Respiratory
What is the most common pathogen of th…
Sxs of common cold
Derm reaction in some pre-school/eleme…
Minimum age for NSAID
Rhinovirus. Also coronavirus, adenovirus, and RSV
Nasal congestion ... Sneezing... Sore throat... Cough... Low grade temp... H…
Viral exanthema
6 months
What is the most common pathogen of th…
Rhinovirus. Also coronavirus, adenovirus, and RSV
Sxs of common cold
Nasal congestion ... Sneezing... Sore throat... Cough... Low grade temp... H…
Upper Respiratory
Cancer of the Larynx: Early Signs
Cancer of the Larynx: Late Signs
Cancer of the Larynx: Signs of Metasta…
Cancer of the Larynx: Diagnostic tests
-persistent cough/sore throat... -pain/burning at the throat, es…
-dysphagia... -dyspnea... -unilateral nasal obstruction/discharge... -…
-cervical lymph adenopathy... -unintentional weight loss... -genera…
-endoscopy... -optical imaging... -CT scans
Cancer of the Larynx: Early Signs
-persistent cough/sore throat... -pain/burning at the throat, es…
Cancer of the Larynx: Late Signs
-dysphagia... -dyspnea... -unilateral nasal obstruction/discharge... -…
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