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MCC susans lecture

Stack #121975

QuestionAnswer
Ventilation inflow, outflow of air between the atmosphere and the lung alveoli
respiration gas exchange between air and blood
oxygen transport diffusion of O and CO2 between capillary wall and interstitial fluid
tidal volume volume of air inspired an expired with normal breath. average 700. don't count dead space
inspiratory reserve volume IRV extra volume of air beyond tidal volume (3000 ml)
expiratory reserve volume ERV amt of air that can still be expired after normal tidal volume (1000 ml)
residual volume RV air still remaining in lungs after the most forceful expiration (1500 ml)
KNOW dead space air in throat area that does nothing to benefit lungs because doesn't go to lungs
IC=? TV + IRV (3500 ml)
functional residual capacity (FRC) = ? erv + rv
total lungl capacity (TLC) maximum volume to which the lung can be expanded w/ the greatest inspiratory effort
vital capacity (VC) =? IRV + TV + ERV (4500 ml)
respiration gas exchange
oxygen transport via blood through capillaries.
airway resistance caused by obstruction, asthma, mucous chronic bronchitis, pneumonia
diffusion breathing
perfusion oxygen into capillaries
Neurologic control of respiratory center pons and medulla oblingata
gerontologic changes alveolar loses surface tension
steroid oral & IV blue in face, bad skin, increase in sugar. Solumedrol is given IV
steroid antiinflammatory. rinse mouth after inhalation steroids to prevent thrush
thorcic excursion thorax is going out
percussion inhale and hold, percuss down one side of back, pen mark, exhale and hold, percuss, pen mark. this marks the diaphragm location
interventions oxygen, ascultate, meds, cough and deep breath, pulse ox, accessory muscles, neck veins, sternal retraction (can see costal spaces)
nursing diagnosis impaired gas exchange, ineffective breathing pattern, tissue perfusion
albuterol beta antagonist. It stops the SNS which constricts the lungs so this drug DIALATEs, opens the airways
COPD chronic bronchitis & emphysema
tracheostomy hole in trachea for proper ventilation for longterm
who has chest tubes open heart, pneumothorax (air in pleural space) & hemothorax (blood in pleural space) which collapes the lung
pleurothorax is air in pleural space where? in upper lung
hemothorax blood in pleural space where? in lower lung
right lung lobes 3 lobes. when listening to breath sounds, ICS 4 and 6 (not lateral) must be heard to listen to right
left lung lobes 2 lobes because the heart is there
trachea from trachea, lungs split into R/L bronchi. Right is straighter so
oxygen transport via blood, capillaries.
alveoli gas exchange
oxygen transport breath, to alveoli crosses alveoli capillary membrane to blood, pulmonary artery is deoxygenated to lungs to pulmonary vein to left atrium to mitral valve to left ventricle to aorta
atelectasis alveoli not opening
airway resistance obstruction, asthma, obstruction, chronic bronchitis, pneumonia
non-compliant lungs lungs not compliant
tital volume amount of air in and out on a normal breath. 10ml/kg
dead space from nose and mouth to trachea. air that does not contribute at all
FEV1 forced expiratory volume in one SECOND. In pulmonary function tests. Key to determine COPD
COPD test FEV1 is decreased, very important value
perfusion (getting oxygen into capillaries
V/Q scan measures what? measures ventilation (air in) vs air getting into blood stream (perfusion)
V/Q scan test for what? Pulmonary emboli (PE)
V/Q scan how? scan, breath radioactive gases, scan
oxygen content FiO2. 21% is in room air.
oxyhemoglobin Sat O2 and PaO2. eg Sat O2 of 90%= PA (arterial) O2 of 60%. Hemoglobin ox sat is very low is ox sat is low
neurologic resp center is in brain, stroke, C2 fracture will stop breathing
alveoli loses elasticity as we age
Created by: bryantd9
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