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Respiratory theory
Respiration
Question | Answer |
---|---|
Breathing, inspiration and expiration, inhale and exhale | Respiration |
Having enough blood pressure or air pressure inside to fill the area | Perfusion, tissue perf with 02, kidney need adequate blood perfusion |
Little wave like hair in the lungs | Cilia |
Little grape sacs where O2 and CO2 exchange | Alveoli |
Below epiglottis, produce voice, in vocal cord | Larynx |
The main split of the trunk | Bronchi |
Little branches of bronchi | Bronchioles |
To put air into something | Ventilation, ventilate a room… |
Not breathing | Apnea |
Difficulty breathing | Dyspnea |
Turning blue | Cyanosis |
Low oxygen level | Hypoxemia |
Cyanosis in a portion of the body | Acrocyanosis |
Explain why clients with emphysema must have 02 in low doses? | Drive to breath, emphysema , alveoli are acting more like a paper bag instead of a balloon. You have trapped air in there and it shorts out the compensatory mechanism that tell us when to breath. Usually, when CO2 goes up, it’s stimulate breathing. With e |
Infection, inflammation of the lungs | Pneumonia |
Causes/risk factors | Elderly, decrease mobility, swallowing, breathing pb, elderly, |
Symptoms | sudden onset of fever |
What you would find on assessment | Auscultate the lung, fever, dyspnea, cough, retractions, maybe weezing |
Pt teaching | Hidration, humidify oxygen, Rest, bronchodialators, not lay down flat, rest |
Interventions | O2 therapy, sitting, avoid exercise, not lay down flat, percussion, change position to move fluids |
Goals of care | Main is maintain adequate oxygenation, deep breathing exercise, spirometer |
What is TB? | Caused by Bacteria |
What causes it | Bacteria |
Who is at risk | Ppl in public environment, emergency room, coming from other countries |
How is it diagnosed?PPD (skin test), chest x-ray | |
How is it treated? | Lots of med for a long time, isolation room, |
Symptoms | Fever, consistent cough, coughing blood, fatigue weight loss |
Rapid shift of fluid from plasma into the alveoli | PULMONARY EDEMA |
What is going on with heart? | CHF |
Hallmark symptoms | |
Asthma | |
Discuss triggers | |
S/S (lung sounds) | wheezing in alvioli |
Tx interventions | |
Pt education | Understand what put them at risk |
Risk factors | Smoking, elderly |
Explain emphysema | |
Causes | main is smoking |
s/s | |
What physiological change is occurring? | paper bag picture |
Nursing management | stay oxygenated, low O2 |
Prognosis | Poor, chronic, can’t heal, irreversible |
What can lead to chronic bronchitis? | Smoking, |
What can irritate it? | cold weather, allergens, |
What nursing interventions can help? | pt are medically fragile, |
Primary indicator for a respiratory problem | Anxiety |
Why are an emergency | |
Asthma attack (sometimes) an emergency | If deep whezz, Pass out, need rescue inhaler, If not react, epinephrine and |
Pulmonary edema? | damage to the heart |
Pulmonary Embolus | SOB, dyspnea, hemothaxis |
Hemothorax | Blood in thorax |
Lung cancer | |
Initial symptoms | Not initial symptoms |
Causes | Smoking, allergens, pesticide, secondary cancer can metasize from somewhere else |
Tx | |
Nursing interventions | Treat the symptom, oxygenated, quit smoking |
Preventions | not smoking, don’t expose to chemicals |
Review Epistaxis | bloddy nose |
Assessment and care of client on 02 | looking where tube are touching the body, dry nose, hydrate, not put petroleum products around, safety to use O2 |