Respiratory Alterations

What Disease Am I?

100

The sudden onset of intense dyspnea, pleuritic chest pain, and tachypnea is usually the first indication

What is a pulmonary emboli (PE)

200

After exposure to a trigger, 

• wheezing
• dyspnea
• coughing
• increased sputum
• increased respiratory rate
• chest tightness
• tachycardia

What is asthma?

300

↑ work of breathing and shortness of breath

Accessory muscle use

Tripod position

↑ A P diameter (barrel chest)

Cough

↑ sputum production

Pursed lip breathing

Skin color changes (red or blue/cyanotic)

Anxiety

Sp  O2 <90

What is COPD?

400

• New cough that does not go away
• Changes to chronic cough
• Hemoptysis
• Shortness of breath
• Hoarseness
• Weight Loss

What is lung cancer?

500

•Loud snoring

•Snorting

•Witnessed apnea

•Gasping during sleep

•Recurrent waking during sleep

•Choking 

What is sleep apnea?

Labs

400

Brain Natriuretic Peptide (BNP)

What is a test that should be monitored on all heart failure patients?

Misc.

100

Dust mites, pet dander, mold, seasonal allergies

What are triggers for asthma?

200

Small frequent, high caloric meals

What is a diet for respiratory disorders?

300

Tripod position

What is the best position to decrease work of breathing (WOB) for a COPD client?

400

Smoking cessation

What would you teach any client with respiratory disorders?

500

Sp02 monitoring, 02 prn, respirations, lung assessment, use of accessory muscles, AP diameter

What are assessments a nurse should do on a respiratory client?

Risk Factors

100

• Obesity
• Type 2 diabetes mellitus
• Heart failure
• Pulmonary hypertension
• Male gender, 40-65
• Cigarette smoking
• Alcohol use
• Atrial fibrillation

What are risk factors for sleep apnea?

200

•Family history

•Frequent respiratory infections

•Eczema

•Allergies

What are risk factors for asthma?

300

•Smoking (80-90% of C O P D deaths)

•Occupational dust and chemicals

•Outdoor air pollution

•Second-hand smoke

•Alpha-1 antitrypsin (A A T) deficiency (<5%)

What are risk factors for COPD

400

•Presence of D V T

‒Obesity

‒Smoking

‒Chronic heart disease

‒Fracture

‒Hip or knee replacement

‒Major surgery

‒Major trauma

‒Spinal cord injury

‒History of previous V T E

‒Malignancy

What are risk factors for COPD?

500

§Risk factors –

•Smoking (90% of cases)

•Second-hand smoke

•Radon

•Occupational pollutants

•Asbestos

What are risk factors for lung cancer?

More Misc.

100

SOB, dyspnea, loose productive cough, weight gain, fatigue, weakness

What are left sided heart failure signs/sx?

400

JVD, ascites, lower extremity edema, fatigue

What are right sided heart failure symptoms?