Pulmonary (Leik) questions with correct answers

Pulmonary Embolism CORRECT ANSWER - An older adult c/o sudden onset of dyspnea and coughing. Cough may be productive of pink-tinged frothy sputum. - Other symptoms are tachycardia, pallor, feelings of impending doom. - Any condition that increases blood clots will increase risk of PE. - history of A.Fib, estrogen therapy, smoking, surgery, cancer, pregnancy, long bone fractures, and prolonged inactivity. Impending respiratory failure (asthmatic exacerbation) CORRECT ANSWER - An asthmatic patient presents with tachypnea (>20 breaths/ min), tachycardia or bradycardia, cyanosis, and anxiety. - That patient appears exhausted, fatigued, diaphoretic, and uses accessory muscles to help with breathing. - Physical exam reveals cyanosis and "quiet" breath sounds. - When speaking the patient may only speak 1-2 words at a time. Treatment plan for asthmatic exacerbation CORRECT ANSWER - adrenaline injection stat. Call 911. - Oxygen 4-5 liters - Albuterol nebs - Parenteral steroids - antihistamines - H2 Blockers - After treatment a good sign is breath sounds and wheezing (the bronchi are opening). - usually d/c home with oral steroids for several days.