Created by Kirsty Jayne Buckley
about 9 years ago
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Question | Answer |
What is the definition of chronic? | Usually lifelong Limiting Progressive |
How do respiratory conditions usually present? | As acute episodes. People normally manage fairly well. |
What are the two types of respiratory conditions, giving an example of each. | Restrictive: Scoliosis or interstitial lung disease Obstructive: Asthma or COPD |
Explain the difference between the two | Restrictive lung disease is a category of extrapulmonary (outside the lung) respiratory diseases that restrict lung expansion, resulting in a decreased lung volume. Obstructive lung disease is a category of respiratory disease characterized by airway obstruction |
What are four symptoms that show nurses a patient is in respiratory distress? (other than NEWS) | Dyspnoea - unable to complete a sentence Tachypnoea >25 - rapid breathing Tachycardia > 110 bpm - rapid heard rate Peak expiratory flow rate <50% of normal |
What happens in emphysema? | The alveoli are destroyed, leaving less surface area for gas exchange. |
Can you remember what Cor Pulmonale is? | abnormal enlargement of the right side of the heart as a result of disease of the lungs or the pulmonary blood vessels (high blood pressure in the lungs) |
What treatment can we provide? | High flow oxygen - low flow would be no good as it can't get into the lungs. Suction, possibly. Nebuliser. |
What is the maximum flow rate and drawbacks of Nasal Cannulae? | Nasal cannulae has a max flow rate of 4 - 5 litres. It becomes very uncomfortable to wear as it is dry, cold gas and patients will frequently need nasal and oral care. |
What other devices can we use? (4) | Face Masks - 70% O2 Non rebreather masks - 90-95% O2 CPAP & NIPPV use positive pressure to keep the alveoli open, increasing the lung efficiency not necessarily with oxygen. http://www.nursingtimes.net/clinical-subjects/respiratory/delivering-oxygen-therapy-in-acute-care-part-2/5030668.fullarticle |
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