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Lower Respiratory ProblemsMedical Surgical Nursing

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Question Answer
If a person has an acute onset of a lung abscess, it is most likely caused by a _______ organism. If it has an insidious onset, it is most likely caused by a __________ organism.
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Acute = aerobic Insidious = anaerobic
A patient comes into the clinic with fever, chills, dyspnea, cough and chest pain when he breathes in. While he's in the office, he coughs up malodorous, brown sputum. You suspect this patient has developed....
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A lung abscess
What oral changes are common in a patient with lung abscesses?
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Cavities, gingivitis, peridontal infection
T/F A lung abscess can spread hematogenously to the brain and cause a brain abscess.
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True
What are complications that can occur from lung abscesses?
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Chronic pulmonary abscesses, bronchiectasis, bronchpleural fistulas, empyema from abscess perforation into the pleural cavity, brain abscess
T/F It is not necessary to surgically drain a lung abscess as long as the bronchus is draining.
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True, bronchoscopy can be used if there is delayed drainage or a suspected malignancy
How are lung abscesses typically treated?
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Antiobiotic therapy (Cleocin/Clindamycin) for 2-4 months.
When is postural drainage techniques used to help drain a lung abscess?
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When they are located in the lower or posterior lobes
Pneumoconiosis, chemical pneumonitis, and hypersensitivity pneumonitis are examples of ______ lung diseases.
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Environmental...occupational asthma is another one
______________ is a general term for a group of lung diseases caused by inhalation and retention of dust particles.
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Pneumoconiosis
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Hantavirus, silicosis, asbestiosis, and berylliosis are examples of ___________. Diffuse parenchymal infiltrates attract phagocytes which ultimately causes pulmonary fibrosis from the attempted tissue repair.
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Pneumoconiosis
This lung disease typically presents as bronchiolitis obliterans (obstruction of the bronchioles from inflammation and fibrosis). There is a diffuse lung injury characterized by pulmonary edema.
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Chemical pneumonitis
Silo Filler's disease is an example of a ....
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Chemical pneumonitis
Bird fancier's lung and farmer's lung are examples of ___________.
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Hypersensitivity pneumonitis/extrinsic allergic alveolitis
_________ and ____________ are linked to asbestos exposure.
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Lung cancer (both squamous cell and adenocarcinoma) and Mesotheliomas (pleural and peritoneal)
A minimum of ________ years occurs between the first exposure to asbestos and the development of lung cancer.
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15-19 years
What are usually the first symptoms of an enviornmental lung disease like pneumoconiosis, chemical pneumonitis or hypersensitivity pneumonitis? How long after the exposure do they occur?
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Dyspnea and cough, occurring 10-15 years after initial exposure
T/F Complications like pneumonia or chronic bronchitis from an environmental lung disease may be the reason a patient seeks health care, not the condition itself.
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True
T/F Passive smoke (inhalation of tobacco smoke by a non-user) is considered an important source of occupational exposure with increased risk of lung cancer associated.
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True
________ cancer is the leading cause of cancer related deaths in the US.
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Lung
What are the early manifestations of asbestiosis?
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Dyspnea, basal crackles, and decreased vital capacity
  
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