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Resp. & O2 ch 85/86
Respiratory and Oxygen Therapy
Question | Answer |
---|---|
functions of the respiratory system | O2/CO2 exchange, acid-base balance, protection, speech production |
upper respiratory tract | nose, sinuses, pharynx, trachea |
lower respiratory tract | bronchi, lungs |
where O2 is exchanged for CO2 within the lungs | alveoli |
food/air goes through what to get to the esophagus | pharynx |
exchange of gases between the environment and the body's internal cells | respirations |
respiratory refleses | coughing, sneezing yawning |
ventilation means | breathing |
what part of our brain stimulates respirations | medulla |
what assists the medulla in maintaining respirations | diaphragm and intercostal muscles |
major regulator of respirations | carbon dioxide |
what makes it where you have some voluntary control of your breathing | cerebral cortex |
respirations that are at the lung level | external |
respirations that are at the cellular level | internal |
collect sputum specimen when? | first thing in morning |
specimen where MD goes through nose to get it | lavage specimen |
<7 | acidosis |
>7 | alkalosis |
test that measures lung capacity | PFT (pulmonary function test) |
puncturing the chest wall to remove excess fluid or air from the pleural cavity is called | thoracentesis |
uses position and gravity to drain secretions and mucus from the individual's lungs | postural drainage |
puncturing of the abdominal cavity for aspiration of fluid | paracentesis |
an incision into the thorax r chest cavity | thoracotomy |
do this w/postural drainage | CPT (chest percussion therapy) |
normal breathing | eupnea |
common cold | rhinitis |
rhinitis is spread by | droplets |
loss of the sense of smell is common in what respiratory disorder | tracheotomy |
puss in pleural space | empyema |
non-productive cough is common in what respiratory disorder | bronchitis |
alveoli collapses in what respiratory disorder | atelectasis |
abnormal, permanent enlargement of the alveoli and alveolar ducts w/destruction of the alveolar walls | pulmonary emphysema |
alveoli quit working and the x-ray is complete white | ARDS (acute respiratory distress syndrome) |
spread by inhalation of droplets and verified by chest x-ray | TB (pulmonary tuberculosis) |
if poorly managed, can lead to emphysema | asthma |
more than 5 cessations of airflow for at least 10 seconds each per hour of sleep | sleep apnea |
an attack that persists for more than 24 hrs. and that does not respond to treatment is called | status asthmaticus |
how fast a person can exhale after deep inhalation | peak flow |
1st action c/pt. experiencing sob | reposition pt. into an orthopneic position |
priority intervention if Pleur-Evac system becomes disconnected from chest tube | double-clamp the chest tube |
option that indicates the pt. is experiencing severe hypoxemia | hypotension |
relates most directly to a dianosis of pulmonary emphysema | decreased breath sounds, barrel chest, sob |
the nurse suspects pleurisy when | the client complains of chest pain w/inspiratin plus complaint of an earache |
primary risk factor for developing lung cancer | exposure to smoke or smoking cigarettes |
low-flow device that uses a bag instead of valves | PRM (partial-rebreathing mask) |
uses valves on the outside of the mask as well as between the mask and bag | NRM (non-rebreathing mask) |
too much oxygen can lead to | respiratory arrest |
offers specific oxygen concentrations ranging from 24 to 50% that match specific adapters for flow rates of 4,6, or 8 lpm | venturi masks |
this ventilator encloses all or part of the body | negative pressure ventilator |
oxygen sources available for home use | oxygen cylinders and concentrators |
these ventilators can deliver a consistent volume of air with each breath, a preset pressure of air or total breathing for the client at set intervals | positive pressure ventilators |
type of ventilation where the pt. takes on more work of breathing and gradually progresses to breathing w/o mechanical assistance | SIMV (synchronized intermittent mandatory ventilation) |
Oxygen by mask must be at a minimum flow rate of | 6 lpm |
respiratory doctor | pulmonologist |
sore throat | pharyngitis |
top of lung | apex |
hair-like projections | cilia |
inflammation of the pleura | pleurisy |
measures amount of oxygen in the blood | pulse-oximeter |
double layered sac of serous membranes | pleura |
reduces surface tension in the lungs | surfactant |
barking like a seal | stridor |
bottom of lung | base |
nose bleed | epistaxis |
easing pain on surgical incision site | splinting |
blood in lung cavity | hemathorax |
common breath sound heard in asthmatics | wheezing |
during pulmonary perfusion 02 binds to | blood |