tailieunhanh - Ebook Respiratory nursing at a glance: Part 2

Part 2 book “Respiratory nursing at a glance” has contents: Pulmonary tuberculosis, venous thromboembolism and pulmonary embolism, voluntary organisations and patient support groups, patient education, nebuliser therapy, and other contents. | 64 Part 4 Respiratory diseases 31 Bronchiectasis Table Underlying causes of bronchiectasis Figure Dilated bronchi and mucus pooling Source: Shoemark A, Ozerovitch L, Wilson R. (2007) Respir Med 101(6): 1163–70. Reproduced with permission of Elsevier. Source: Boyton RJ. (2008). Bronchiectasis. Medicine. 36: 315–320. (2008). Reproduction with permission of Royal Brompton & Harefield NHS Trust. Causes and association of bronchiectasis Deficient immune response Primary immune deficiency . CVID/XLA Specific polysaccharide antibody deficiency Secondary immune deficiency . CLL Infection Pneumonia Tuberculosis Non-tuberculous mycobacteria Deficient of mucociliary clearance Cystic fibrosis Primary ciliary dyskinesia Young’s syndrome (sinusitis and infertility) Excessive immune response Allergic broncho-pulmonary aspergillosis Rheumatoid arthritis Airway insult Smoke inhalation Foreign body Aspiration of gastric content Increased mucus Congenital Mounier–Kuhn syndrome and Williams– Campbell syndrome (defect of the bronchial wall structure) Destruction of wall Other Yellow nail syndrome Pan bronchiolitis Inflammatory bowel disease Alpha–1–antitrypsin deficiency Abbreviations CLL, chronic lymphatic leukaemia CVID, common variable immune deficiency XLA, X–linked agammaglobulinemia Normal bronchus Wall Mucous gland Air passageway Cilia Bronchiectasis Loss of cilia Figure The cycle of infection and inflammation Source: Ozerovitch L, Wilson R. Independent Nurse 2011; Aug 22:18–20. Reproduced with permission of MA Healthcare Ltd. Microbial infection (. Haemophilus influenzae ) Inflammation Neutrophilic inflammation causes damage to the tissue through proteolytic Impaired lung defences Tissue damage to epithelial cells and the structure of the airway wall leading to Respiratory Nursing at a Glance, First Edition. Edited by Wendy Preston and Carol Kelly. © 2017 John Wiley & Sons, Ltd. Published 2017 by John Wiley & Sons, .