Burns
Pulmonary
Pathology
Pulm Intervention
Pharmacology
100
This type of burn is painful but will heal in less than a week with no scarring.
Superficial Burn
100
Amount of air exhaled after 1 second. Can be used to measure broncho dilator effectiveness.
FEV1
100
Clinical presentation : Minimal sputum, can be barrel chested, hyper resonant mediate percussion with distant breath sounds. No cyanosis present. Walls of alveoli are damaged by inflammation.
EMPHYSEMA
100
What do we always start postural drainage with ?
Segmental Breathing
100
Opoid to control cough. Suppress sensitivity to cough reflex. Can lead to tolerance and addiction.
Antitussives ( codeine, hydrocodone, etc)
200
Epidermis and up to outer 1/3 of dermis are damaged. Often appear as blisters and are wet and soft. Typically quite painful. Will usually heal in 7-14 days if not infected. Do not typically require surgery. Low risk for scarring.
Superficial partial thickness burn
200
This lung sound is heard over the trachea and is more harsh on exhale.
Bronchial
200
An infant who is 37 weeks post menstrual age and has been on mechanical ventilation for 39 days would have what is considered ________ BPD.
SEVERE
200
You would percuss ______ mins per segment
2-5
200
Works by blocking type 1 histamine receptors
Antihistamines (Dimetapp,Zyrtec, claritin, etc)
300
Damage through epithelium and most of the dermis. Usually appears mottled red, pink, white or charred. Wounds will appear dry Pressure will cause blanching Possible healing in 4-10 weeks. Often require grafting. High risk for scarring.
Deep Partial Thickness
300
Babies born at 23-25 weeks may not have enough ______. If there is a risk of this the mother can be given ________ to increase the production of ____________.
Surfactant. Steroids. Surfactant.
300
Chronic productive coughing lasting over 3 months for 2 years. Developing a lot of mucous that can plug small airways.
Chronic Bronchitis
300
What lobe is drained with the FOB elevated 18' or 45 deg. Hand position bottom rib area under breast.
Anterior lower lobe
300
Stimulate alpha 1 receptors located in smooth muscle of nasal musculature. May cause serious cardiac and CNS excitation.
Decongestants ( sudafed, etc)
400
Entire epidermis and dermis are destroyed. Appear dry, leathery and rigid with eschar present. Significant edema. Will be painless and insensitive to palpation. Will not heal without surgical intervention. Very high risk for scarring.
Full Thickness Burn
400
The _____ ribs move during respiration in a _____ motion, and the _____ ribs move in a ______ motion.
Lower --> Bucket handle / Upper--> Pump handle
400
These are all what type of disorder: Pneumonia, tumor, pleural effusion, pulmonary embolism.
Restrictive
400
You are working with a 5 month old who has CF after 1 minute of percussing the baby starts to cry. What do you do?
stop, until the baby can calm down.
400
Stimulate beta 2 receptors in respiratory smooth muscle to cause relaxation. Leading to _______.
Bronchodilation
500
Extends beyond the skin to include muscle, tendons, and possibly bone. Appear black, dry, dull and charred. Painless and insensitive to palpation. Require significant surgical intervention to heal. Will often result in loss of function, and may result in amputation. If distal pulses are absent what surgical procedure might need to be done?
Deep Full Thickness Escharotomy
500
Normal work of breathing is less than ___% at rest but can be up to ___% with pathology.
5% / 40%
500
CF is a disease of the _______ glands that has multi system involvement.
Exocrine
500
Why when working with an infant do we work 2 fingers away from the bottom ribs?
To avoid the floating ribs of the infant
500
________ Inhibitors decrease migraton of eosinophils, production of mucous & bronchoconstriction. * recent warnings of mood changes & suicidal behavior*
Leukotrine Inhibitors
M
e
n
u