chp 39 oxygenation
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What is pulmonary ventilation | Movement of air into and out of lungs by two phases: inspiration & expiration
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What is Respiration | Gas Exchange between atmospheric air in alveoli & blood in capillaries
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What is perfusion | Process by which oxygenated capillary blood passes thru body tissues
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What regulates respiration | The medulla is the respiratory center.stimulated by increase in CO2 and H+ ions. Chemoreceptors in aortic arch & carotid sensitive ABG and BP that will activate medulla. Stimulation of medulla increases rate & depth of ventilation.
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What are Normal breath sounds | Vesicular – soft low pitched over peripheral lung fields; Bronchial – loud high pitched sounds over trachea/larynx; Bronchovesicular – medium pitched blowing over major bronchi
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What are adventitious breath sounds | Crackles, Wheezes, Pleural Friction rub
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What are Crackles (fine or coarse) | Frequently heard on inspiration are soft high pitched discontinuous popping sounds
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What are Wheezes | Continuous musical sounds produced as air passes thru constricted airways (sibilant high pitched & whistling or sonorous sounds like a snore)
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What are Pleural friction rub | Continuous dry grating sound caused by inflammation of pleural surfaces and loss of pleural fluid
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What is Pulse oximetry | Measures arterial blood oxyhemoglobin saturation; Use in monitoring pts with oxygen therapy or at risk for hypoxia. Desaturation indicates gas exchange abnormalities. Range of 95-100% considered normal
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What are nursing interventions for respiratory patients | Reducing anxiety, maintain good nutrition, promote comfort (positioning), maintaining adequate fluid intake, promoting proper breathing
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What are some breathing techniques | Deep breathing – such as in hypoventilation; make each breath deep to move bottom ribs breathing in thru nose and out thru mouth; Incentive spirometry; Pursed lip breathing; Abdominal & diaphragmatic breathing
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What is proper way to use incentive spirometer | visual reinforcement for deep breathing; assists pt to sustain inspiration & expiration (instruct pt to exhale normally, place lips around mouthpiece, instruct not to breathe thru their nose and inhale deeply & slowly hold breath & count to three
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