Respiratory DisordersOnline version RSV, Lung Cancer, Pleural Effusion by Adriana Hood 1 Pleural Effusion 2 Lung Cancer 3 Bronchiolitis (RSV) Patho: Fluid may accumulate in the pleural space. The secretions can be clear or bloody or purulent. S/S: Dull percussion over impacted area, pleuritic pain, can't take a deep breath, dyspnea, low O2 Diagnostics: Chest x-ray, Ct Scan TX: Thoracentesis, treat underlying cause first, chest x-ray to check for pneumothorax Management: kinks, vaseline gauze, maintain respiratory status, watch for respiratory changes Patho: Damage to cell's DNA from carcinogen that binds to the cell Dry persistent cough- could be hemoptysis, wheezing, SOB, pleuritic chest pain, fatigue, weight loss Diagnostics: Chest CT, bronchoscopy TX: Chemo, radiation, immunotherapy, thoracotomy, pain management, psychological support Education: Smoking cessation, decrease second hand smoking, vaccinations- due to chemo and radiation Management: Maintain O2 and RR, want to ambulate, help patient with coping Patho: Bronchial walls are weak and dilated and inflammation leading to pooling secretions Often seen in kids less than 2 years old, really highly contact contagious Diagnostics: Chest x-ray S/S: Tachypneic, crackles & rhonic, retractions, nasal flaring, high fever TX: fluids, bronchodilators, chest physiotherapy, lots of inhalers Management: Contact precautions, isolation, airway clearance, clear secretions, percussion Education: Handwashing, fluids, rest
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