NUR-307 Peds:Quiz 2 Group Perfomance Questions And Verified Answers

NUR-307 Peds:Quiz 2 Group Perfomance Questions And Verified Answers .ventilation inspiration and expiration the flow of gas in and out of the lungs .diffusion process by which 02 and C02 are exchanged at the air-blood interface. Through the alveolar-capillary membrane .Perfusion actual blood flow through the pulmonary circulation. The blood is pumped into the lungs by the right ventricle through the pulmonary artery. .LOW V/Q imbalance is reduced ventilation when unoxygenated blood moves from right to left side of heart SHUNT normal shunt .NORMAL in V/Q imbalance we want the ventilation perfusion to be 4:5=0.8 if it doesn't happen then SHUNT can happen were the 2% of unoxygenated blood can increase and cause problem in the body .HIGH V/Q Dead space is adequated ventilation to impaired perfusion results in hypoxia 02 may help but perfusion is impaired .Silent Unit V/Q ventilation is absence of both ventilation and perfusion shunt and dead space .RESP Age Consideration decline in early-middle adulthood age 40-change in alveoli age 50- lose elasticity loss of chest wall increase dead space .RESP RISK FACTOR smoking 2nd hand smoking genetic allergens occupational exposure .Assessment of Resp Disease health history- dyspnea, cough, sputum, chest pain, cyanosis, wheezing, family history diagnostic evaluation- ABG,Sp02, MRI,PET, pulmonary angiography, lung scans, .Allen Test check hand circulation by occluding the radial and ulnar arteries .Obstructive Sleep Apnea definition (OSA) is the recurrent upper airway obstruction and reduced ventilation with cessation of breathing through sleep .Obstructive sleep apnea increase risk increase risk- hypertension, heart attack, stroke, death seen- men, older adult, obese .clinical manifestation, diagnosis, management, OSA S/S-loud snoring, cessation of breathing, abrupt awakening, insominia, excessive daytime sleepiness, irritability, HTN, diagnosis-sleep study,eeg, symptoms management- wt loss, oral appliance, CPAP,surgery, meds (provigil) .CPAP continuous positive airway pressure keeps upper airway and trachea open to prevent resp failure .BiPAP bilevel pressure, inspiration initiated by pt or machine; ensures set breath/min .CAP community-dwelling or within 48h of hospitalization Streptococcus pneumonia common .HAP/VAP onset after 48 hrs of hospitalization High Mortality .HCAP extensive healthcare contact .immunocompromised host pneumonia immunosupressant/steroids, nutritional depletion, broad-spectrium antibiotics, Aids, TB .Risk Factor for CAP smoking pulmonary edema COPD, asthma, age >65 acidosis altered mental status .risk factors for HAP/VAP altered mental status malnutrition debilitation antibiotics w/in 90 days hospital stay greater than 5 days .Risk Factors of HCAP less than 2 days chronic dialysis home wound care recent home IV therapy .Pathophysiology of HCAP/HAP/VAP alteed normal flora, aspiration, inhalation, contanimated water, Inflammatory response impaired 02/C02 diffusion .S/S HAP and VAP, HCAP fever, cough, dyspnea, tachycardia, sore throat, etc