chap 39 Flashcards

1
Q

oxygen safety guidelines

A
  • O2 is a medication
  • signs “oxygen in use” are posted
  • at least 10 ft from open flames
  • support combustion
  • avoid using items that create a spark
  • check O2 level of portable tanks before transporting a pt
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2
Q

ventilation

A

process of moving gases in and out of lungs

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3
Q

perfusion

A

ability of cardiovascular system to pump oxygenated blood to tissues and return deoxygenated blood to the lungs

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4
Q

diffusion

A

exchange of respiratory gases in the alveoli and capillaries

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5
Q

work of breathing

A

effort required to expand and contract the lungs

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6
Q

surfacant

A

chemical produced in lungs to maintain surface tension of alveoli and keep them from collapsing

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7
Q

atelectasis

A

collapse of alveoli that prevents the normal exchange of O2 and carbon dioxide

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8
Q

oxygen transport involves

A

lungs and cardiovascular system

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9
Q

what carries O2 and CO2

A

hemoglobin

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10
Q

when does carbon dioxide transport take place

A

in expiration

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11
Q

what affects the rate of diffusion

A

thickness of alveolar capillary membrane

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12
Q

physiological factors affecting oxygenation

A
  • decreased O2 carrying capacity
  • hypovolemia
  • decreased inspired O2 concentration
  • increased metabolic rate
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13
Q

conditions affecting chest wall movement

A
  • pregnancy
  • obesity
  • neuromuscular disease
  • musculoskeletal abnormalities
  • trauma
  • CNS alterations
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14
Q

hypovolemia

A

decreased ventilation

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15
Q

hyperventilation

A

ventilation in excess of that required to eliminate carbon dioxide produced by cellular metabolism

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16
Q

causes of hyperventilation

A

anxiety, fever, etc.

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17
Q

hypovenilation

A

alveolar ventilation inadequate to meet the body’s O2 demand or to eliminate sufficient carbon dioxide

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18
Q

hypoxia

A

inadequate tissue oxygenation at the cellular level

19
Q

cyanosis

A

blue discoloration of the skin and mucous membranes

20
Q

S/S associated with hypoxia

A
  • dyspnea
  • use of accessory muscles of respiration
  • cardiac disrhythmias
  • pallor, cyanosis
  • increased fatigue
  • dizziness
  • clubbing of nails
21
Q

what develops if hypoxia is not treated

A

hypotension

22
Q

lifestyle risk factors

A
  • smoking
  • substance abuse
  • stress
23
Q

smoking

A
  • associated w/ heart disease, COPD, lung cancer

- risk of lung cancer is 10 times greater for a smoker

24
Q

substance abuse

A

excessive use of alcohol and other drugs impairs tissue oxygenation

25
Q

stress

A

continuous state of stress or severe anxiety increases metabolic rate and oxygen demand for body

26
Q

health promotion

A
  • vaccinations
  • healthy lifestyle
  • environmental pollutants
27
Q

maintenance/promotion of lung expansion

A
  • ambulation
  • positioning
  • coughing
28
Q

positioning

A

reduces pulmonary stasis, maintains ventilation and oxygenation

29
Q

coughing

A

helps to clear airway and encourages deep breathing

30
Q

dyspnea management

A
  • hydration & supplemental O2
  • encourage coughing & deep breathing, incentive spirometry
  • keep HOB elevated
31
Q

airway maintenance

A
  • humidification
  • chest physiotherapy
  • keep HOB elevated
32
Q

mobilization of pulmonary secretions

A
  • hydration & nebulization
  • chest physiotherapy
  • keep HOB elevated
33
Q

tachypnea

A

more than 20 bpm

34
Q

bradypnea

A

less than 10 bpm

35
Q

apnea

A

cessation of breathing

36
Q

dyspnea

A

difficulty breathing

37
Q

orthopnea

A

difficulty breathing when lying

38
Q

clubbing of nails may be related to

A

prolonged hypoxia

39
Q

nasal cannula

A
  • 1-6 L/min

- 22-44%

40
Q

simple face mask

A
  • 6-12 L/min

- 35-50%

41
Q

partial/non rebreather mask

A
  • 10-15 L/min

- 60-90%

42
Q

venturi mask

A

24-50%

43
Q

oxygen conserving cannula

A
  • 8 L/min

- up to 30-50%