assessment of respiratory function (Exam 1) Flashcards

1
Q

what makes up the upper resp tract?

A

nose, paranasal sinuses, pharynx, tonsils, and adenoids, larynx, trachea, epiglottis

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2
Q

what is the function of the upper respiratory tract?

A

warm/filter inspired air

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3
Q

how many lobes are in each lung?

A

3 on the right, 2 on the left

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4
Q

what is the serous membrane outside of the lungs?

A

pleura

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5
Q

what are the layers of pleura?

A

visceral inner parietal layer, surfactant fluid middle later

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6
Q

whta is the mediastinum

A

the chest cavity

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7
Q

what is in the mediastinum?

A

lungs, heart, thymus, aorta, vena cava, esophagus

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8
Q

what is the site of gas exchange?

A

alveoli

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9
Q

how many alveoli are there and how much space do they take up?

A

300 mill
50-100 m^2 of space

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10
Q

what is pleural effusion?

A

too much fluid in the space = hard to breathing

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11
Q

ruptured pleural lining can lead to ______ lung pressure and the pressure can lead to _____

A

positive
collapse

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12
Q

what uses oxygen at the cellular level

A

respiration

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13
Q

what is the act of moving air in/out

A

ventilation

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14
Q

what is pulmonary blood supply to the lungs?

A

perfusion

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15
Q

what is oxygen and blood exchange?

A

diffusion

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16
Q

assessment what is the balance between ventilation and perfusion?

A

they must be equal and each effects the other

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17
Q

what in the CNS involves respiration

A

medulla and pons

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18
Q

what from the CNS helps resting respirations

A

phrenic nerve

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19
Q

what center of the brain involves deep respirations

A

apneustic center

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20
Q

chemoreceptors respond to ______ changes

A

pH

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21
Q

where do chemoreceptors respond to pH changes?

A

medulla

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22
Q

where do chemoreceptors sense PaCO2, PaO2, and pH?

A

in aortic arch and carotid artery

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23
Q

what responds to stretch, irritants, and juxtacapillary receptors (changes breath pattern)

A

mechanoreceptors

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24
Q

what are muscles that respond to movement?

A

proprioceptors

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25
where are baroreceptors found?
in aortic arch and carotid
26
what involves change in arterial BP?
baroreceptors
27
as we age, alveoli decrease in ______ and ______
surface area and elasticity
28
what aids in diagnosis and assessment of respiratory function
pulmonary function tests (PFTs)
29
what measures gas exchange at the cellular level?
Arterial blood gases (ABGs)
30
what measures the balance of oxygen used by tissues and amount of oxygen returning to the right side of the heart
venous blood gases (VBGs)
31
what noninvasively measures O2 saturation of hemoglobin
pulse ox
32
what is the non-invasive method of monitoring parietal pressure of CO2 at end exhalation?
end-tidal carbon dioxide
33
what is an excision of small amount of tissue for exam of cells
biopsy
34
what tells us how the lungs are working by looking at various parts of resp. tract via live xray on a video screen
fluoroscopy
35
what scan assesses for inflammation
gallium scan
36
what scan do you inject radioactive dye in the vein then inhale radioactive gas with oxygen?
V/Q scan
37
what is where a scope is placed in intercostal space to examine pleaural cavity
thoracoscopy
38
ROME acronym
resp. opposite met. equal
39
what is the normal pH for ABGs?
7.35-7.45
40
what is normal PaCO2 for ABGs?
35-45
41
what is normal HCO3 for ABGs?
22-26
42
what values lead to respiratory acidosis?
low pH, high PaCO2
43
what values lead to respiratory alkalosis?
high pH, low PaCO2
44
what values lead to metabolic acidosis?
low pH, low HCO3
45
what values lead to metabolic alkalosis?
high pH, high HCO3
46
what is decreased oxygen to tissues and cells
hypoxia
47
hat si a decrease in oxygen in arterial blood
hypoxemia
48
what is inadequate capillary circulation?
circulatory hypoxia
49
what is ingested toxin that impairs the body's ability to use oxygen?
histotoxic hypoxia
50
what is the volume of air that normally movies in and out of the lungs in one quiet breath
tidal volume
51
what is the maximum amount of air that can be inhaled after a normal tidal volume inhalation?
inspiratory reserve volume
52
what is the maximum amount of air that can be exhaled after a normal tidal volume exhalation?
expiratory reserve volume
53
what is the amount of air remaining in the lungs after maximum exhalation, air that can not be exhaled
residual volume
54
what is the maximum volume of air that can be exhaled after a maximum inhalation
vital capacity
55
how to calculate vital capacity?
TV+IRV+ERV
56
what is the volume of air that can be inhaled after a normal exhalation
inspiratory capacity
57
ow to calculate inspiratory capacity?
TV+IRV
58
what is the volume of air remaining after normal exhalation
functional residual capacity
59
how to calculate functional residual capacity?
ERV+RV
60
what is the maximum amount of air the lungs can accomodate?
total lung capacity
61
how to calculate total lung capacity
IC+FRC