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Respiratory SystemMedical Surgical Nursing

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Question Answer
Lip cancer is a _______ carcinoma caused by smoking and chronic sun exposure.
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squamous cell carcinoma
In asthma, the initial response of hyperventilation results in _______ . As the bronchioles spasm and close up, air is restricted leading to ______ .
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hyperventilation = respiratory alkalosis bronchioles close up = respiratory acidosis
What are common obstructive disorders (pulmonary)?
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Asthma, emphysema, and chronic bronchitis.
Respiratory distress syndrome (RDS) is a disease of _______ .
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preterm infant
Airway obstructive that is worse with expiration, but can cause difficult inspiration ....
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Obstructive Pulmonary Disease
What are the clinical manifestations of asthma?
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Labored breathing with wheezes; anxiety. It is possible for bronchioles to be so constricted there is no wheezing, if a breathing treatment results in wheezing, they were very closed up, dangerous!
What is Cor pulmonale and what causes it?
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Right side heart failure, not related to LHF. Some type of resistance in the pulmonary circulation which causes increased pressure.
A patient with a tension pneumothorax on the left side will have a tracheal displacement to the ______ .
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right
A child has aspirated a foreign object... Coughing, wheezing, choking = Stridor =
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Coughing, choking, gagging, wheezing = lower part of the lung. Stridor = upper bronchioles.
What is the pathology for chronic bronchitis?
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Inspired irritants (smoking) leads to increased mucus production, increase in size/number of mucus glands leads to impaired ciliary function which leads to thick mucus.
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What can happen in a severe pulmonary stenosis?
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Increased pressure may reopen FO and lead to a right to left shift.
How is pulmonary stenosis treated?
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Valvulotomy/valvuloplasty (balloon opens valve).
What atelectasis?
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Collapse of the lung tissue resulting from obstructed alveoli (mainly fluid).
What are signs and symptoms of pulmonary edema?
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Dyspnea, orthopnea, hypoxemia, crackles, pink frothy sputum, and cough.
What are causes of pulmonary edema?
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LHF; an infection/inflammatory response (like ARDS or chemical exposure); obstruction of lymph drainage (tumor).
Patients with hemolytic uremic syndrome usually have ______ and _______.
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acidosis; hyperkalemia (cardiac dysrhythmias)
Kussmaul respirations occur in _______ conditions. _______ causes the body to expel as much _______ as possible. Signs and symptoms of _______ .
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metabolic acidosis; lungs push out as much CO2 as possible and signs and symptoms of pulmonary disease.
_______ is poorly differentiated, grows, and metastasizes quickly. Survival rate at 5 years is 15%.
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Large cell carcinoma
Cystic fibrosis is a _______ multisystem disease.
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Autosomal recessive
The swelling of the lumen of the trachea in young children with bacterial tracheitis causes a squeaking sound called _______ .
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Strider (mouse squeak)
The _______ population are prone to typical/community acquired pneumonia.
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sick and/or elderly
  
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