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Cute bronchitis and pnemonia
What is it? Symptoms? - ANSWER In these conditions there is
inflammation and heavy secretions involving the lower respiratory
tract.
Symptoms: fever, cough, dyspnea, chest discomfort and sweats.
Pt.s should be cleared for SX with anesthesia.
COPD (chronic obstructive pulmonary disease) - ANSWER Any
disorder marked by persistent obstruction of bronchial airflow.
Two components: chronic bronchitis and emphysema.
Asthma - ANSWER chronic inflammatory disorder of the
airways.
Agents used for TX corticosteroid
aerosols
Other drugs that inhibit inflammation
Short/long acting beta 2 agonists
Emphysema - ANSWER Enlargement of the alveolar sacs in the
lungs and destruction or scarring of the alveoli; resulting in less
surface area available for gas exchange.
Chronic bronchitis - ANSWER inflammation of the bronchi
persisting over a long time.
The secretions and hyperactive airways can precipitate
laryngospasms and bronchospasms.
,Pt.s are often referred to as "blue bloaters."
Dyspnea - ANSWER difficult or labored breathing
Pt.s are often referred to as "pink puffers".
Dyspnea is a predominant presenting symptom of emphysema
diabetes mellitus (pancreas) - ANSWER A chronic disorder
characterized by impaired metabolism of glucose, resulting in
elevated blood glucose levels, (hyperglycemia).
insulin and glucagon What
is it?
What is it produced by? - ANSWER A hormone produced by the
pancreas or taken as a medication by many diabetics.
Islets of langerhans in the pancreas.,
type 1 diabetes mellitus 1.
What is it?
2. What causes it?
3. Signs and symptoms? - ANSWER -body cannot produce
insulin (beta cells in the islets of langerhans have been
destroyed.)
-pt.s have to take insulin
-either genetic or autoimmune
-pt.s present as: thin, usually young, and onset is sudden.
Ketones ARE present in urine.
type 2 diabetes - ANSWER Pt.s body is insulin resistant -
the body may produce too much insulin, which may lead to
metabolic syndrome
- TX; diet, exercise, and oral meds.
- pt. May need insulin injections before surgery, or during stress/
infection
, Caused by: lifestyle, poor diet, genetics.
Pt. Presents as; overweight over time Rare
to have ketones in urine.
Gestational diabetes - ANSWER a form of diabetes mellitus that
occurs during some pregnancies.
Usually goes away after birth
Management of diabetes in OMS office - ANSWER Generally,
pt.s with diabetes may not heal as quickly and are at higher risk of
infection.
*oral hypoglycemic agents and injections of insulin may need to
be adjusted for anesthesia.
*adequate control usually equates to a fasting BSL of less than
125 mg.dL
*at the SX appointment, BS should be checked before and after
surgery (sometimes during if surgery is longer.)
Hemoglobin A1c - ANSWER A test that measures the level of
hemoglobin A1c in the blood as a means of determining the
average blood sugar concentrations for the preceding two to three
months.
4-6%
Hypoglycemia - ANSWER abnormally low level of sugar in the
blood. Can result in death if left untreated.
Symptoms: sweating, nervousness, irritability, tremor, confusion,
hunger, double vision.
Treated with a simple carb like hard candy or juice.
When a type 1 diabetic has faster but takes their normal insulin
dose, they may be at high risk for hypoglycemia.