Bronchiectasis
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| show | An acquired disorder of the major bronchi and bronchioles.
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| Bronchiectasis is characterized by? | show 🗑
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| show | - Result of extensive inflammation and destruction of bronchial wall cartilage, blood vessels, elastic tissue, and smooth muscle components.
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| With bronchiectasis one or both lungs may be involved and commonly limited to? | show 🗑
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| What are the tree forms of bronchiectasis? | show 🗑
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| What is Varicose bronchiectasis (Fusiform)? | show 🗑
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| What is Cylindrical bronchiectasis (Tubular)? | show 🗑
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| show | Bronchi progressively increased in diameter until they end in large, cystlike sacs in the lung parenchyma.
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| What are some major pathologic or structural changes? | show 🗑
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| Most all causes of bronchiectasis include some combination of? | show 🗑
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| What is the most common cause of bronchiectasis? | show 🗑
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| What is the prevalence of non- cystic fibrosis bronchiectasis (NCFB), it is relatively low? | show 🗑
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| Causes of bronchiectasis are commonly classified as? | show 🗑
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| What are some ways they diagnose bronchiectasis? | show 🗑
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| What is High- resolution computed tomography (HR- CT) used for? | show 🗑
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| What is spirometry testing for bronchiectasis used for? | show 🗑
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| What are some cardiopulmonary clinical manifestations of bronchiectasis? | show 🗑
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| What may be somethings that may create an obstructive or a restrictive lung disorder or a combination of both? | show 🗑
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| What are the physical examinations of bronchiectosis? | show 🗑
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| Bronchiectasis V/S: | show 🗑
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| What are a couple of signs of increased anteroposterior chest diameter? (Barrel chest) (when obstructive pathology) | show 🗑
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| show | - Distended neck pain.
- Pitting edema.
- Enlarged and tender liver.
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| show | Bronchiectasis
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| Chest assessment findings, when primarily OBSTRUCTIVE in nature are? | show 🗑
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| show | - Increased tactile and vocal fremitus.
- Bronchial breath sounds.
- Crackles.
- Whispered pectoriloquy.
- Dull percussion note.
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| show | - FVC, FEVt, FEV1/FVC ratio, FEF 25%-75
↓. ↓. ↓ ↓
- FEF 50%, FEF 200-1200, PEFR, MVV
↓. ↓
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| show | - Vt, IRV, ERV, RV, VC
N or ↑ N or ↓. N or ↓. ↑. ↓
- IC. FRC. TLC RV/TLC ratio
N or ↓. ↑. N or ↑. N or ↑
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| PFT findings when primarily RESTRICTIVE in nature. (moderate to severe Bronchiectasis). Forced Expiratory Volume and Flowrate Findings: | show 🗑
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| show | - Vt IRV. ERV. RV. VC
N or ↓. ↓. ↓. ↓. ↓
IC. FRC. TLC. RV/TLC ratio
↓. ↓. ↓. N
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| ABGs Bronchiectasis; Mild to Moderate Stages : Acute Alveolar Hyperventilation with Hypoxemia. (Acute Respiratory Alkalosis) | show 🗑
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| ABGs Bronchiectasis: Severe Stage; Chronic Ventilatory Failure with Hypoxemia: (Compensated Respiratory Acidosis) | show 🗑
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| Acute ventilatory changes are frequently seen in patients with chronic ventilatory failure, the Respiratory Therapist MUST be FAMILIAR with- and ALERT for- THE FOLLOWING TWO DANGEROUS ARTERIAL BLOOD GAS FINDINGS: | show 🗑
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| show | - Increased hematocrit and hemoglobin.
- Elevated white blood count if acutely elevated.
- Sputum examination:
- Streptococcus pneumoniae.
- Haemophilus influenzae.
- Anaerobic organisms.
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| show | - Chest radiograph when obstructive
- Areas of consolidation and/or atelectasis.
- chest radiograph when restrictive.
- Increased opacity.
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| Chest radiograph when the bronchiectasis is primarily OBSTRUCTIVE in nature: | show 🗑
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| Chest radiograph when the bronchiectasis is primarily RESTRICTIVE in nature | show 🗑
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| show | - Treatment for underlying disease may not be possible.
- General treatment plan.
- Chest radiograph for restriction.
- Increased opacity.
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| show | - Control pulmonary infections.
- Control airway secretions and obstruction.
- Preventing complications.
- Antibiotics, bronchodilators, and expectorants.
- CPT.
- Vaccinations.
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| When the branchiectasis is primarily in nature you see this? | show 🗑
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| What are the Respiratory Care Treatment Protocols? | show 🗑
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