disease exam 3 Test
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| A. does not necessarily mean poor prognosisB. multisystem disorder that mainly involves the joints and skin. Also may cause problems in the kidneys, lungs, nervous system and heart. C. 60-90 minutes. D. it Is both restrictive and obstructive disorder or both at the same time E. inc pH, dec all elseF. w/ a careful history from the pt, esp noting the presence of snoring, sleep disturbance, persistent daytime sleepiness,Blood is evaluated for polycythemia, reduced thyroid function, bicarbonate retention,ABGsG. for pts with central sleep apneaH. cessation of airflow at the nose and mouth along w/ cessation of inspiratory efforts (absence of diagphragmatic excursions)I. have more than 5 episodes of apnea per hour that may occur in either or both non REM or REM sleep, over a 6 hour period. J. Ptosis followed by diplopia caused by weakness of the external ocular muscles K. -corticosteroids e.g. prednisone and similar agents such as cyclophosphamide (cytoxan, neosar) and azothioprine (imuran) are used to suppress the immune systemL. It inc the concentration of ACH to compete w/ the circulating anti ACH antibodies, which interfere w/ the ability of ACH to stimulate the muscle receptors M. atelectasis, alveolar consolidation, inc a-c membrane, bronchospasmN. Progressive ascending paralysis of the skeletal muscles - usually develop during a single day though can happen over a few days and generally peaks in fewer than 10 daysO. ventilation becomes slow and regular. Minute volume is commonly 1 to 2 lpm less. PaCO2 levels are higher (4-8 mm hg), PaO2 levels are lower (3-10 mmhg) and the pH is lower (.03-.05 units)P. overhydration and acute upper airway obstruction and pulmo edema Q. during wakeful period R. excessive daytime sleepiness- associated with Joe the fat boy from Charles Dickens's The PostHumous papers of the Pickwick clubS. An EEG and electro-oculogram (EOG) to identify sleep stages,Use of monitoring device for airflow in and out of pt's lungs,An ECG ,Impendance pneumography, intercostal electromyography, esophageal manometry,Ear oximetry or transcutaneous oxygen monitoring T. pleurisy w/ or w/o effusion, atelectasis, diffuse infiltrates and pneumonitis, diffuse intersitial lung disease, uremic pulmonary edema, diaphragmatic dysfunction, infections |
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