Respiratory Disorders

Respiratory Disorders Nio C. Noveno, RN ,MAN

Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Chronic Obstructive Pulmonary Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Chronic Obstructive Pulmonary Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders Smoking, RTI, Pollutants Mucosal edema Inflammation Bradykinin, Histamine, PGs Fluid/Cellular Exudation Hypersecretion of mucus Persistent Cough  Capillary permeability

Chronic Obstructive Pulmonary Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders Smoking, heredity, aging process Loss of elastic recoil Disequilibrium between elastase & antielastase Overdistention of alveoli CO2 retention Hypoxia Respiratory acidosis

[email_address] respi disorders Emphysema No cyanosis (Pink) Thin appearance Exertional dyspnea Ineffective cough Barrel chest Pursed-lip breathing Prolonged expiration Use of accessory muscles R-sided Heart Failure Pulmonary HPN Spontaneous pneumothorax Chronic Bronchitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R-sided Heart Failure Cor pulmonale

Chronic Obstructive Pulmonary Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Chronic Obstructive Pulmonary Disease [email_address] respi disorders Asthma ALLERGY (Extrinsic) INFLAMMATION (Intrinsic) Bronchospasm Mucosal edema Hypersecretion of mucus Histamine, Bradykinin, PG, Serotonin, Leukotrienes… Narrowing of AWs,  work of breathing Hypoxia & Respiratory Acidosis Respiratory effort Exhaustion Hypoventilation Air trapping

Chronic Obstructive Pulmonary Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders Asthma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Respiratory Distress Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Acute Respiratory Distress Syndrome [email_address] respi disorders

Acute Respiratory Distress Syndrome [email_address] respi disorders Clinical Manifestations Dyspnea Tachypnea Crackles Rhonchi Anxiety  Breath sounds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostics ABGs: Respiratory acidosis, hypoxemia CXR: interstitial edema

Chest Physiotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Chest Physiotherapy Postural Drainage [email_address] respi disorders

Pulmonary Tuberculosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Pulmonary Tuberculosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders Management TB medications [6-12 mos] INH, RIF, (6 mos); PZA, ethambutol, streptomycin (2 mos) Pt non-infectious 2-3wks of Tx 9 mos continuous therapy R IF : discoloration ; hepatotoxic I NH : peripheral neuropathy (B6), liver function test (AST, ALT) P ZA : thrombocytopenia, hyperurecemia -> ↑ OFI E THAMBUTOL : optic neuritis S TREPTOMYCIN : hepatotoxic, nephrotoxic, ototoxic, given IM

Pleural Effusion & Pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Pleural Effusion & Pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders Management High-Fowler’s Pain relief O2 therapy Chest tube insertion Thoracentesis Chest x-ray ABGs Monitor for shock

Pulmonary Embolism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Pulmonary Embolism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Bronchogenic Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Bronchogenic Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders Diagnostics CXR Presence of tumor; metastasis Sputum for cytology Malignant cells Thoracentesis Pleural fluid with malignant cells

Bronchogenic Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Lung Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Laryngeal Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders Risk Factors Cigarette smoking Chronic laryngitis Vocal abuse Alcohol abuse Familial tendency

Laryngeal Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] respi disorders

Respiratory Disorders Nio C. Noveno, RN ,MAN THANK YOU!

Respiratory Disorders

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