chapter 12 Flashcards
respiratory system
external respiration
exchange of air in lung capillaries
internal(cellular) respiration
exchange of gases in the cells
respiratory structures that conduct air:
-nose, nasal cavities & paranasal sinuses
-pharynx, larynx & trachea
respiratory structures that exchange gases:
bronchioles, alveoli & lung caillaries
respiratory flow process:
nose->nasal cavities & paranasal sinuses->pharynx (adenoids & tonsils)->larynx (epiglottis)->trachea-> bronchi->bronchioles->alveoli ->lung capillaries (bloodstream)
adenoids (pharyngeal tonsils)
lymphatic tissue in the nasopharynx
alveolus (plural: alveoli)
air sac in the lung
apex of the lung
tip/uppermost of the lung
base of the lung
the lower portion of lung
bronchioles
smallest branches in the bronchi
bronchus (bronchial tube) (plural: bronchi)
the branch of the trachea (windpipe) that’s a passageway into the lung
carbon dioxide (CO2)
gas produced by the body cells when oxygen & carbon atoms from food combine, exhaled through lungs
cilia
thin hairs attached to mucous membrane epithelium lining the respiratory tract
diaphragm
muscles separating the chest & abdomen, contract to pull air into the lungs -> relaxes to push air out
epiglottis
lid-like piece of cartilage that covers the larynx, keeps food from entering the larynx & trachea during swallowing
expiration (exhalation)
breathing out
glottis
slit-like opening to the larynx
hilum (of the lung)
midline region where bronchi, blood vessels & nerves enter and exit lungs
inspiration (inhalation)
breathing in
larynx
voice box, contains vocal cords
lobe
division of a lung
mediastinum
the region between the lungs in the chest cavity: contains the trachea, heart, lymph nodes, aorta, esophagus & bronchial tubes
nares
opening through the nose carrying air into the nasal cavities
oxygen (O2)
gas that makes up 21% of air, passes into the bloodstream at the lungs & travels to all body cells
palatine tonsils
one of a pair of almond-shaped masses of lymphatic tissue in the oropharynx
oropharynx
the part of the pharynx that lies between the soft palate and the hyoid bone
nasopharynx
the top part of the pharynx behind the nose above the soft palate to allows air to pass from the nose into the pharynx into the lungs
paranasal sinus
one of the air cavities in the bones near the nose
parietal pleura
outer fold of the pleura lying closer to the ribs & chest wall
pharynx
the throat; including the nasopharynx, oropharynx & laryngopharynx
laryngopharynx
between superior border of the epiglottis & inferior border of the cricoid cartilage that serves as a common passageway for food & air
pleura
double-folded membrane surrounding each lung
pleural cavity
space between the folds of the pleura
pulmonary parenchyma
essential parts of the lung, responsible for respiration; are the bronchioles & alveoli of lung
respiration (breathing)
the process of moving air into & out of the lungs
trachea
windpipe
visceral pleura
inner fold of pleura lying closer to the lung tissue
adenoid/o
adenoids
alveol/o
alveolus, air sac
bronch/o
bronchial tubes
bronchi/o
bronchus
bronchiol/o
bronchiole, small branches
capn/o
carbon dioxide
coni/o
dust
cyan/o
blue
epiglott/o
epiglottis
laryng/o
larynx, voice box
lob/o
lobe of the lung
mediastin/o
mediastinum
nas/o
nose
orth/o
straight, upright
ox/o
oxygen
pector/o
chest
pharyng/o
pharynx, throat
phon/o
voice
phren/o
diaphragm
pleur/o
pleura
pneum/o
air, lung, gas
pneumon/o
lung, air, gas
pulmon/o
lung
rhin/o
nose
sinus/o
sinus cavity
spir/o
breathing
tel/o
complete
thorac/o
chest
tonsill/o
tonsils
trache/o
trachea, windpipe
-emia
blood condition
-osmia
smell
-pnea
breathing
-ptysis
spitting
-sphyxia
pulse
-thorax
pleural cavity, chest
pneumothorax
air gathers in the pleural cavity
ventilation-perfusion (V/Q) scan
inhalation of radioactive gas for imaging, followed by injection of different radioactive material for imaging
bronchoscopy
fiberoptic or rigid endoscope inserted into the bronchial tubes for diagnosis, biopsy, or collection of secretions
endotracheal intubation
placement of tube from mouth to trachea to establish an airway
thoracentesis procedure
surgical puncture to remove fluid from the pleural space
tracheostomy procedure
surgical creation of an opening into the trachea through the neck
ABGs
arterial blood gases
AFB
acid-fast bacillus
ARDS
acute respiratory distress syndrome
BAL
bronchioalveolar lavage
Bronch
bronchoscopy
CF
cystic fibrosis
COPD
chronic obstructive pulmonary disease
CPAP
continuous positive airway pressure
CPR
cardiopulmonary resuscitation
C & S
culture & sensitivity training (of sputum)
CTPA
computed tomography pulmonary angiography
CXR
chest x-ray
DICO
diffusion capacity of lung for carbon monoxide
DOE
dyspnea on exertion
DPT
diphtheria, pertussis, tetanus
FEV1
forced expiratory volume in 1 second
FVC
forced vital capacity
LLL
left lower lobe (of lung)
LUL
left upper lobe (of lung)
MAC
mycobacterium avium
MDI
metered-dose inhaler
NSCLC
non-small cell lung cancer
OSA
obstructive sleep apnea
PaCO2
carbon dioxide partial pressure
PaO2
oxygen partial pressure
PCP
pneumocystis pneumonia
PE
pulmonary embolism
PEP
positive expiratory pressure
PEEP
positive end-expiratory pressure
PFTs
pulmonary function tests
PND
paroxysmal nocturnal dyspnea
PPD
purified protein derivative
RDS
respiratory distress syndrome
RLL
right lower lobe (of lung)
RML
right middle lobe
RSV
respiratory syncytial virus
RUL
right upper lobe (of lung)
RV
residual volume
SABA
short-acting beta agonist
SCLC
small cell lung cancer
TB
tuberculosis
TLC
total lung capacity
URI
upper respiratory infection
VT
tidal volume
VATS
video-assisted thoracic surgery
VC
vital capacity
V/Q scan
ventilation-perfusion scan
bronchiectasis
chronic dilation of a bronchus
anosmia
lack of sense of smell
tracheal stenosis
narrowing of the windpipe
orthopnea
breathing is easiest or possible only in an upright postion
hypercapnia
excessive carbon dioxide in blood
hemoptysis
spitting up blood
hypoxia
deficiency of oxygen
pyothorax or empyema
condition of pus in the pleural cavity
dysphonia
hoarseness, voice impairment
hemothorax
blood in pleural cavity
epistaxis
nosebleed
rales (crackles)
fine crackling sounds heard during inhalation when there is fluid in the alveoli
ausculation
listening to sounds within the body
sputum
material expelled from the respiratory tract bu deep coughing & spitting
percussion
tapping on the surface to determine the underlying structure
rhonci
loud rumbling sounds on auscultation of chest, bronchi obstructed by sputum
pleural rub
scratching sound produced by pleural surfaces rubbing against each other (caused by inflammation or tumor cells)
purulent
pus-filled
paroxysmal nocturnal dyspnea (PND)
sudden attack of difficult breathing associated with lying down at night (caused by CHF & pulmonary edema as the lungs fill with fluid)
expectoration
clearing of secretions from the throat or lungs by coughing
stridor
strained, high-pitched inspirational sound
pulmonary infarcation
area of dead tissue in the lung
wheeze
continuous high-pitched whistling sound produced during breathing when air is forced through a narrow space, heard in asthma
diphtheria
acute infectious disease of the throat caused by corynebacterium
croup
acute respiratory syndrome in children & infants that is marked by obstruction of the larynx & stridor
emphysema
hyperinflation of air sacs with destruction of alveolar walls
chronic bronchitis
long-term inflammation of the lining of bronchial tubes, cigarette smoking is a common cause
asthma
inflammatory disorder of bronchi & bronchioles, allergy is a common cause
atelectasis
lung or portion of a lung has collapsed
lung cancer
malignant neoplasm originating in a lung or bronchus
pertussis
whooping cough
inflilrate
a collection of fluid or other material within the lung seen on chest film, CT, or other radiologic study
cystic fibrosis (CF)
inherited disease of exocrine glands, mucous secretions lead to airway obstruction
asbestosis
type of pneumoconiosis, dust particles are inhaled
sarcoidosis
inflammatory disease in which small nodules form in lungs & lymph nodes
pulmonary fibrosis
formation of scar tissue in the connective tissue of the lungs
purulent exudate
consists of white blood cells, microorganisms (dead & alive), and other debris
restrictive lung disease
myasthenia gravis & muscular dystrophy are examples the neuromuscular conditions that produce the disease
obstructive sleep apnea (OSA)
patients with a small pharyngeal airway that closes during sleep
pulmonary abscess
collection of pus in the lungs
pulmonary edema
sweeping, fluid collection on the air sacs & bronchioles
pneumoconosis
abnormal condition of dust in the lungs
pneumonia
acute inflammation & infection of alveoli, they become filled with fluid & blood cells
pulmonary embolism (PE)
floating clot or other material blocking the blood vessels of the lung
tuberculosis (TB)
an infectious disease caused by rod-shaped bacilli & producing tubercles (nodes) of infection
pleural effusion
collection of fluid in the pleural cavity
pleurisy
inflammation of pleura
anthracosis
abnormal condition of coal dust in the lungs (black lung disease)
mesothelioma
malignant tumor arising in the pleura, composed of mesothelium
adenoid hypertrophy
excessive growth of cells in the adenoids (lymph tissue in the nasopharynx)
pleurodynia
pain of the pleura (iirtation of pleural surfaces leads to intercostal pain)
tachypnea (hyperventilation)
rapid breathing
tuberculin tests
tine (multiple-puncture skin test) & mantoux tests (a tool for screening for tuberculosis & for tuberculosis diagnosis)
pulmonary function tests (PFTs)
measure the ventilation mechanics of the lungs
bronchoalveolar lavage
injection of fluid into the bronchi, followed by withdrawal of the fluid for examination
CT pulmonary angiography (CTPA)
combination of computed-generated x-ray images & recording (with contrast) of blood flow in the lung
tube thoracostomy
continuous drainage of the pleural spaces from a hest time placed through a small skin incision
dyspnea on exertion (DOE)
symptom mean the patient has difficulty breathing & becomes short of breath when exercising
video-assisted thoracic surgery (VATS)
visual examination of the chest via endoscope & video monitor
cardiopulmonary resuscitation (CPR)
three basic steps:
1. airway opened by tilting the head
2. breathing restored by mouth-mouth breathing
3. circulation restored by external cardiac compressions
non-small cell lung cancer (NSCLC)
adenocarcinoma & squamous cell carcinoma are types
acute respiratory distress syndrome (ARDS)
a group of symptoms resulting in acute respiratory failure
chronic obstructive pulmonary disease (COPD)
chronic bronchitis & emphysema are examples
purified protein derivative (PPD)
substance used to test for TB
diphtheria, pertussis, tetanus (DPT)
injection in an infant to provide immunity
tonsillectomy
removal of lymph tissue in the oropharynx
lobectomy
removal of a region of a lung