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MB4
MB4 28-36
| Question | Answer |
|---|---|
| How is respiration regulated? | Inhale - exchanges of gasses across membranes. Exhale due to increased C02. Accessory muscles used. |
| Normal rate of respiration - Adult | 12-20 |
| Normal rate of respiration - Over 70 | 15-20 |
| Normal rate of respiration - Teen | 15-20 |
| Normal rate of respiration - Child | 15-25 |
| Normal rate of respiration - Infant | 30-60 |
| Tachypnea | greater than 20 |
| Bradynea | less than 10 -meds, brain damage |
| Hyperventilation | Increased rate and depth |
| Hypoventilation | Decreased, can be due to narcotics/anesthesia |
| Cheyne - Stokes | Rapid followed by apnea Overdose, heart failure, cranial pressure |
| Biot | irregular -meningitis, brain damage |
| Orthopnea | easier to breathe in an upright |
| Arterial Oxygen saturation | Pulse ox normal 90-100 |
| Hypoxia | inadequate cellular oxygenation |
| 5 interventions for client with impaired respiratory status | -monitor Spo2 sat -adjust position to maximize breathing -encourage coughing, turning -assist with spirometer -assist with walking 3-4 x daily -give meds that promote airway patency -teach breathing technique |
| blood pressure | refers to force of blood against arterial walls |
| systolic pressure | number on top, highest pressure formed when heart contracts (systolr) and ejects blood into the arteries |
| diastolic pressure | lowest pressure, heart at rest, refills |
| mean arterial pressure | MAP is average pressure within arteries |
| normal BP range | 120/80 |
| BP pattern | compare client's BP to his regular BP to make determination about normal/abnormal |
| brachial blood pressure reading | left arm at heart level, pump to 20 mmg over, let air out slowly, document |
| cuff size | must be appropriate to get accurate reading |
| What neurological center controls respiration? | medulla oblongata pons |