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Weakening and permanent enlargement of the air spaces distal to the terminal
bronchioles, often accompanied by hypertrophy of the goblet cells and mucus
glands. Characterized by dyspnea on exertion with significant hypercapnea -
answer-Emphysema/ Chronic Bronchitis
What are 5 terms/phrases that are used to describe a patient with COPD -
answer-1. Chronic Ventilatory Failure
2. Chronic Hypercapnea
3. Increased lung compliance
4. Loss of elastic recoil
5. Chronic CO2 retention
,What would the general appearance of someone with COPD/ Chronic
bronchiectasis look like - answer-Barrel chested, Clubbing and cyanosis
What would the respiratory pattern of someone with COPD/ Chronic
bronchiectasis be - answer-Dyspnea, accessory muscle use, pursed-lip
breathing
What would the breath sounds be for someone with Cystic Fibrosis - answer-
Diminished, crackles, wheezing
What are 5 tests to diagnose Cystic Fibrosis - answer-1. Chest X-ray
2. ABG
3. PFT
4. CBC
5. Sputum culture
What would the Chest X-ray look like for someone with Cystic Fibrosis -
answer-Translucent (dark) lung fields, depressed or flattened diaphragm, right
ventricular enlargement, areas of atelectasis and fibrosis
What would the PFT of someone with Cystic Fibrosis show - answer-Decreased
Flow rates
,What would the CBC of someone with Cystic Fibrosis be - answer-Elevated Hb
and Hct concentration
Normal Hb is 12-16
Normal Hct is 40-50%
What would the sputum culture of someone with Cystic Fibrosis show -
answer-Often positive for staphylococcus aureus, Haemophilus influenza,
pseudomonas aeruginosa
What would be 3 special tests for diagnosing Cystic Fibrosis - answer-1.
Newborn screening by Immunoreactive trypsin level (IRT)
2. Sweat Chloride Test (Chloride level > 60)
3. Genetic testing
What 2 tests would be helpful in diagnosing a pneumothorax - answer-1. Chest
X-ray
2. ABG
What would the chest X-ray of someone experiencing a pneumothorax look
like - answer-Hyperlucency with absence of vascular markings on the affected
side, tracheal shift to the unaffected side, depressed diaphragm, lung collapse
, A small pneumothorax (<20% of lung collapsed) would need what kind of
treatment - answer-May require only bedrest and limited physical activity.
Absorption usually occurs within 30 days
A larger pneumothorax (>20% of lung collapsed) needs what kind of treatment
- answer-Should be evacuated by chest tube, needle aspiration of the chest
necessary if the patient is unstable, Oxygen for hypoxemia, hyperinflation
therapy after chest tube insertion, mechanical ventilation with PEEP for acute
ventilatory failure
Blood accumulated in the pleural space - answer-Hemothorax
What is the general appearance for someone that has a Hemothorax - answer-
Cyanosis, Tracheal and/or mediastinal shift away from the affected side,
bruising over the affected area
What would the breath sounds of someone with COPD/ Chronic bronchiectasis
sound like - answer-Diminished aeration with bilateral expiratory wheeze
During patient assessment what would be a fast easy diagnostic test for
someone with COPD/ Chronic bronchiectasis - answer-Diagnostic chest
percussion - tympanic or hyper resonant
What would the cough of someone with COPD/ Chronic bronchiectasis consist
of - answer-Congested, Productive of thick sputum