Atelectasis Flashcards
1
Q
Atelectasis
A
Airless lung
2
Q
Absorption Atelectasis
A
- Mucus plug
- Airway lesions
- Gas absorbed from aveolus into the blood
3
Q
Passive Atelectasis
A
Persistent small tidal volumes
4
Q
Treatment of Atelectasis
A
- Lung Expansion Therapy
* Mucus Clearing Therapy
5
Q
Risk of Atelectasis
A
- Anyone difficulty taking a deep breath
- Neuromuscular (spinal cord injury)
- Sedated
6
Q
Post operative surgical patients
A
- Thoracic surgery
- Abdominal surgery
- Incision closer to the diaphram
7
Q
Surgical related conditions
A
- Use of anethesia
- Hours under anethesia
- decrease surfactant production
- Persistent tidal volumes anethesia ventilation
8
Q
Postop recovery
A
- Pain
- Weak Cough
- Postop pt all suffer from decrease in FRC 48hr. after major surgery
9
Q
Likely places for atelectasis
A
- Lung bases
* Gravity dependent portions of lung
10
Q
Predisposing factor
A
- History of lung disease
- Decreased vital capacity
- Cigarette Smoking
- Increase mucus production
- Obesity
11
Q
Physiological effects
A
- V/Q mismatch
* Arterial hypoxemia
12
Q
Vital signs
A
- Increased temperature
* Increased respiratory rate
13
Q
Auscultation
A
- Late respiratory crackles heard over the affected lung region
- Bronchial breath sounds
- Decreased breath sounds
14
Q
Pulmonary function
A
- Decrease VC
- Decrease FRC
- Decrease VT
15
Q
Chest x-ray
A
- Evidence of volume loss
- Increase opacity
- Elevation of diaphram
- Shifts of the trachea heart & mediastirium
16
Q
Treatment
A
- Combination
- Bronchial hygiene therapy
- Lung Expansion therapy
17
Q
Bronchial hygiene therapy
A
to clear mucus
18
Q
Lung Expansion therapy
A
to reinflate alveoli
