Chronic Respiratory Conditions

Kirsty Jayne Buckley
Flashcards by , created almost 4 years ago

Chronic respiratory disease year 1 nursing

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Kirsty Jayne Buckley
Created by Kirsty Jayne Buckley almost 4 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