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respiratory

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Question
Answer
primary muscles of respiration   diaphragm & intercostals  
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hypoventilation (pH)   increases CO2 levels, lowers pH  
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hyperventilation (pH)   decreases CO2 levels, raises pH  
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CO2 becomes what in blood   carbonic acid (product of ? in blood)  
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sternal angle   angle of louie  
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apex   top of lungs (above clavicle)  
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# of rib pairs   12 pairs  
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# ribs attached to sternum   7 pairs  
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# rib pairs attached to costal cartilage   3 pairs  
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# rib pairs floating   2 pairs  
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mediastinum   middle of thoracic cavity (esophagus, trachea, heart, great vessels)  
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shorter lung   right lung (because of liver)  
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narrower lung   left lung (because of heart)  
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lung with 3 lobes   right lung  
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lung with 2 lobes   left lung  
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posterior view of lungs   mostly lower lung for both; upper lobe T1-T3 or T4  
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anterior view of lungs   contains mostly upper and middle lobe; very little lower lobe  
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trachea bifurcation   sternal angle  
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pneumothorax   pleural space filled with air  
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dyspnea   shortness of breath (SOB)  
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normal AP to transverse diameter   1:2  
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resonance   normal percussion sound over healthy lung tissue  
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hyperresonance   too much air present in lung tissue  
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dullness   abn/inc. density in lungs= pneumonia, pleural effusion, atelectasis, tumor  
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bronchial/tracheal breath sounds   loud; inspiration<expiration; harsh/hollow/tubular; over trachea & larynx  
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bronchovesicular breath sounds   moderate amp; inspir=expir; mixed quality; over major bronchi- sternal border, 2nd & 3rd ICS  
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vesicular breath sounds   soft; inspir>expir; rustling, like wind; over peripheral lung fields  
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fine crackles   high pitched, short popping sounds, do not clear with cough (alveoli sticking together)  
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course crackles   loud, low pitched, bubbling/gurgling sounds; start early in inspir, maybe present in expir (pneumonia, CHF-> pulm. edema)  
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fine crackles   sounds like: rubbing hair together  
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course crackles   sounds like: velcro  
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wheeze (sibilant)   high pitched, musical squeeking, polyphonic; mostly in expiration, maybe both; air passing through narrowed bronchioles (bronchitis/asthma)  
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wheeze (sonorous)   low pitched; monophonic; musical snoring/moaning sound. prominent on expir; may clear somewhat with cough; air passing through narrowed bronchus  
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stridor   high pitched; monophonic; inspiratory; crowing sound; louder in neck than chest wall (croup)  
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stridor   sounds like: barking when inhaling  
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aging respiratory system   * less mobile thorax= more shallow breaths *dec. respiratory muscle strength *dec. elasticity within lungs= lungs don't recoil and push air out as well -> decreased vital capacity, increased residual volume  
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Created by: allisonfay