| Flap 1 |
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| Flap 2 |
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| Eupnea |
Normal breathing, 10 - 18 bpm |
| Apnea |
no spontaneous breathing, usually more than 10 seconds, caused by drug overdose, asphyxia, sleep apnea |
| Platypnea |
Can breath better when laying down. |
| Orthopnea |
Can breath better when sitting up. |
| Cheyne Stokes |
Gradual increase of breathing followed by a gradual decrease in breathing followed by apnea. |
| Kussmal breathing |
Deep rapid respiration characteristic of diabetic or other types of acidosis. |
| Biot's breathing |
Irregular rate, depth and volume followed by apnea seen in patients with ICP and menningitis |
| Tachypnea |
Rapid breathing, usually caused by decreased lung compliance |
| Hyperpnea |
Deeper and more rapid than normal breathing at rest. |
| Bradypnea |
Slow respiratory frequency, caused by CNS depression |
| Paroxymal Nocturnal Dyspnea |
Dyspnea during the night. |
| Exertional Dyspnea |
Dyspnea that occurs only during exertion. |
| Kyphoscoliosis |
Kyphosis (hunch back) plus Scoliosis (lateral curvature) |
| Kyphosis |
Abnormal AP curvature causing a hunch back. |
| Scoliosis |
Lateral curvature |
| Barrel Chest |
A chest with increased A-P diameter, seen in patients with COPD (air trappers) |
| Pectus Excavatum |
Funnel chest (concaved) |
| Pectus Carinatum |
Pigeon breast (protruding) |
| Jugular Venous Pressure |
Reflects the volume of blood and pressure to the right side of the heart. Right heart failure can increase it. |
| Right heart failure |
Corepulmonade |
| Paradoxical Pulse |
A reverse of normal pulse, during inspiration pulse is weaker and stronger during exhalation. Seen in Cardiac Tamponade. Less moving air, pulse checked at beat 1 and 2 systolic, if greater than 8 to 10 torr difference= paradoxical. |
| Hypertension |
Blood pressure higher than 140/90 |
| Causes of Hypertension |
Increased ICP, Corpulmonale, hypervolemia, hypoxemia, and sympathomimetics. |
| Hypotension |
Blood pressure lower than 90/60 |
| Causes of Hypotension |
Hypovolemia, left ventricular failure, peripheral vasodilation/sepsis, beta blockers, positive pressure ventilation, and PEEP/CPAP. |
| Purulent |
Thick, yellow, and sticky bacterial infected white cells. |
| Fetid |
Foul smelling |
| Mucoid |
Thick and clear, normal for someone who has an airway disease. |
| Muco-purulent |
Purulent and Mucoid combined |
| Green |
Old infection or infection related to alergies. |
| Green and fetid |
Pseudamonas |
| Brown |
Old blood |
| Asthmatic Breathing |
prolonged exhalation, caused by obstruction to airflow out of lungs |
| capillary refill |
press on patients fingernail, note spead of capillary refill, less than 3 seconds=healthy. longer = poor vascular supply and decreased Card output |
| Caugh |
Most common sympton of pulmonary disease |
| Dry Non-productive caugh |
restrictive disease like chf or pulmonary fibrosis |
| loose productive caugh |
inflammatory obstructive disease like bronchitis or asthma |
| chest pain |
pleuritic (lateral) nonpleuritic (center chest) |
| pleuritic |
lateral or posterior chest pain, worsens with depth of breath, sharp, stabbing. Associated w plural lining, pneumonia, or embolism. |
| nonpleuritic |
center chest pain, anterior, radiates to shoulder, not effected by breathing, dull ache angina or coronary artery |
| COPD |
Cystic Fibrosis, Bronchitis, Asthma, Bronchiectasis, Emphysema |
| Cor Pulmonale |
Right-side Heart failure, caused by chronic left side failure |
| digital clubbing |
clubbing of the finger tips and toes, develops over time, caused by cardiopulmonary disease, chronic hypoxemia, low O2 and polycythemia |
| Face Inspection for Resp Patients |
Nasal Flaring(resp distress), Cyanosis (resp failure), Pursed lips breathing (copd) |
| Fever |
common complaint with infection, height may indicate virulence, fever+cough=respiratory infection. ↑ metabolic rate, ↑O2 consumption,↑CO2 production, increased o2 and co2 may cause tachypnea and resp failure |
| frothy secretions |
white= non cardiogenic pulmonary edima. Pink= cardiogenic pulmonary edima |
| Hemoptysis |
coughing up blood or blood streaked sputum, massive = more than 300 ml in 24 hours |
| Heart Rate |
Radial, coritid, femoral |
| Respiratory Rate |
chest, abdomen, back |
| hematemesis |
vomiting blood |
| hemoptysis |
coughing blood |
| hypopnea |
decreased rate and depth of breathing, caused by brain damage or well conditioned atheletes |
| LOC |
level of consciousness, confused, delirious, lethargic, obtuded stuporus, comatose |
| Oriented x3 |
time, people, place |
| measuring body temp |
mouth, azilla, rectum, ear |
| non verbal communication |
gestrues, facial expressions, eye movement, contact, voice tone, space, touch |
| past medical history |
dhildhood disease, hospitalizations, surguries, injuries, alergies, ilnesses, meds |
| pedel ademia |
usaully assiated with right heart failure, leaking venous system causes pooling in feet |
| phlegm |
mucus from tracheobronchial tree that has not been contaminated by oral secretions |
| pleural effusion |
increased fluid in the pleural cavity-usually due to inflamation or inffection |
| polycythemia |
abnormally high increase in rbc's |
| pulse alterans |
alternbatly strong and week pulses, suggests left side failure usually not related to resp die=sease |
| regulating body temps |
raise with shiver, vasoconstriction, slowing pulse and slowing rr, lower with sweat, peripheral vasodialation, increased rr |
| sputum |
mucus that has been contaminated by oral secretions |
| sympathetic vascular resistance |
main cause of hypertension |
| trachea exam |
trachea midline should be directly below the center of the supra sternal notch. trachea moves toward colapsed lung. moves away from tension pneumothorax or large pleural effusion. |
| Vital signs |
pulse 60-100, RR 12-18, Temp 98.6F or 37 C = or - 1, BP 90-140/60 -90` |
