Chronic and Acute Bronchitis Quiz
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Questions and Answers

Which of the following conditions is characterized by a very rare inflammatory condition affecting small and medium-size arteries and veins of the upper and lower extremities?

  • Venus insufficiencies and obstructions pathology
  • Reynard's pathology
  • Buerger's pathology (correct)
  • Chronic arterial obstructions pathology

What are the clinical manifestations of Venus insufficiencies and obstructions pathology?

  • Red beefy tissue opening on the inside medial part of the ankle, pain that decreases with ambulation and elevation (correct)
  • Aching, heavy discomfort, and darkened raised tortuous veins
  • Deep circular black ulcers on the great toe with painful, dry, gangrene around proximal joint spaces with no edema
  • Cold, no hair, absent pulses, and ulcers

Which of the following is NOT a risk factor for Reynard's pathology?

  • Smoking
  • Cold temperatures
  • Diabetes (correct)
  • Immunodeficiency

Which of the following is NOT a clinical manifestation of chronic arterial obstructions pathology?

<p>Warm, tough, thickened skin (B)</p> Signup and view all the answers

What is the primary focus of treatment and interventions for Varicos veins pathology?

<p>Relieving pain and improving venous return (D)</p> Signup and view all the answers

Which of the following is a potential serious complication of Venus insufficiencies and obstructions pathology?

<p>Deep vein thrombus (D)</p> Signup and view all the answers

Which of the following clinical manifestations is most closely associated with Buerger's pathology?

<p>Cold, no hair, absent pulses, and ulcers (C)</p> Signup and view all the answers

Which of the following clinical manifestations is specifically associated with chronic bronchitis, as opposed to emphysema, within the context of COPD?

<p>Overweight with excessive mucus production (C)</p> Signup and view all the answers

Which of the following respiratory patterns is directly associated with an overdose?

<p>Biot's (C)</p> Signup and view all the answers

Which of the following interventions is specifically recommended for patients with obstructive sleep apnea to improve their condition?

<p>Low Fowler's positioning (B)</p> Signup and view all the answers

Which of the following is a direct consequence of the pathology in obstructive sleep apnea?

<p>Polycythemia (D)</p> Signup and view all the answers

What is the primary difference between the pathology of chronic bronchitis and emphysema?

<p>Chronic bronchitis is characterized by airway inflammation and mucus production, while emphysema involves destruction of lung tissue (C)</p> Signup and view all the answers

What is the normal range for activated partial thromboplastin time (aPTT)?

<p>30 to 40 (C)</p> Signup and view all the answers

Which of the following clinical manifestations is LEAST likely to be seen in a patient with Ankylosing Spondylitis?

<p>Barrel chest (D)</p> Signup and view all the answers

Which of these is a clinical manifestation of Deep Vein Thrombosis?

<p>Edema, tenderness, and inflammation (D)</p> Signup and view all the answers

Which of the following respiratory conditions is MOST likely to be directly impacted by treatment with bronchodilators?

<p>Chronic Obstructive Pulmonary Disease (COPD) (C)</p> Signup and view all the answers

Which condition is characterized by an autosomal dominant disorder that affects factor eight factor and effects both men and women?

<p>Von Willebrand disease (D)</p> Signup and view all the answers

What is the significance of a PAO2 level below 40 mmHg?

<p>Dangerously decreased oxygen and ventilation, dangerous (D)</p> Signup and view all the answers

Which of these dietary restrictions are recommended for patients with being treated for TB?

<p>Avoidance of tuna, aged cheese, red wine, soy sauce, and yeast (A)</p> Signup and view all the answers

What is the primary intervention for a patient with ITP and a platelet count less than 30,000?

<p>Education about bleeding risk, including medications and activities (A)</p> Signup and view all the answers

What is a potential symptom of right-sided heart failure that is NOT typically observed in left-sided heart failure?

<p>Lower extremity edema (D)</p> Signup and view all the answers

Which of the following interventions is NOT typically used in the treatment of myocardial infarction or angina?

<p>Diuretics (D)</p> Signup and view all the answers

What is a characteristic sign of age-related heart changes that might suggest a possible progression to heart failure?

<p>Late diastolic S4 gallop (D)</p> Signup and view all the answers

Which statement BEST describes the mechanism of action of nitroglycerin in the treatment of angina?

<p>It directly dilates coronary arteries, improving blood flow to the heart. (D)</p> Signup and view all the answers

Which of these conditions is primarily characterized by increased resistance to pulmonary arterial flow?

<p>Right-sided heart failure (C)</p> Signup and view all the answers

What is a typical clinical manifestation of left-sided heart failure that arises from backward flow in the circulatory system?

<p>Orthopnea (A)</p> Signup and view all the answers

Which of the following is NOT a typical sign or symptom of right-sided heart failure?

<p>Paradoxical pulse (B)</p> Signup and view all the answers

What is the primary rationale for elevating the head of bed to 45° when caring for a patient with a tube feeding?

<p>To minimize the risk of aspiration. (A)</p> Signup and view all the answers

Which clinical manifestation is most directly linked to the pathological changes seen in emphysema, as opposed to chronic bronchitis within COPD?

<p>Barrel chest (C)</p> Signup and view all the answers

Which of the following is a key pathological feature distinguishing acute bronchitis from chronic obstructive pulmonary disease (COPD)?

<p>Irreversible airway damage (B)</p> Signup and view all the answers

Which respiratory pattern, characterized by a regular cycle of increasing and decreasing breathing followed by apnea, is most closely associated with worsening lung function and potential respiratory failure?

<p>Cheyne-Stokes (B)</p> Signup and view all the answers

Which clinical manifestation of obstructive sleep apnea is most likely to lead to the development of hypoxemia and polycythemia over time?

<p>Apnea lasting 10 seconds or longer (C)</p> Signup and view all the answers

Which of the following is NOT a potential consequence of the pathology in obstructive sleep apnea?

<p>Decreased lung capacity (A)</p> Signup and view all the answers

In the context of Ankylosing Spondylitis, which respiratory system involvement is MOST likely to contribute to reduced pulmonary function over time?

<p>Limited chest expansion (D)</p> Signup and view all the answers

Which of the following statements BEST describes the primary difference between the pathology of chronic bronchitis and emphysema, both components of COPD?

<p>Chronic bronchitis affects the airways, while emphysema affects the alveoli. (B)</p> Signup and view all the answers

Which of the following interventions is MOST LIKELY to be effective in improving chest expansion and reducing hypoventilation in a patient with obstructive sleep apnea?

<p>Low Fowler's position (A)</p> Signup and view all the answers

Which of the following is NOT a modifiable risk factor for hypertension?

<p>Drinking milk (C)</p> Signup and view all the answers

Which of the following is a potential consequence of atherosclerosis/arteriosclerosis in patients?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a recommended lifestyle modification for patients with hypertension?

<p>Restricting sodium intake to less than 2g per day (C)</p> Signup and view all the answers

What is the recommended daily potassium intake for patients with hypertension?

<p>3500-5000 mg (A)</p> Signup and view all the answers

Which of these conditions is NOT directly related to atherosclerosis/arteriosclerosis?

<p>Bradycardia (A)</p> Signup and view all the answers

What is the recommended BMI range for individuals to help manage hypertension?

<p>18.5 to 24.9 (B)</p> Signup and view all the answers

What is the defining characteristic of a hypertensive emergency?

<p>Diastolic blood pressure equal to or greater than 120 mmHg and presence of end-stage organ damage (C)</p> Signup and view all the answers

Which of the following is TRUE about orthostatic hypotension?

<p>It involves a drop in systolic blood pressure of at least 20 mmHg within three minutes of standing. (A)</p> Signup and view all the answers

Which of the following clinical manifestations is specifically associated with aortic stenosis, but not necessarily with mitral valve stenosis?

<p>Syncope (C)</p> Signup and view all the answers

Which of the following correctly describes the mechanism of circulatory hypoxia?

<p>Obstruction in an artery or vein causing decreased cardiac output (B)</p> Signup and view all the answers

Which of the following conditions is characterized by a loud, high-pitched, blowing murmur that radiates to the axilla?

<p>Mitral valve regurgitation (C)</p> Signup and view all the answers

What is the primary pathological change occurring in rheumatic heart disease that leads to valve dysfunction?

<p>Inflammation and erosion of the valve leaflets (A)</p> Signup and view all the answers

Which of the following clinical manifestations is NOT associated with pericarditis?

<p>Decreased peripheral circulation (A)</p> Signup and view all the answers

Which of the following is a hallmark clinical manifestation of left-sided heart failure?

<p>Pulmonary congestion (C)</p> Signup and view all the answers

What is the primary mechanism by which chronic pericarditis leads to heart dysfunction?

<p>Thickening and scarring of the pericardium, restricting heart movement (B)</p> Signup and view all the answers

Which of the following is a common treatment intervention for both aortic stenosis and mitral valve stenosis?

<p>Valve replacement surgery (A)</p> Signup and view all the answers

What of the following would you not be suspect with ST elevation?

<p>Cardiac tamponade (D)</p> Signup and view all the answers

Which laboratory value requires monthly monitoring for patients taking Isoniazid?

<p>Liver function tests (AST/ALT) (A)</p> Signup and view all the answers

Why would Tylenol be recommended over NSAIDs for pain management in a patient with hemophilia?

<p>NSAIDs increase the risk of bleeding (D)</p> Signup and view all the answers

Which of the following best describes the underlying issue in Von Willebrand Disease?

<p>Absence of platelet adhesion at injury sites (D)</p> Signup and view all the answers

What is the primary risk associated to membranes, GI, and pulmonary systems with Immune Thrombocytopenia Purpura (ITP)?

<p>Bleeding (A)</p> Signup and view all the answers

Which platelet count level is most associated with spontaneous bleeding?

<p>Less than 20,000 (B)</p> Signup and view all the answers

Why is exercise contraindicated in the acute phase of a Deep Vein Thrombosis (DVT)?

<p>Exercise may dislodge the thrombus, leading to pulmonary embolism (D)</p> Signup and view all the answers

A patient with hemophilia presents with joint pain. Which analgesic should be administered?

<p>Acetaminophen (A)</p> Signup and view all the answers

What are the components of Beck's Triad?

<p>Hypotension, muffled heart tones, and jugular vein distention (JVD). (A)</p> Signup and view all the answers

What is the primary concern associated with ST-segment elevation on an EKG?

<p>Myocardial blockage/occlusion. (D)</p> Signup and view all the answers

What sound would you hear if a patient had mitral valve regurgitation?

<p>Loud, pansystolic, high-pitched blowing radiating to the axilla. (B)</p> Signup and view all the answers

A patient with mitral valve stenosis is MOST at risk for which of the following complications?

<p>Right ventricular hypertrophy. (A)</p> Signup and view all the answers

Which of the following assessment findings MOST directly relates to the pathophysiology of aortic valve stenosis?

<p>Faint peripheral pulses. (A)</p> Signup and view all the answers

Which of the following is the most concerning sign/symptom when a patient has bradycardia?

<p>Hypoxia. (D)</p> Signup and view all the answers

A patient with aortic valve stenosis would display which of the following heart murmurs?

<p>Crescendo-decrescendo murmur (S4). (C)</p> Signup and view all the answers

If a patient had an ICD placed and the nurse now hears muffled sounds in the patient's chest, what does this indicate?

<p>Cardiac tamponade. (B)</p> Signup and view all the answers

A patient with angina is admitted to the ER, and after initial interventions, their chest pain normalizes. Their CK isoenzyme levels are within normal limits after 24 hours. What is the MOST appropriate next step in evaluating this patient?

<p>Evaluate for other potential causes of chest pain besides myocardial infarction. (C)</p> Signup and view all the answers

An elderly patient is being assessed. Which age-related cardiovascular change should the nurse consider when evaluating the patient?

<p>Increased systolic blood pressure, potential ventricular wall thickening, and decreased renal function. (B)</p> Signup and view all the answers

A patient receiving continuous tube feeding develops significant abdominal distention and reports increased weakness. The patient is currently receiving a diuretic. What is the MOST appropriate initial nursing intervention?

<p>Assess tube placement, elevate the head of the bed to 45 degrees, and notify the physician. (D)</p> Signup and view all the answers

A patient is experiencing dizziness, nausea, and has a consistently low heart rate (HR). Which medication should MOST likely be held/questioned before administering?

<p>Beta-blocker (C)</p> Signup and view all the answers

Which of the following arterial blood gas (ABG) results is most consistent with a patient experiencing COPD exacerbation?

<p>pH 7.30, PaCO2 55 mmHg, HCO3 26 mmHG, PaO2 60 mmHg (B)</p> Signup and view all the answers

A patient with chronic bronchitis is being monitored for complications. Which laboratory finding would suggest the development of polycythemia as a compensatory mechanism?

<p>Increased red blood cell count and hematocrit (B)</p> Signup and view all the answers

Which of the following is the most important teaching point for a patient newly diagnosed with acute bronchitis regarding the self-limiting nature of the condition?

<p>The cough may persist for several weeks, even with improvement in other symptoms. (B)</p> Signup and view all the answers

Which of the following abnormal breathing patterns is characterized by irregular periods of normal breathing followed by abrupt periods of apnea and is most likely associated with neurological issues?

<p>Biot's respiration (C)</p> Signup and view all the answers

For a patient with a BMI of 35 and diagnosed with obstructive sleep apnea (OSA), which intervention would most directly address the underlying pathology contributing to their condition?

<p>CPAP therapy during sleep (C)</p> Signup and view all the answers

A 25-year-old male presents with chronic low back pain and stiffness, and is subsequently diagnosed with Ankylosing Spondylitis. Which of the following respiratory complications is most likely to develop as the disease progresses?

<p>Limited chest expansion and pulmonary fibrosis. (A)</p> Signup and view all the answers

Which intervention should be prioritized for a patient with acute exacerbation of chronic bronchitis presenting with increased dyspnea and copious mucopurulent secretions?

<p>Aggressive chest physiotherapy and cough/deep breathing exercises to clear secretions along with a bronchodilator therapy (C)</p> Signup and view all the answers

Which of the following assessment findings would be MOST indicative of a tension pneumothorax?

<p>Tracheal deviation away from the affected side, accompanied by hypotension. (D)</p> Signup and view all the answers

A patient presents with night sweats, a chronic cough, and recent weight loss. Which intervention is MOST appropriate to initiate FIRST, based solely on the information provided?

<p>Initiate airborne isolation precautions and obtain sputum specimens. (B)</p> Signup and view all the answers

Which of the following is the MOST important teaching point for a positioning a patient for a thoracentesis?

<p>Position the patient so there is easy access to the effusion (A)</p> Signup and view all the answers

A patient with known TB is being discharged. What should the nurse emphasize regarding medication adherence?

<p>Taking all medications exactly as prescribed, for the entire duration, is crucial to prevent drug resistance and treatment failure. (B)</p> Signup and view all the answers

What is a potential treatment intervention for patients suffering from Venous Insufficiencies?

<p>Increase leg elevation above the heart (C)</p> Signup and view all the answers

What symptoms characterize Raynaud's phenomenon?

<p>Cyanosis and numbness in fingers or toes (C)</p> Signup and view all the answers

Which of the following conditions is most likely to present with deep, circular, black ulcers on the toes?

<p>Peripheral vascular disease (A)</p> Signup and view all the answers

What is a critical clinical manifestation of Buerger's disease?

<p>Diminished pulse in the affected areas (A)</p> Signup and view all the answers

Which statement accurately describes a recommended lifestyle change for managing Raynaud's phenomenon?

<p>Reduce exposure to cold temperatures (D)</p> Signup and view all the answers

What is a common complication associated with advanced venous insufficiency?

<p>Formation of aching and cramping venous ulcers (B)</p> Signup and view all the answers

What is the primary pathological effect of venous insufficiency?

<p>Incompetent venous valves (D)</p> Signup and view all the answers

Which of the following treatments is essential in preventing complications of Buerger's disease?

<p>Quitting smoking (C)</p> Signup and view all the answers

Which of the following would be signs and symptoms indicative of heart failure in the elderly?

<p>Shortness of breath and weakness (A)</p> Signup and view all the answers

What is the first step in a patient complaining on angina

<p>Take vital signs (B)</p> Signup and view all the answers

Flashcards

Chronic Obstructive Pulmonary Disease (COPD)

A progressive lung disease characterized by chronic bronchitis and emphysema, often caused by smoking and irritant exposure.

Clinical Manifestations of COPD

Symptoms include tachypnea, barrel chest, and coughing with mucopurulent sputum, reflecting the severity of airflow obstruction.

Chronic Bronchitis Symptoms

Characterized by cough and production of mucopurulent mucus, often observed in overweight individuals.

Pathology of Acute Bronchitis

Inflammation due to viral or non-viral causes leading to narrow airways, increased mucus, and decreased ciliary function.

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Cheyne-Stokes Breathing

Irregular respiration pattern where breathing depth increases and decreases until episodes of apnea occur.

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Obstructive Sleep Apnea (OSA)

A condition characterized by pauses in breathing during sleep due to airway obstruction, often associated with loud snoring.

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Cor Pulmonale

Right-sided heart failure caused by chronic lung diseases leading to increased pressure in pulmonary arteries.

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Ankylosing Spondylitis

Chronic inflammatory disease primarily in young males, affecting the spine and causing limited chest expansion.

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Pulmonary Embolism Complications

Monitor for shortness of breath due to blood clots in the lungs.

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Reynaud's Pathology

Affects local nerve function with extreme vasoconstriction in response to cold or stress.

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Buerger's Disease

Rare inflammatory condition affecting small/medium arteries and veins, associated with smoking.

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Venous Insufficiency

Related to heart disease; incompetent valves causing blood flow issues in veins.

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Venous Stasis Ulcers

Ulcers caused by blood pooling due to venous insufficiency, with symptoms like dark skin and pain.

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Barcos Veins Pathology

Impaired venous return leading to increased pressure and painful, tortuous veins.

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Peripheral Vascular Disease (PVD)

Insufficient blood flow causes deep ulcers and gangrene, especially in toes.

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Chronic Arterial Obstructions

Atherosclerosis leads to reduced oxygen flow, causing pain and ulcers during activity.

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Atherosclerosis risk factors

Risk factors include hyperlipidemia, diabetes, smoking, and male gender, leading to increased ischemic stroke risk.

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Hypertensive emergencies

Defined as diastolic BP ≥ 120 mmHg or systolic BP ≥ 180 mmHg, linked to end organ damage.

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Modifiable risk factors

Factors affecting health that can be changed, such as physical activity and blood glucose levels.

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Orthostatic hypotension

A drop in blood pressure upon standing, causing dizziness, with a defined decrease in BP readings.

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Secondary hypertension

High blood pressure that results from another medical issue, often asymptomatic.

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Bradycardia concerns

Concerns with bradycardia include hypoxia and myocardial hypertrophy linked to atrial fibrillation.

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Exercise recommendations

Aim for 30 minutes of moderate exercise at least five times a week to promote heart health.

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Diet for hypertension

A diet rich in fruits, vegetables, low-fat dairy, and grains while restricting sodium and unhealthy fats.

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Liver panels frequency

Patients need monthly liver panels due to medication effects.

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Conditions to avoid with liver

Avoid tuna, aged cheese, red wine, soy sauce, and yeast.

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Normal PAO2 levels

PAO2 greater than 70 mmHg is normal; below 40 is dangerous.

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Hemophilia genetics

An X-linked recessive disorder leading to coagulation issues due to factors VIII and IX deficiency.

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Von Willebrand disease

An autosomal dominant disorder affecting factor VIII, causing platelet dysfunction.

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Immune thrombocytopenia Purpura (ITP)

Autoimmune disease leading to low platelet counts due to small vessel inflammation.

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Thrombocytopenia

A condition with decreased platelets, less than 150,000.

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Deep vein thrombosis (DVT)

A thrombosis in the leg causing edema, tenderness, and inflammation.

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ST elevation

Concerned with myocardial blockage, occlusion, and pericarditis.

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Cardiac tamponade

Condition with muffled heart sounds, hypotension, and jugular vein distention due to fluid around the heart.

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Beck's Triad

Muffled heart tones, hypotension, jugular vein distention indicating cardiac tamponade.

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Mitral valve regurgitation

Condition where blood flows back into the left atrium causing high-pitched blowing sound.

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Aortic stenosis

Narrowing of the valve due to calcified aortic cusp, leading to decreased cardiac output.

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Pericarditis

Inflammation of the pericardium causing chest pain and systemic symptoms.

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Left-sided heart failure

Failure to pump blood to the lungs causing pulmonary congestion and edema.

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Circulatory hypoxia

Decreased cardiac output due to obstruction in arteries or veins.

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Right-sided cor pulmonale

Condition in which right-sided heart failure occurs due to lung issues causing increased resistance to pulmonary blood flow.

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Clinical manifestations of left-sided heart failure

Signs include dyspnea, orthopnea, cyanosis, and crackles due to fluid backflow.

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Right-sided heart failure symptoms

Includes lower extremity edema, jugular distention, and hepatomegaly due to fluid backup.

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Myocardial infarction pathology

Insufficient blood flow causing decreased oxygen to heart tissue, resulting in chest pain.

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Angina

Chest pain due to decreased oxygen supply during increased heart demand, often triggered by activity.

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Normal CK isoenzyme after chest pain

If CK levels are normal after chest pain subsides, evaluate for non-MI causes.

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Age-related cardiac concerns

Includes increased systolic BP, ventricular wall thickening, and late diastolic heart sounds, indicating heart failure.

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Tube feeding guidelines

Assess tube placement every 4 hours, elevate HOB to 45°, and use liquid meds if possible.

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Pleural Effusion

Collection of fluid or pus in the pleural cavity.

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Absent Breath Sounds

A clinical manifestation where no breath sounds can be heard in a specific lung area.

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Thoracentesis

A procedure that involves puncturing the pleural space to remove fluid.

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Pneumonia

Infection that inflames the alveoli due to various pathogens.

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Bronchial Breath Sounds

Loud, harsh breath sounds heard over the bronchi, indicating abnormal lung function.

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Tension Pneumothorax

A life-threatening condition with air trapped under pressure in the pleural space.

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Ghon Tubercle

A granuloma formed by macrophages surrounding mycobacterium tuberculosis in the lungs.

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Tuberculosis Treatment

Medications including Isoniazid and Rifampin for 8 weeks to treat TB.

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Chronic Bronchitis Pathology

Inflammation of bronchi due to smoking and repeated infections.

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Emphysema Pathology

Destruction of alveoli due to smoking and irritants, leading to airflow limitation.

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Clinical Features of COPD

Symptoms include tachypnea, barrel chest, and chronic cough with mucus.

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Acute Bronchitis Causes

Inflammation from viral infections or irritants leading to a recent onset cough.

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Obstructive Sleep Apnea Symptoms

Characterized by loud snoring and pauses in breathing during sleep.

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Ankylosing Spondylitis Manifestations

Low to mid back pain and stiffness, affecting spine mobility.

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Treatment for Chronic Bronchitis

Includes monitoring for polycythemia, rest, bronchodilators, and cough exercises.

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Isoniazid with Rifampin

Combination therapy for tuberculosis lasting up to 7 months, requiring monthly liver panels.

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Hemophilia Pathophysiology

An X-linked recessive disorder where deficient factors VIII and IX lead to bleeding due to impaired coagulation.

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Thrombocytopenia Definition

A condition characterized by a decrease in platelets, often under 150,000 with various symptoms at lower counts.

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Deep Vein Thrombosis (DVT) Symptoms

A thrombus in a leg, presenting with edema, tenderness, and inflammation.

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DVT Treatment Interventions

Pain relief for DVT includes leg elevation, moist heat, acetaminophen, and avoiding exercise while on anticoagulants.

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Cardiac Output Increase

The body increases blood pressure by increasing cardiac output or vasoconstriction to distribute blood evenly.

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Cardiac Tamponade Signs

Signs include muffled heart sounds, hypotension, and jugular vein distention (Beck's Triad).

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Aortic Stenosis Symptoms

Aortic stenosis is characterized by diminished cardiac output leading to syncope, fatigue, and unique murmurs.

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Rheumatic Heart Disease Impact

Rheumatic heart disease causes damage to heart tissue leading to inflammation and valve complications.

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Heparin Overdose

Excessive heparin requires administration of protamine sulfate to neutralize effects.

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Complication of Pulmonary Embolism

Serious condition requiring monitoring for shortness of breath (SOB).

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Raynaud's Syndrome

Characterized by extreme vasoconstriction and local nerve function issues caused by cold or stress.

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Varicose Veins

Impaired venous return causing dilated veins and discomfort, worsened by prolonged standing.

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Peripheral Vascular Disease

Insufficient blood flow leads to deep ulcers and potential gangrene, mainly in the toes.

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Symptoms of Venous Stasis Ulcers

Symptoms include dark skin, pain, and swelling due to blood pooling.

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Atypical Angina Symptoms

Unusual signs of angina include back pain, fatigue, and weakness.

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Tube Feeding Care

Regularly check tube placement every 4 hours and elevate HOB to 45 degrees.

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Bacterial Infection Treatment

Treat tuberculosis with isoniazid and rifampin for 8 weeks, then continue with rifampin.

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Blood Donation Criteria

Donors must weigh at least 50 kg, be 17 or older, with a temp below 99.6°F.

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Common Angina Treatments

Initial treatments include O2, nitroglycerin, aspirin, and morphine.

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Study Notes

Chronic Obstructive Pulmonary Disease (COPD)

  • Pathology: Chronic bronchitis related to smoking and repeated airway infections; emphysema related to smoking and chronic irritants.
  • Clinical Manifestations: Leaning forward, hand on knees, tachypnea, respiratory acidosis (low pH, high CO2, low O2), barrel chest, thin build (in emphysema), overweight (in bronchitis), coughing with mucopurulent mucus.
  • Treatments/Interventions: Monitor for polycythemia, rest, elevate head of bed, vital signs, pulse oximetry, bronchodilators, mucolytics, cough/deep breathing exercises, pulmonary secretion removal.

Acute Bronchitis

  • Pathology: Viral or non-viral smoke inhalation, allergic reaction, airway inflammation/narrowing, swelling, mucus production, decreased ciliary function.
  • Clinical Manifestations: Cough (recent onset), sore throat, postnasal drip, fever; mild and self-limiting.
  • Treatments/Interventions: Monitor symptoms, rest, nutrition, fluids. May require bronchodilators; typically self-limiting.

Obesity and Obstructive Sleep Apnea

  • Pathology: Body mass index (BMI) over 30; decreased Avola ventilation leading to hypoxemia, polycythemia, and cor pulmonale (pulmonary heart disease). Overworking and enlargement of the right side of the heart.
  • Clinical Manifestations: Loud snoring, apneas (10 seconds or longer), low fowlers position, diaphragmatic chest expansion, decreased hypoventilation.
  • Treatments/Interventions: Weight loss, CPAP or BiPAP, education.

Ankylosing Spondylitis

  • Pathology: Unknown cause; transient acute arthritis of peripheral joints; chronic inflammation at ligamentous insertion to spine or sacral iliac joints; pulmonary fibrosis in upper lobes.
  • Clinical Manifestations: Limited chest expansion.

Other Respiratory Conditions

  • Plural Effusion: Fluid or pus in pleural cavity; absent breath sounds, shortness of breath, pleuritic pain; Treatment: Thoracentesis.
  • Pneumonia: Alveoli inflammation; Mycoplasma, legionella, anaerobic, fungal (aspergillus); risk factors: elderly, comorbidities, antibiotic use/immunosuppression. Clinical manifestations: Bronchial breath sounds, fever, chills, cough, headache. Treatment: Sputum cultures; oral/IV antibiotics.
  • Hypersensitivity Pneumonitis: Restrictive, occupational disease (non-smokers); risk factors are exposure to organic dusts (farming & avian). Clinical manifestations: Dyspnea, non-productive cough, fever (variable durations); treatment: Removing cause of exposure or limiting exposure.
  • Tension Pneumothorax: Trauma induced; penetrating/non-penetrating injury, central line; thoracentesis; lung biopsy; ventilators. Clinical manifestations: Tracheal shift, shortness of breath, dyspnea, severe tachycardia, hypotension. Treatment: Emergency thoracentesis, chest tube.
  • Tuberculosis: Mycobacterium infection; inhaled, alveolar macrophages ingest; granuloma formation; risk factors: immunosuppression, HIV, tight living spaces; can be latent for years. Clinical manifestations: Diaphoresis - soaking sheets, weight loss - Treatment: Medications (isoniazid with rifampin, pyrazinamide, ethambutol) for 8 weeks; followed by isoniazid and rifampin for 7 months. Need monthly liver function tests (LFTs). Avoid certain foods (tuna, aged cheese, red wine, soy sauce, yeast).
  • Hemophilia: X-linked recessive; deficient factor VIII, factor IX; intrinsic pathway coagulation abnormality; spontaneous bleeding. Clinical manifestations: Easy bruising, spontaneous bleeding.
  • von Willebrand Disease: Autosomal dominant; affects factor VIII and platelet dysfunction; leads to excessive bleeding. Clinical manifestations: Mucosal and gastrointestinal (GI) bleeding; excessive bleeding after surgery.
  • Immune Thrombocytopenic Purpura: Autoimmune; inflammation of small vessels; risk factors are medication, allergy; clinical manifestations: Bruising, heavy menses, petechia. Risks for GI & pulmonary bleeding interventions: monitoring platelet counts, education on bleeding precautions.
  • Thrombocytopenia: Reduced platelet count; below 150,000; severe symptoms below 20,000.
  • Deep Vein Thrombosis (DVT): Thrombosis in leg veins; clinical manifestations: edema, tenderness, inflammation; pain relief: elevation, moist heat.

Other Conditions

  • Reynard's Phenomenon: Vasospastic disorder; extreme vasoconstriction; risk factors: cold temps, smoking, trauma, immuno deficiency. Clinical manifestations: Cyanosis, pain, numbness. Avoid cold temperatures and smoking.
  • Buerger's Disease: Inflammatory condition; affects medium-sized arteries and veins; Risk factors: Smokers; clinical manifestations: Decreased arterial flow (cold extremity, hair/pulse loss, ulcers); Potential for amputation.
  • Venus Insufficiency/Obstructions: Heart disease and incompetent valves; redness, edema, pain, venous stasis ulcers, warmth; Treatment and Interventions: Elevate legs, compression stockings, exercise, avoiding prolonged standing.
  • Barcos Veins: Impaired venous return due to standing, pressure, and pulling; Clinical manifestations include aching, heavy discomfort, darkened, tortuous veins, and venus ulcers; treatment and interventions: Elevation of legs.
  • Peripheral Vascular Disease: Insufficient blood flow to tissues; clinical manifestations include ulcers (great toe), dry gangrene, painful areas (around proximal joint spaces).

Additional notes

  • Hypertension: Modifiable risk factors: physical activity, decreasing blood glucose; Non-modifiable risk factors; including age, genetics, ethnicity, race. Clinical manifestations: Elevated blood pressure (diastolic/systolic) and organ damage.
  • Orthostatic hypotension: Drop in systolic/diastolic blood pressure upon standing.
  • Cardiac Tamponade: Muffled heart sounds, hypotension, and jugular vein distention ; Treatment: immediate intervention, often emergency pericardiocentesis.
  • Circulatory Hypoxia: Decreased cardiac output, obstruction in artery/veins.

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Test your knowledge on Chronic Obstructive Pulmonary Disease (COPD) and Acute Bronchitis. This quiz covers the pathology, clinical manifestations, and treatments of both conditions, focusing on their similarities and differences. Learn more about coping strategies, key interventions, and relevant clinical features.

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