PHPR 2813 Study Guide - Final Guide: Obstructive Sleep Apnea, Myotonic Dystrophy, Hypopnea

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vmturner96

7 Mar 2022

School

Lipscomb University

Department

PHPR - Pharmacy Practice

Course

PHPR 2813

Professor

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Document Summary

Clinical features of osa: obesity, bmi>30 kg/m2, shortening of the mandible/maxilla, adenoid/tonsil enlargement in children and elderly, hypothyroidism, acromegaly, male gender, middle age (40-65, middle aged male population, myotonic dystrophy, ehlers danlos syndrome, smoking. Major medical issues with osa: cardiovascular and cerebrovascular events. Increased risk of stroke 40: adult form of sids, daytime sleepiness. Impaired vigilance, cognitive performance, and driving (3-6x increase in accidents: depression, disturbed sleep, hypertension, difficulty concentration, unrefreshing nocturnal sleep, nocturnal choking, nocturia, decreased libido, snoring (more a problem for partners!) Differential diagnosis of osa: narcolepsy, drugs (stimulant and sedative) How to treat osa: epworth score > 11, > 15 apnea/hypopneas per hour, similar sleepiness and 5-15/hr. Diagnosis of osa: sleep history (patient + partner, physical examination, polysomnography, cpap machine, mandibular repositioning splint (mrs) not as eff as cpap, surgery, drugs wakefulness promoting drugs (cns stimulating drugs, modafinal provigil, armodafinal nuvigil . Obstructive sleep apnea (osa: how often are you likely to doze off or fall asleep:

Related Questions

What mechanisms are responsible for the changes in therespiratory rhythm seen with rebreathing, breath holding, orobstruction of airway passages?

viridianmule570

A 65 year old male is having trouble breathing. He is moderately overweight and has been coughing up yellowish phlegm. He smokes two packs of cigarettes a ay and reports having episodes like this for many years

Whooping cough

Chronic bronchitis

Pulmonary edema

Status ashmaticus

A 64 year old male complains about dyspnea and is coughing up blood tinged sputum. Upon auscultation, you notice crackles bilaterally.

Emphysema exacerbation

Pulmonary edema

Pulmonary embolism

Esophageal varices

What nerve primarily controls respiration

Phrenic

Intercostal

Vagus

Thoracic

Which of he following can be present with a sudden onset of difficult breathing and diminished breath sounds

Pertussis

Emphysema

Pneumothorax

Pneumonia

A semi-conscious 34 year old male begins to gag after insertion of an OPA

Suction his air way

Encourage him to cough

Remove the airway and attempt a nasal airway

Remove the airway and insert a smaller size airway

A semi-conscious patientâs dentures have completely loosened.

Apply a nasal cannula

Remove the dentures

Insert an OPA

Reset the dentures in place

What sound would a lower air way obstruction produce

Gurgling

Snoring

Wheezing

Stridor

Which of the following is an indication of an upper airway obstruction

Snoring

Rhonchi

Crackles

Wheezing

Which of the following best describes respiratory difficulty?

Dyspnea

Bradypnea

Apnea

Tachypnea

in seconds what is the time limit for suctioning an adultâs airway

Which condition could be considered an upper air obstruction

Pneumothorax

Epiglottitis

Emphysema

Asthma

A year old male with a complete laryngectomy is in respiratory arrest

Suction the stoma completely

Begin mask to stoma ventilation

Begin BVM

Initiate mouth to mask ventilatioin

A 26 year old bride at her wedding reception is sitting in a tripod position and drooling. Lung sounds are diminished obvious stridor is noted

Spontaneous pneumothorax

Acute onset asthma attack

Upper airway obstruction

Severe anxiety attack

A patient fell asleep on the couch, and his wife is unable to awaken him. How should you open his airway

Crossed finger technique

NPA

Tongue-jaw lift

Head tilt chin lift maneuver

A 73 year old male is dyspneic. You note jugular vein distension and dependent edema. Vital signs are bp 158/93 P 130

Cardiac tamponade

CHF

Respiratory syncytial virus

COPD

When ventilating a patient with a bag valve mask you should

Use two rescuers whenpossible

Squeeze out as much air as possible

Ensure proper spinal immobilization

Ensure that the patient is apneic

You have inserted an OPA for a 21 year old apneic male. How many times per minute should you ventilate with BVM

5-8

10-12

30-40

20-26

An 89 year old patient complains of difficulty breathing and productive cough that has gotten worse over the past 12 hours

COPD

Pneumonia

Pulmonary embolism

Emphysema

PHPR 2813 Study Guide - Final Guide: Obstructive Sleep Apnea, Myotonic Dystrophy, Hypopnea

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