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croup
infection of the upper airway common between 6 months and 4 years
causes swelling beneath the glottis
epiglottitis
bacterial infection that causes swelling of the epiglottis
asthma
long term inflammatory process characterized by increased mucus production and acute narrowing of the airways
bronchiolitis
the mucosal layer of the bronchioles is inflamed by a viral infection
pneumonia
infection in the lungs can obstruct the airways and lead to respiratory compromise
congenital heart disease (CHD)
can be due to abnormal valves
meningitis
infection of the lining of the brain and spinal cord
signs: recent ear or respiratory tract infection
sudden infant death syndrome (SIDS)
sudden and unexpected death of an infant in which an autopsy fails to identify the cause of death
neuropathy
affects motor
numbness
tingling
congestive heart failure (CHF)
backup of blood behind a weakened heart results in characteristic signs and symptoms: JVD
pulmonary edema
fluid in the lungs
pulmonary embolism
usually occurring when a blood clot breaks free from veins of the lower extremities or pelvis and is transported back through the right side of the heart
hyperosmolar hyperglycemic nonketotic syndrome (HHNS)
complication of type II diabetes where the BGL rises
delirium
alteration in mental function with a recent and sudden onset that may begin with delusions
anaphylaxis
severe
dementia
chronic
chronic obstructive pulmonary disease (COPD)
chronic bronchitis + emphysema (damaged alveoli)
spontaneous pneumothorax
collapsed lung from coughing
hyperventilation syndrome
panic attacks
care: calm the pt down
pertussis
whooping cough
cystic fibrosis
hereditary. commonly causes pulmonary dysfunction as a result of changes in the mucus-secreting glands of the lungs
coronary artery disease (CAD)
atherosclerosis of the coronary vessels
acute coronary syndrome (ACS)
umbrella term for angina and myocardial infarction
stable angina
chest pain because of physical exertion usually gets better with time or nitro
women
myocardial infarction
heart attack
occurs when a plaque ruptures and a thrombus forms
aortic aneurysm
weakened area of the aortic wall dilates
aortic dissection
blood enters a tear in the inner lining of the aorta and separates the layers of the aortic wall
type 1 diabetes
pancreas does not secrete insulin
type 2 diabetes
pts use oral medication
hypoglycemia
high BGL caused by a relative lack of insulin
respiratory distress
pt who is having difficulty breathing but has an adequate tidal volume and respiratory rate
respiratory failure
if either the tidal volume or the respiratory rate becomes or is inadequate
respiratory arrest
when the breathing effort ceases completely
insulin shock
decreased BGL
unstable angina
can happen at any moment
stroke
nontraumatic medical injury to the brain due to an inadequate amount of blood being delivered to a portion of the brain
ischemic stroke
occurs when the cerebral artery is blocked by a clot or other foreign matter
thrombotic stroke
results from a clot that develops at the site of occlusion (thrombus)
embolic stroke
results from a clot or other matter that has traveled from another area of the body (embolus) and lodges in a cerebral artery and occludes it
hemorrhagic stroke
results from the rupture of an artery that causes bleeding within the brain (intracerebral) or in the space around the outer surface of the brain (subarachnoid space)
transient ischemic attack (TIA)
develop most of the same signs and symptoms as those who are experiencing a stroke but the signs and symptoms disappear without any obvious permanent neurological deficits
seizure
sudden and temporary alteration in brain function caused by massive
epilepsy
chronic brain disorder characterized by recurrent seizures
primary seizures
usually due to a genetic or unknown cause
generalized seizure
involves both hemispheres of the brain and the reticular activating system
partial seizure
typically related to abnormal activity in just one cerebral hemisphere
secondary seizures
occur as a result of an insult to the body such as fever
status epilepticus
pt who suffers general motor seizures that last more than 3 min or seizures that occurs consecutively without a period of responsiveness between them
generalized tonic-clonic (grand-mal) seizure
usually begins with abnormal electrical activity low in the cerebral cortex that spreads upward affecting both cerebral hemispheres and downward
simple partial seizure
involves only one cerebral hemisphere and pt remains awake
complex partial seizure
involves only one cerebral hemisphere and lasts 1-2 min
absence (petit mal) seizure
most common in children
febrile seizure
caused by high fever
syncope
fainting
peritonitis
irritation and inflammation of the peritoneum that occurs when blood
pancreatitis
inflammation of the pancreas that may cause severe pain in the middle of the upper quadrants and sometimes radiates to the back
cholecystitis
inflammation of the gallbladder that is commonly associated with the presence of gallstones
gastroenteritis
inflammation of the stomach and small intestines
ulcers
open wounds or sores within the digestive tract
hernia
protrusion or thrusting forward of a portion of the intestine through an opening or weakness in the ab wall
abdominal aortic aneurysm (AAA)
weakened
anemia
basically a reduction of the number of red blood cells in the circulating blood volume
sickle cell anemia
hereditary blood disorder
hemophilia
blood disorder that affects clotting
dysmenorrhea
strong uterine cramps that cause the severe pain during menstruation
mittelschmerz
abdominopelvic pain in the middle of her menstrual cycle
pelvic inflammatory disease (PID)
infection of the female reproductive tract caused by bacteria
renal calculi
kidney stones
spontaneous abortion
miscarriage
placenta previa
abnormal implantation of the placenta near or over the cervix
abruptio placentae
the abnormal separation of the placenta from the uterine wall prior to the birth of the baby
ectopic pregnancy
a fertilized ovum is implanted outside the uterus
preeclampsia
development of hypertension with proteinuria
eclampsia
more severe form of preeclampsia and includes coma or seizures
pregnancy induced hypertension
defined as a BP in a pregnant woman that is greater than 140/90 mmHg on two or more occasions at 6 hours apart or an increase in systolic BP >30 mmHg
supine hypotensive syndrome
third trimester complication
nuchal cord
umbilical cord around the neck of the neonate
must be managed immediately as it is found by using two fingers to slip the cord over the infant's shoulder
prolapsed cord
the umbilical cord is the presenting part and may be cutting off oxygen to the infant
breech birth
presentation is one in which the fetal buttocks or lower extremities are low in the uterus and are the first to be delivered
limb presentation
vaginal delivery is impossible
meconium
fetal distress can lead to the fetus passing a bowel movement into the amniotic fluid
shoulder dystocia
the fetal shoulders are larger than the fetal head
premature rupture of membranes (PROM)
spontaneous rupture of the amniotic sac prior to the onset of true labor and before the end of the 37th week of gestation
postpartum hemorrhage
loss of more than 500 mL blood after delivery
carbon monoxide poisoning
CO reduces the amount of oxygen in the bloodstream and the atmosphere
cyanide
interferes with the use of oxygen at the cellular level
acids
burn on contact and continue to burn
alkalis
burn on contact
narcotics
CNS depressants that are derived from opium (opiates) or synthetic opium (opioids)
pericardial tamponade
heart chambers may be compressed from a collection of blood in the pericardial sac (fibrous sac that surrounds the heart). if the chambers are compressed
tension pneumothorax
results from an injury to the lung that permits a large collection of air in the pleural space of one hemithorax
hypovolemic shock
caused by low blood volume
hemorrhage hypovolemic shock
loss of whole blood
non-hemorrhagic shock
dehydration
burn shock
plasma and plasma proteins leak from damaged capillaries
distributive shock
caused by vasodilation leading to a relative reduction in intravascular volume
anaphylactic shock
chemical substances released in anaphylactic reaction cause massive systemic vasodilation and increased capillary permeability
septic shock
bacteria and toxins in the blood lead to vasodilation and increased capillary permeability