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RN Respiratory
med/srg respiratory
| Question | Answer |
|---|---|
| Respiratory system influences | Acid-base balance, smell, fluid balance, temperature control |
| Right Lung Vs. Left Lung | right lung has 3 lobes, left lung has 2 lobes. 60-65% of respiratory function occurs in the right lung |
| Difference of light and dark skinned people | darker skinned ind. usually show a lower oxygen saturation (3-5%) |
| Occupational Lung Disease | pneumoiconiosis- results from inhalation of dust such as coal, stone or silicone. Toxic lung injury. hypersensitivity disease such as latex allergy |
| important in assessment | determine exposure to irritants, living conditions, hobbies, leisure activities, social hx (smoking and drug use), travel |
| Smoking pack in years | # of packs smoked per day multiplied by # of years smoked |
| Main sign of lung disease | coughing |
| Sputum production | check for color, amount, duration, ordor and amount. Blood is sign of lung cancer. excessive pink, frothy sputum is common with oulmonary edema |
| Barrel Chest | A:P diameter should be 1:2 with barrel chest is 2:2 |
| Crepitus | Occurs when air is trapped in and under the skin. Feels like a crackling sensation under the fingertips such as bubble wrap |
| Indicators of respiratory adequacy includes | clubbing, weight loss, cyanosis, unevenly developed muscles, change in skin and mucous membrane coloring, nail beds |
| Pulmonary function test | Evaluates lung function and breathing problems. tests include lung volumes and capacities, flow rate, diffusion capacity, gas exchange, airway resistance |
| Throacentesis | the aspiration of pleural fluid or air from the pleural space. pt will feel pressure when needle inserted. have pt lean foward and remain still |
| Lung Biopsy | performed to obtain tissue for histologic analysis. can be done in pt room. Assess vitals and breath q4h for 24hr. pneumothorax indicated by dec breath sounds. monitor for hemoptysis- blood in sputum |
| Elderly | increased A:P diameter. dec musculotory strenght. inc residual volume |
| Left vs right sided heart failure | LHF: distended jugular, apnea. RHF: periferal edema |
| Histoplasmosis | fungal disease from inhaling contaminated dust, mainly central america |
| Coccidiodomy | Fungal and Hanta virus. southwestern, US, Mexico, Central America |
| Lab tests. HCO3, PaO2, PaCO2, hemoglobin, RBC, WBC | HCO3- 21-28. PaO2- 80-100. PaCO2- 35-45. hemoglobin- 12-18. RBC-4-6million. WBC-5-10,000 |
Created by:
smarti13
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