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Nbrc Pathology Questions With Correct Answers

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Nbrc Pathology Questions With Correct Answers

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Consider alternative approaches to mechanical ventilation


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1). Inverse Ratio
2). Airway Pressure Release Ventilation (APPRV)
3). Pressure Regulated Volume Control (PRVC)
4). High Frequency Ventilation (HFV)
5). Permissive hypercapnia
6). Pulmonary Vasodilators (iNO, prostacyclin's, etc)
Consider prone positioning to improve oxygenation.




Cystic Fibrosis Treatment/Management


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, a. Airway clearance
1). Chest percussion and postural drainage
2). Exercise
3). Pep therapy
4). High frequency chest wall compression.
5). Forced expiration techniques
a). Acute cycle of breathing
b). Autogenic drainage
c). Huff coughing
b. Oxygen therapy
1). Aerosol theory
a). Bronchodilator
b). Mucolytics- pulmozyme
c). Corticosteroids
i. Advair.
ii. Flovent, Pulmicort
2). Inhaled Antibiotics
a). Tobramycin (TOBI)
b). Colistin
c). Amikacin
3). Digestive enzymes




Drug Overdose


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The intentional misuse or accidental overuse of medication that exceeds
the recommended dose.




Asthma Patient Assessment


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, Shortness of breath- pursed lip breathing, chest tightness.
b. Appearance of the chest- Increased A-P diameter during episode.
c. Respiratory pattern- accessory muscle usage
d. Diagnostic chest percussion- Hyperresonant/tympanic note.
e. Breath sounds- diffuse wheezing, diminished breath sounds.
f. Physical Appearance- diaphoresis
g. Vital signs- tachycardia, tachypnea, pulsus paradoxus during severe
episodes.




COPD Treament


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1. Low flow oxygen
2. Aerosolized bronchodilators (Beta2 agonist + anticholinergic).
3. Bronchial hygiene as indicated.
4. Inhaled corticosteroids.
5. Antibiotics if indicated by sputum culture.
6. Referral to smoking cessation program, including nicotine replacement
therapy.
7. Pulmonary rehabilitation, proper nutrition and monitor fluid intake.
8. Consider NPPV for acute exacerbations of ventilatory failure.




Poisoning/Toxic Substance Ingestion Once the cardiovascular and respiratory
systems have stabilized, treatment goals include.


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a). Prohibit further drug absorption
b). Improve elimination
c). Manage complications

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