9/22 Class Notes-respiratory Flashcards

1
Q

What does left side heart failure present with?

A

Pulmonary edema

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2
Q

What does right sided heart failure present with?

A

Peripheral edema

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3
Q

What is the role of surfactant?

A

Reduces alveoli surface tension

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4
Q

What do rales/crackles indicate?

A

Water in smaller airways

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5
Q

What is the Bohr effect?

A

An area with low Ph, or increased temperature will cause O2 to fall off the receptor sites of hemoglobin

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6
Q

What are the aortic arch and carotids responsible for when it comes to chemical control of ventilation?

A

Monitor O2 levels

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7
Q

What are the chemoreceptors in the medulla responsible for?

A

Monitor ph and are controlled by fluctuations in it as well

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8
Q

What occurs when air becomes trapped between the visceral and parietal plura?

A

Pneumothorax

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9
Q

What occurs when fluid becomes trapped between the visceral and parietal pluera?

A

Plural effusion

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10
Q

What is surfactant produced by?

A

Type 2 alveoli cells

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11
Q

What is lung capacity?

A

6 liters of air

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12
Q

What is the breakdown of tidal volume?

A

500 ml/ 350 to alveoli, 150 to dead air space

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13
Q

What is minute volume?

A

6 liters

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14
Q

How does cyanide poisoning kill?

A

Through cellular hypoxia, interferes with krebs cycles

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15
Q

What is digitalis taken for?

A

A-fib

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16
Q

Why do asthma patients get sleepy?

A

Because they are becoming hypercarbic

17
Q

In an asthma attack, when should you give Epi?

A

When no ventilation is occurring, confirm with lung sounds

18
Q

In an asthma attack, when should you give duoneb?

A

Only after ventilation is occurring. No ventilation? Give Epi

19
Q

What do bronchospasms appear as on end tidal co2?

A

Shark fins

20
Q

If an asthma patient presents with restlessness, what is the underlying issue?

A

They are hypoxic

21
Q

What is the treatment and cause for severe angioedema?

A

Benadryl (25-50 mg). Can be caused by adverse reaction to taking lesinopril

22
Q

What is the most serious issue of aspiration?

A

Will lead to ARDS

23
Q

What does mallampati stand for?

A

Indicates the difficulty of intubation of an airway. Class 1 is best option and class 4 is nearly impossible

24
Q

What is a potential issue with using the king airway?

A

Can decrease blood pressure to the brain due to pressure on the carotid

25
Q

What is asthma?

A

A chronic, triggered reactive lower airway disorder

26
Q

What is extrinsic asthma?

A

Usually occurs in kids and is linked to a specific antigen. Exposure to antigen causes IgE production and MAST cell de granulation

27
Q

What is intrinsic asthma?

A

Asthma that primarily occurs in older patients after a severe respiratory tract infection