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MAS 124

Ch. 12 Respiratory

QuestionAnswer
Hows does oxygen get to the human body? It comes through plants on land and in the sea, from the water, sun, and CO2
What causes a human to take a breath? When CO2 levels rise in the lungs.
What is the structure and function of Cilia? Structure: Fine hair-like Function: Traps particles from the air, so they don't enter the lungs.
What is the function of Mucus? They line the nose to trap dust and bacteria, extra mucus is produced to dilute the irritant --> sneezing
Name the functions of the Pharynx: Filters air from the nose, passageway for air and food, connects the mouth to the larynx.
Name the 2 main functions of the Epiglottis: Closes when food is swallowed, air travels from pharynx, over open epiglottis & the larynx.
Describe the components of the Larynx: Comprised of a tube w/ 9 separate cartilages to maintain openness, lined w/ mucus mem. that form 2 folds (vocal cords)
What happens to the vocal cords when you BREATH? They move away from the larynx to make room for air.
What happens to the vocal cords when you SPEAK? Tension & length of cords determines voice pitch.
If an infection occurs in the larynx what are 2 procedures that can be performed? Intubation --> tube through mouth, and Tracheotomy--> Hole is made in trachea
What is the function of the trachea? Air is moved from larynx into the trachea
What is the structure and function of the Bronchi? Structure: Trachea branches into 2 sections to form bronchi and connects to lungs. Function: Maintains air way
What is the structure of Bronchioles? Microscopic, contains cartilage-ringed structures, they have walls of muscle cells.
What is the structure of the Alveoli? Grape-like structured air sacs
Identify the difference between External and Internal Respiration: External: Gets O2 from nose --> alveolus & into cap. & return of CO2 to nose. Internal: Exchange of O2 & Co2 at cellular level
Define Surfactant: It's a fatty molecule on respiratory membrane. Prevents collasped lungs
How do the lungs develop in babies? Prior to birth it is solid & sinks in H2O, At birth it fills with air & floats.
What occurs in premature babies with their lungs? Surfactant is not sufficient--> Resp. distress syn. or the baby will gain > as alveoli form & mature.
What can happen to a person's lungs who smoke? It stops maturing, & + alveoli will not develop.
Visceral Pleura Each lung is enclosed in the membrane
Parietal Pleura Entire thoracic cavity is surrounded by it
Pleural Space/Cavity Is the space between pleura, and it contains fluid to prevent friction during respiration.
What happens to the diaphragm when it contracts? It makes a vacuum to allow air in the thoracic cavity, creating - pressure in the lungs.
What triggers the brain to tell the body to breathe? An increase of CO2 or the lack of O2
Identify the 10 different diagnostic exams: ABG, Bronchoscopy, Chest CT, CT of pulm. arteries, CT-Guided Needle Biopsy, PET(Positron Emission Tomography) Scan, PFT, Pulse Ox, Sputum Analysis, Thoracentesis.
Define the function of an ABG Exam: Measures partial pressures of both O2 & CO2 and determines pH(acidic= alot of H, Alkaline= low H)
What is a Bronchoscopy exam used for? To view the airway or remove a foreign body
Differentiate the 3 different types of CT scans Chest: Computer image detailing lungs & structures in the chest, determines lung cancer. Pulm. Arteries: Scan accompanied by injection of IV contrast, looks for blood clot. Needle Biopsy: Needle inserted into chest to biopsy lung masses
What is a Positron Emission Tomography Scan used for? 1. Determines lung cancer metastasis 2. Evaluates solitary pulm. nodule (> 1cm) 3. Early detection of recurrent cancer
Define the use for a PFT test: It used to measure lung vol. in a N breath when forcing air in & out of the lungs.
How is a spirometer measured & evaluated in a PFT test? It measures ventilation fxn, it evaluates the amt. of air available in the lungs
What does the Pulse ox Measure? Amt. of O2 in the blood & displays it digitally
What does a Sputum Analysis use to diagnose infectious organisms or cancer cells? Material coughed up from bronchial tree or trachea
How is a Thoracentesis performed? Withdraw fluid from pleural space by needle aspiration following local anesthetic
Identify the Etiology, S&S, and Treatment of Allergic Rhinitis: E: caused by dust, mold, cigarette smoke, and animal mites S&S: Sneezing, watery nasal discharge, itchy eyes & nose TX: Admin antihistamines, topical nasal steroids, & decongestants, avoid allergens
Identify the Etiology, S&S, and Treatment of Asthma: E: (CHRONIC) causes swelling, inflammation& constriction of the bronchi & bronchioles S&S: Wheezing, coughing, SOB, mucus coughed up & expectorated Tx: Skin tests, long-acting bronchodilators, Inhaled steroids, leukotriene mods, O2
Identify the Etiology, S&S, and Treatment of COPD: E:combo of resp. diseases; asthma, bronchitis, emphysema, caused by ↑ smoking in males S&S:↓ ability to exercise, productive cough, dyspnea, freq. resp. infections, wheezing, abN pulm. fxn Tx: Stop smoking, avoid resp. irritants. Bronchodi., proper diet
Identify the Etiology, S&S, and Treatment of Bronchitis: E: Lack of air in lungs --> collapse of alveolus S&S: Yellowish-gray/green mucus producing cough, sore throat, constriction of chest, malaise. Tx: Expectorants help remove excessive mucus, avoid smoking, antibiotics, Azithromycin, Bronchodi; Advair
Identify the Etiology, S&S, and Treatment Pneumonia: E: Acute infection of tissues of the lung, impairs exchange of O2 & CO2 S&S: Cough, sputum production, Chest pain, chills Tx: Bed rest, antibiotics, fluid intake, O2/ mechanical breathing therapy, meds for pain
Identify the Etiology, S&S, and Treatment Pneumothorax: E: Air/gas that accumulated between the two pleural layers --> collapsed lung tissue S&S: Sharp pain made worse by breathing Tx: Spontaneous =bed rest, VS. Monitor > 30% Collapsed= Surgery, chest tube placement
Identify the Etiology, S&S, and Treatment Pulmonary Fibrosis: E: Scarring of the lung tissue--> makes lungs stiff & small (fatal) S&S: SOB, talking--dyspnea, dry coughing, tachypnea, cyanosis, crackling sound Tx: Steroids, immunosuppresisve agents slow progresion, O2, Lung transplant
Identify the Etiology, S&S, and Treatment Pulmonary Edema: E: Accumulate w/in lung tissue of fluid that escaped from the bv --> ↑ pressure in the vessels S&S: Dyspnea, orthopnea (sittin up), rapid pulse Tx: Procedures to ↓ accumulated fluids & improve the exchange O2 & CO2, diuretics, nitroglyc, ↑ concen. of O2
Identify the Etiology, S&S, and Treatment Respiratory Distress Syndrome (RDS): E: Kills healthy infants between birth & 8 months are @ ↑ risk S&S: N breathing becomes rapid & shallow, nostrils flare & sternum retracts, infants grunt Tx: Urgent aggressive tx needed, O2 therapy, insert endotracheal tube, ventilator
Identify the Etiology, S&S, and Treatment Sinitus: E: Inflammation of the paranasal sinus cavities S&S: Congestion, ↓ fever, headaches, pain in cheeks & teeth Tx: Analgesic 4 pain, meds to ↓ secretions, steam inhale--> encourage drainage, apply heat 4 pain & congestion, antibiotics, surgical drainage.
Identify the Etiology, S&S, and Treatment Sudden Infant Death Syndrome ((SIDS): E: Kills healthy infants ≈ 2k/yr in winter w/ poor families under 20, & underwt babies Tx: Proper sleeping position
Identify the Etiology, S&S, and Treatment Tuberculosis (TB) E: (ACUTE/CHRONIC) ↑ contagious infection --> nodular lesions & patchy infiltration of the lung tissue S&S: Fatigue, pm sweats, wt loss, ↓ fever Tx: Isolation, bed rest, adequate H2O, meds for TB; Rifampin 6-12m, care 4 nasal & expectorated discharge
Identify the Etiology, S&S, and Treatment Upper Resp. Infection (URI): E: common cold S&S: associated with the common cold Tx: Aspirin, fluids, rest, decongestants, thraot lozengens
Created by: MACC2025
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