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CMSRN Pulmonary Study Guide Questions and Answers 2024
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CMSRN Pulmonary Study Guide
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CMSRN Pulmonary Study GuideAspiration - answer When foreign compounds or small particles enter the airway
PNA - answer Infection of lungs triggered by inflammation of air sacs (alveoli)
Causes of PNA - answer Lung CA, aspiration, parasites, bacteria (such as
mycoplasma/streptococcus), or viruses
Nosocomial PNA - answer Develops in the hospital setting with another condition that
lasts at least 48 hours
Community Acquired PNA (CAP) - answerContracted by infected people out in the
community
Is Nosocomial PNA or CAP more common? – answer
CAP
Test to find PNA - answer Chest X-ray
Lobar infection - answerPNA on only one side of the lungs
Bronchopneumonia - answerPNA throughout the lungs
Interstitial PNA - answerPNA between the alveoli
S/s of PNA - answerFever, chills, dyspnea, dry or wet cough, & chest pain
The cough for PNA may be dry if it's caused by what? - answerMycoplasma bacteria
3 Tests for PNA - answerChest X-ray, CBC, & CT scan (if lung CA is suspected)
Treatment for PNA - answerAbx or antivirals depending on the type
Steptococcus PNA treatment - answerMoxifloxacin or Levofloxacin
Mycoplasma based PNA treatment - answerClarithomycin, azithromycin, or
eritheomycin
CA-MRSA PNA - answerOccurs in hospital based PNA cases that had the flu first. Can
be fatal
, CA-MRSA PNA treatmet - answerLinezolid
Aspiration PNA happens when - answerFood, drinks, or other compounds enter airway
and cause infection
What 5 types of people are more at risk for aspiration PNA? - answerPatients with
GERD, MS, head trauma, confusion, or alcoholism/drug use
S/s of aspiration pna - answerFever, chills, dyspnea, tachypnea, hypotension, chest
pain, cyanosis, and possible full airway obstruction
Most significant symptoms of aspiration PNA occur when? - answer24-48 hours after
aspiration occured
Treatment for aspiration PNA - answerSuctioning, oxygen, abx and possible mechanical
ventilation
Abx can be given for aspiration PNA after 24-48 hours of what? - answerOther standard
treatments
Foreign body aspiration - answerLife threatening situation when foreign body becomes
lodged in larynx or trachea
The right lung is more likely to be influenced by a foreign body in aspiration because -
answerIt's the right mainstream bronchus directly leading to the lungs based off angle
and positioning
Foreign body aspiration s/s - answerIntense sudden coughing, wheezing, choking,
chest pains and cyanosis
Tests for foreign body aspiration - answerCT scan or X-ray
What should you do if acute choking occurs? - answerHeimlich maneuver
If the patient isn't actively choking but feels obstruction or aspiration occurred, what test
should be done? - answerRigid, flexible, or surgical bronchoscopy
What can occur after foreign body aspiration? - answerSecondary PNA
Viral pna - answerPNA from a viral infection
2 types of people more likely to have viral pna - answerElderly and children
S/s of viral pna - answerFever, chills, NP cough, headache, wheezing, and cyanosis
Tests for viral PNA - answerChest X-ray and viral cultures
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