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RPC 210 Fall 2011
Test II Pneumonia
Question | Answer |
---|---|
What kind of precautions do you take with AIDS? | Standard Precautions |
What Causes the AIDS Virus? | HIV. You can have HIV but not have AIDS |
What part of the immune system does the AIDS virus attack? | The T4 lymphocytes which are critical in the immune process because they trigger other immune cells to Act? |
What are 4 ways that the AIDS virus can be transmitted? | 1) Sexual Contact 2) Exchange of body fluids 3) IV drug use 4) May be passed in breast milk |
Name the 6 opportunistic infections that can occur as an result of AIDS? | - Pneumocystis Carinii - Tuberculosis - Viral Pneumonia - Bacterial infections - Fungal Infections - Neoplastic Diseases (Tumors) |
This type of infection which is typical in AIDS is a protozoan infection and it treated with Pentamidine? | Pneumocystis Carinii |
This type of infection is caused by Mycobacterium, can be tested by using Acid fast bacilli and is treated with Isoniazid (INH) and Rifampin | Tuberculosis |
This type of infection is caused by Cytomegalovirus and Often coexists with pneumocystis carinii | Viral Pneumonia |
In AIDS patients, this type of infection is caused by Streptococcus or Haemophilus influenzae and is treated with with penicillins (unless they become resistant or allergic) | Bacterial infections |
This type of infection is caused by either Histoplasmosis, Coccidiodomycosis, Candida albicans,Aspergillus and is treated by using either Amphotericn B, or Nystatin? | Fungal Infections |
This type of disease is typical in AIDS patients and is caused mainly by Kaposi Sarcoma – (a type of Skin Cancer) | Neoplastic Diseases (Tumors) |
What are the common diagnostic Tests to determine AIDS? | - ELISA stands for: Enzyme Linked Immuno Sorbent Assay - Western blot test - A CBC test to determine leukopenia (aka: decreased WBC) with an infection |
Treatment will consist of these two parts? | 1) Supportive therapy (counseling, education, oxygen therapy,) 2) Medications |
Name the 4 drugs that can be administered for HIV drug therapy? | 1) AZT (azidothymidine) 2) Retrovir 3) Zidovudine 4) Dedeoxyinosine (DDI) or Videx |
This type of Pneumonia is frequently undiagnosed? | Nonbacterial Pneumonia |
What are the 3 Key signs of bacterial pneumonia? | 1. Expectoration of yellow sputum 2. Increased White Blood Cell count 3. Presence of Fever |
Aspiration pneumonia results in what type of anatomic alterations? | - alveolar consolidation - atelectasis - inflammation of the alveoli |
What term applies to the filling of alveolar spaces as a result of pneumonia? | Effusion |
The expression "walking pneumonia" is generally applied to patient with what typed of pneumonia? | Mycoplasma pneumoniae |
The most commonly found bacterial cause for pneumonia is: | Streptococcus pneumoniae |
Your patient has been hospitalized for 2 weeks and has a tracheostomy tube. Her secretions have a sweet smell and are green in color. What is the most likely organism causing her infection? | Pseudomonas aeruginosa |
A 75-year-old patient has had a stroke leaving him with dysphagia. What type of pneumonia is he at risk of developing? | aspiration |
A patient with the common cold and associated chest infection would be treated with all of the following EXCEPT: A. antibiotic B. bed rest C. ample fluids D. over-the-counter cold and cough medicine | A. antibiotic |
As the respiratory therapist, you have given supplemental oxygen to a patient with pneumonia. What would cause the patient to be hypoxemic? 1. Diffusion defect 2. Capillary shunting 3. Alveolar consolidation 4. Hypoventilation | B. 2, 3 Pneumonia causes hypoxemia because of alveolar consolidation and related capillary shunting. A diffusion defect is found in patients with pulmonary fibrosis. Because of hypoxemia, patients with pneumonia will hyperventilate, not hypoventilate. |
A patient with severe pneumonia can be expected to have the following: 1. chest pain 2. tachycardia 3. hemoptysis 4. cyanosis A. 4 B. 2, 3 C. 1, 2, 4 D. 1, 2, 3, 4 | D. 1, 2, 3, 4 |
When auscultating over an area of pneumonia, what breath sound can be expected? A. Hyperresonance B. Wheezing C. Bronchial D. Vesicular | C. Bronchial -Bronchial bs are heard in pneumonia pt with consolidation. Hyperresonance is a percussion note heard over an area of pneumothorax. Wheezing is heard when asthma pt is having bronchospasm. Vesicular bs are only heard over normal lung areas. |
usually happens to pregnant women, Associated with asperiation pneumonia, can have tachycardia, cynaosis, dyspnea | Mendelsohn's Syndrome |
The expression "walking pneumonia" is generally applied to a patient with what type of pneumonia? | Mycoplasma |
In the absence of a secondary bacterial infection, lung inflammation caused by the aspiration of gastric fluids usually becomes insignificant in approximately how many days? | 3 days or 72 hours |
What is the most common viral pulmonary complication of AIDS? | cytomeglovirus |
Because of hypoxemia associated with pneumonia, what respiratory care treatment may be needed? | oxygen |
Atelectasis is particularly common in this type of pneumonia? | Aspiration |
Almost always the cause of acute epiglottitis? | Hemaphillus influenza |
What term applies to the filling of alveolar spaces as a result of pneumonia? | effusion |
This type of infection is found in Human GI tract & likes wet environment? | Pseudomonas Aeruginosa |
Name the 3 kinds of Atypical infections? | a. Legionella pneumophila b. Rickettsiae c. Mycoplasma |