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Diseases Exam 3

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Question
Answer
show Chronic disorder of the neuromuscular junction that interferes with the chemical transmission of Ach between the axon terminal and the receptor site of voluntary muscles; characterized by fatigue and weakness that improves following rest  
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show Young women: 15-35 and Older men 40 to 70  
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show Emotional upset, physical stress, exposure to extreme temp changes, febrile illness, pregnancy  
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show RR varies with the degree of muscle paralysis, apnea occurs in severe cases, cyanosis in severe cases, diminished BS, crackles, and rhonchi  
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What is ptosis?   show
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What is diplopia?   show
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What tests are used to diagnose Myasthenia Gravis?   show
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show Electromyography  
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show VC<20 mL/kg, NIF<-25 cmH2O (-80 cmH2O is normal), pH<7.35 or PaCO2>45 mmHg  
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Are the PFTs associated with Myasthenia Gravis restrictive or obstructive?   show
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show 20mL/kg  
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What drugs are used to treat Myasthenia Gravis?   show
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What is a thymectomy and why would it be used for myasthenia gravis?   show
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What is Guillan Barre?   show
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What are the anatomical alterations associated with Guillan Barre? (Including the affect on nerves and changes in the lungs)   show
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show 45 years of age of older (Men)  
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show Symmetrical muscle weakness, pain, numbness, muscle paralysis spreads upward, patient often drools has difficulty chewing, swallowing, and speaking, respiratory muscle paralysis  
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How is Guillan Barre diagnosed?   show
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What are the breath sounds associated with Guillan Barre?   show
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show Restrictive  
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show VC<20 mL/kg, NIF<-25 cmH2O (-80 cmH2O is normal), pH<7.35 or PaCO2>45 mmHg  
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show Leg compression devices, compression socks, physical therapy  
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show Blockage of ventilation due to upper airway obstruction. No airflow despite chest and abdomen movement  
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show Occurs when respiratory centers of the medulla fail to send signals to the respiratory muscles  
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What diseases are associated with central sleep apnea?   show
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What are the most common symptoms of obstructive sleep apnea?   show
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What is the most common treatment for obstructive sleep apnea? What is it used to prevent?   show
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What is the most common treatment for central sleep apnea?   show
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What is the healing time for 2nd degree burns?   show
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What are the problems associated with patient deterioration following burns?   show
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What should be done if a patient has burns around their face?   show
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show 100% O2 therapy  
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What materials produce CO when burned?   show
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What is Hgb's affinity for CO in comparison to O2?   show
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show Throbbing headache, nausea, vomiting, impaired judgement  
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What are the symptoms of >30% CO poisoning?   show
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show Coma, convulsions, cardiovascular and respiratory distress, Cheyne-stokes respirations  
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What is Scleroderma (ILD)?   show
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What is CWP?   show
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What is Asbestosis?   show
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What is Sarcoidosis?   show
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What is Silicosis?   show
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show Decreased  
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Define near drowning   show
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show Glottis spasms preventing water from entering the lungs (10-15% die from asphyxia)  
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Define wet drowning   show
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show Alcohol  
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show A younger person in cold water  
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show Fluffy infiltrates, normal to showing varying degrees of pulmonary edema and atelectasis, rapid deterioration  
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What are the major pathological changes associated with drowning?   show
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show Crackles and rhonchi  
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show CPR  
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show Mechanical ventilation with PEEP or CPAP  
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What causes atelectasis?   show
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What surgical procedures put a patient at risk of atelectasis?   show
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show Increased density in areas of atelectasis (cloudy, white), air bronchograms, elevation of hemi-diaphragm on the affected side, mediastinal shift toward the affected side  
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show Treat underlying cause immediately, O2 therapy, bronchopulmonary hygiene, lung expansion therapy, mechanical ventilation  
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What causes hypoxemia in ARDS patients?   show
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What does a typical ARDS x ray look like?   show
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What is the ventilatory strategy for ARDS?   show
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What ABG would be found in a patient with severe ARDS?   show
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show Lung expansion therapy  
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What is the criteria for respiratory failure?   show
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What is the difference between pulmonary shunting and deadspace?   show
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show Diminished, wheezing, crackles  
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