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HCC Respiratory
HCC Respiratory Problems
| Question | Answer |
|---|---|
| Viral URI's | Upper Repiratory Infections caused by virus. Most common human disease. Peak Sept, Jan, and end of April. AKA=common cold |
| VURI Stats | 2-4 colds/year, 100's of strains, can be caused by more than one virus. |
| Coryza | Rhinorrhea, watery profuse discharge from nose. As a result of cells bursting open. |
| VURI Manifestations | Red mucous membranes, boggy/swollen, vasodilation(more secretions), sneezing, cough, sore throat. |
| First Manifestation | Sore throat. |
| Systemic Manifestations | low grade fever, head ache, malaise, aches & pains. |
| Common Sequella | Bacterial infection. |
| Common Sequella definition | When something commonly follows after something else. like a bacterial infection commonly follows after a viral infection. |
| Common Cold Teachings*** | Educate to sneeze/cough into tissue/arm, wash hands, avoid crowds, rest, adequate fluids, stay warm. Adults-Tylenol/aspirin for aches/pains. |
| Decongestants | Promote vasoconstriction, topically right to site of action(nasal spray), onset rapid and short duration. Can be habit forming, shaking, dry mouth. |
| Decongestant Interventions | Assess proper technique/dosage. Take no longer than 3-5 days. |
| Sudafed | Decongestant |
| Neo-Synephrine | Decongestant |
| Triaminic | Decongestant |
| Antihistamines | Non-sedative don't interfere w/ADL's. Often combined w/decongestants. Dry mouth-hard candy or ice chips. |
| Chlor-Trimeton | Antihistamine |
| Tavist | Antihistamine |
| Zyrtec | Antihistamine |
| Allegra | Antihistamine |
| Contraindication of Decongestants | Clients w/HTN or chronic heart disease should not take decongestants because it stimulates the sympathetic nervous system. |
| Contraindication of Antihistamines | Heart disease, operating or driving heavy machinery, someone who needs to remain alert. |
| Echinacea | Herb from a plant, reduces duration,echinacea and garlic thought to have antiviral and antibiotic like properties. DO NOT GIVE TO PREGNANT/BREAST FEEDING/AUTOIMMUNE DISEASE |
| Aromatherapy | Oils that Relieve congestion. NOT FOR CONSUMPTION. |
| Nursing Care for VURI's | Comfort measures, palliative. Hand washing, wiping down surfaces, stress reducing activities, prevent complicatons. |
| Influenza | RESPIRATORY DISORDER! Highly contagious. Coryza, fever, cough, malaise, HA. |
| Influenza Frequency | Usually occurs in epidemic or pandemic q10-15 years. Localized outbreaks q3 years. |
| Influenza Pathophys | Typically mild and self-limiting in healthy people. Incubation 18-24hrs. Invades epithelium. Inflammation, necrosis, shedding of resp. tract cells. |
| Those Typically Affected by RI's | Very young, very old, chronically ill. |
| Influenza Strains | A,B,C. Mostly A (more chameleon). B, outbreaks less extensive and severe. C, extremely mild and often goes unrecognized. |
| Influenza A Taiwan 89 | Outbreaks named according to place of origin and year. |
| Influenza Manifestations | Sinusitis and otitis media are common. Shedding of epithelial tract cells makes the person more susceptible to bacterial infection. |
| Lean, mean, replicating machines | Viruses' power is in their numbers. They replicate and overwhelm. |
| Pneumonia | Very common, especially in aging population, and claims a lot of lives. Very serious complication of influenza. Typically develops in 48 hrs. |
| Reye's Syndrome | Poss complication of influenza. Typically affects children, develops in 2-3 wks, encephalopathy and liver failure-can be fatal associated w B virus. 40% mortality. |
| Giving Aspirin to Children | Not done anymore because it can cause Reye's syndrome. |
Created by:
mande747
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