Respiratory (test 3)

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Cillia

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Health

Part of final review

48 Terms

1

Cillia

small, hairlike projections

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2

Apnea

absence of breathing

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3

erythrocytes

red blood cells

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4

Aging effects on the resp system

  • decreased cough reflex

  • inhibited lung expansion

  • mm are not as moist

  • loss of normal lung recoil

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5

hypoxemia

Low oxygen in the blood

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6

hypercapnia

high amounts of carbon dioxide in the blood

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7

Restrictive lung diseases

Decreased lung capacity

  • arthritis causing stiffness of chest wall

  • scoliosis decreases lung capacity

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8

Obstructive lung diseases

Problems moving air in and out

  • Asthma

  • emphysema

  • chronic bronchitis

  • COPD

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9

Thoracentesis

Removal of pleural fluid via needle into the chest wall and pleural space

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10

Normal peak flow meter reading

300-700

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11

dyspnea

difficulty breathing

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12

Aphonia

Hoarseness and loss of voice

  • if lasting more than 2 weeks could be throat cancer

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13

What does clubbing of the fingers indicate?

  • lung or heart disease

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14

Stridor

Croaking sound on auscultation

  • obstruction in airways

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15

Helping a patient with dyspnea

  • admin oxygen

  • reassure the patient

  • pursed lip breathing

  • high fowler's position

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16

Hypoxia

low levels of oxygen in the tissues

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17

Respiratory failure is defined as

Arterial blood gas arterial oxygen below 50 partial pressure of carbon dioxide above 50

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18

When a patient is receiving mechanical ventilation, __ needs increase

Caloric

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19

How much fluid should a patient drink to reduce/thin secretions

3000 mL

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20

A person with a cold is contagious for about __ days after onset of symptoms

3 days

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21

Epistaxis

nosebleed

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22

Treatment of epistaxis (nosebleed)

  • Have patient sit forward and apply direct pressure pinching the nose just below the bone for 10-15 min

  • Cold compress can also help

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23

Pharyngitis

sore throat/ inflammation of the pharynx

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24

What if the patient post nose surgery is swallowing and clearing the throat often?

Could indicate bleeding

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25

Obstructive sleep apnea

Disorder where the patient stops breathing several times during sleep

  • usually the tongue blocking the airway

  • CPAP machine used at night to treat

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26

Tracheostomy

Surgical incision made for insertion of breathing tube

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27

What kind of method is used to suction the trach tube?

Sterile

  • auscultate lungs before and after

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28

Pneumonia

  • inflammation of the lungs

  • viral less severe than bacterial

  • people 65 and older can get vaccine

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29

HOB at __ degrees to prevent aspiration

30-40

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30

Atelectasis

-Collapse of alveoli in lungs

  • reversible

  • diminished breath sounds

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31

Tuberculosis (TB)

  • lesions on lung tissue

  • spread airborne

  • dx by skin test (if bigger than 5mm = positive)

  • can be inactive or active in the body

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32

treatment for tuberculosis (tB)

  • At least four drugs for a long period of time (around 6-9 months)

  • negative pressure isolation room

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33

Pleurisy

-Inflammation of the pleura

  • sharp and abrupt pain

  • have patient lie on affected side and splint when coughing

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34

Pleural effusion

Fluid in the pleural space

  • thoracentesis usually performed to remove fluid

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35

Empyema

fluid within the pleural space becomes infected

  • thick and purulent

  • chest tube tx

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36

Cystic fibrosis

  • Too much mucus being produced by lungs

  • impairs lung and ciliary function

  • no cure

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37

COPD

A condition that describes two diseases

  • emphysema

  • chronic bronchitis tx by bronchodilators and anti inflammatory agents

  • cautiously use oxygen due to dependence

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38

Cor pulmonale

Enlargement of the right side of the heart caused by pulmonary htn

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39

Emphysema

  • inflated alveolar spaces -air is hard to exhale but easy to inhale

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40

Chronic bronchitis

  • too much mucus that lowers ciliary function

  • inflamed bronchi

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41

What is the primary cause of lung cancer

Smoking (90%)

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42

Pulmonary htn

caused by too much pressure in pulmonary artery

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43

Pneumothorax

collapsed lung

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44

Hemothorax

presence of blood in the pleural cavity

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45

Pulmonary edema

Collection of fluid in spaces of the lung

  • left sided HF common cause

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46

If a chest tube container is bubbling this could indicate

An air leak

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47

When is humidification needed for oxygen admin?

Above 4L

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48

What oxygen delivery has the strongest oxygen concentration

Non Rebreather mask

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