Ch 11 Flashcards

1
Q

Dyspnea

A

shortness of breath

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2
Q

Hypoxia

A

abnormal reduction of oxygen delivery to body tissue

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3
Q

Hypoxemia

A

abnormal reduction of oxygen content in the arterial blood

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4
Q

Subcutaneous Emphysema (Crepitus)

A

when air gets into tissues under the skin

bubbles underneath the skin

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5
Q

Tripod Positioning

A

one sits or stands leaning forwards and supporting the upper body with hands on knees or on another surface

orthopneic position

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6
Q

Orthopnea

A

difficulty breathing in any position other than an upright one

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7
Q

Cyanosis

A

bluish-gray discoloration of skin and mucous membranes` caused by an excess of deoxygenated hemoglobin in blood

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8
Q

Three-pillow Orthopnea

A

person needs to prop up with 3 pillows to relieve dyspnea

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9
Q

Bronchial Breath Sounds

A

expected sounds heard over TRACHEA and area immediately above the manubrium of sternum (top of sternum)

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10
Q

Bronchovesicular Breath Sounds

A

expected sounds heard over central area of anterior thorax around the STERNAL BORDER

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11
Q

Vesicular Breath Sounds

A

should be heard throughout anterior thorax, including the apex of the lungs above the clavicles

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12
Q

Tachypnea

A

> 20 breaths/min; rapid breathing

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13
Q

Bradypnea

A

< 12 breaths/min; abnormally slow breathing

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14
Q

Cheynes-Stokes Respirations

A

rare, abnormal breathing pattern that can occur while awake but usually occurs during sleep

NEAR DEATH BREATHING PATTERN

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15
Q

Kussmaul Respirations

A

fast, deep breaths that occur in response to metabolic acidosis

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16
Q

Stridor

A

harsh, high-pitched sound associated with breathing that is often caused by laryngeal or tracheal obstruction

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17
Q

Crackles

A

discontinuous bubbling sounds

FLUID IN SMALL AIRWAYS

can be fine or course

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18
Q

Wheezes

A

whistle or rattling sound as result of obstruction in air passageway

NARROWING OF AIRWAYS OR OBSTRUCTION

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19
Q

Rhonchi

A

wheezing heard after coughing in BRONCHI

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20
Q

Atelectasis

A

collapse of alveoli

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21
Q

Pneumothorax

A

air in the pleural spaces

signs vary depending on amount of lung collapse

with minor collapse: slightly short of breath, anxious, and have chest pain

with large amount of lung collapse: may be in severe respiratory distress, including dyspnea, tachypnea, and cyanosis

22
Q

Hemothorax

A

blood in the pleural spaces

23
Q

Pleural Effusion

A

accumulation of serous fluid in the pleural space between the visceral and parietal pleurae

24
Q

Hemoptysis

A

coughing up blood or referring to bloody sputum

25
Q

Pleural Space

A

cavity that exists between lungs and underneath the chest wall

26
Q

Difficulty breathing when you sleep could be…

A

sleep apnea or proximal nocturnal dyspnea

27
Q

Shortness of breath can cause… What can help this?

A

anxiety; pursed lip breathing helps

28
Q

What are the accessory muscles that help with breathing?

A

diaphragm and intercostal muscles

29
Q

When is it common for atelectasis to occur?

A

after surgery (coming out of surgery/immobility)

30
Q

How do you document smoking?

A

pack years = years smoked x packs per day

31
Q

What are some examples of respiratory diseases that you can develop while travelling?

A

Histoplasmosis in Southeast and Midwest
Severe Acute Respiratory Syndrome (SARS)
COVID-19

32
Q

What are some commonly reported problems related to the lungs?

A

cough
shortness of breath
chest pain with breathing (could be pleuritis)

33
Q

What will sputum look like for a viral infection?

A

white/clear

34
Q

What will sputum look like for a bacterial infection?

A

green/yellow

35
Q

What should you inspect a pt for when examining respiratory system?

A

general appearance
posture
breathing effort
rate and quality
breathing pattern
chest expansion
nails, skin, and lips for color

36
Q

Dyspnea could cause…

A

finger clubbing
could have cyanosis
may look tired
may be in tripod position
may be using accessory muscles to breathe

37
Q

Anteroposterior to Lateral Diameter (A/P Diameter)

A

1:2 ratio

front and back are twice as wide as lateral chest

38
Q

Hyperpnea

A

deep breaths

39
Q

Hypopnea

A

shallow breaths

40
Q

Pleural Friction Rub

A

two inflammed pleural surfaces rub against each other

41
Q

Acute Shortness of Breath (immediate assessments)

A

RR >30
O2 Sat <92%
dyspnea
cyanosis
confusion
retractions (sinking in of chest cavity)
use of accessory muscles

42
Q

Where should you start auscultating the lungs when a pt presents with acute shortness of breath?

A

start with bases (bottom of lungs)
posterior first

43
Q

Normal presentation of Respiratory System

A

RR 12-20/min
regular pattern
good effort at rest
no complaints of shortness of breath
pink color
adequate capillary refill (<2 sec)
lung sounds clear
no use of accessory muscles
no dyspnea on exertion

44
Q

Symptoms of Hypoxia (RAT BED FINES)

A

early
R - restlessness
A - Anxiety
T - tachycardia/tachypnea

late
B - bradycardia
E - extreme restlessness
D - dyspnea (severe)

pediatrics
F - feeding difficulty
I - inspiratory stridor
N - nares flare
E - expiratory grunting
S - sternal retractions

45
Q

Acute Bronchitis

A

inflammation of mucous membranes of bronchial tree caused by viruses or bacteria

46
Q

Pneumonia

A

inflammation of terminal bronchioles and alveoli

may be caused by bacteria, fungi, viruses, mycoplasma, or aspiration of gastric secretions

47
Q

Asthma

A

hyperreactive airway disease characterized by bronchoconstriction, airway obstruction, inflammation

prolonged expiration, expiratory and occasionally inspiratory wheeze, and diminished breath sounds are common findings with auscultation

48
Q

Emphysema

A

destruction of alveolar walls that causes permanent abnormal enlargement of air spaces

49
Q

Chronic Bronchitis

A

hypersecretion of mucus by goblet cells of trachea and bronchi resulting in productive cough for 3 months in each of 2 successive years

caused by irritants such as cigarette smoke and air pollution or by infection

50
Q

Lung Cancer

A

uncontrolled growth of anaplastic cells in lung

agents such as tobacco smoke, asbestos, ionizing radiation, and other noxious inhalants can be causative agents