Chapter 29 Pulmonary Function Flashcards

1
Q

Hemoptysis

A

Coughing up blood

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2
Q

Kussmaul Respirations

A

Deep and rapid breathing

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3
Q

Cheye-Stokes Respirations

A

Periods of apnea

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4
Q

Signs and Symptoms of Pulmonary Disease (8)

A
  • Cough
  • Abnormal sputum
  • Hemoptysis
  • Abnormal breathing patterns
  • Hypoventilation
  • Hyperventilation
  • Cyanosis
  • Clubbing
  • Pain
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5
Q

Hypercapnia

A

Increased carbon dioxide concentration in arterial blood

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6
Q

Hypoxemia

A

-Reduced oxygen of arterial blood

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7
Q

Pneumothorax

A

Air in pleural space causing lung collapse

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8
Q

Pleural effusion

A

Fluid in pleural space

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9
Q

Pulmonary edem

A

Fluid in lungs

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10
Q

Pulmonary edema is commonly found in what disease?

A

Heart failure

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11
Q

Pulmonary edema symptoms (5)

A
  • Pink frothy sputum
  • Dyspnea
  • Cough
  • Wheezing
  • Orthopnea
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12
Q

Aspiration

A

Passage of fluid nd solid particles into the lungs

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13
Q

Atelectasis

A

Collapse of lung tissue (alveoli)

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14
Q

Bronchiolitis (3)

A

Inflammatory obstruction of the small airways

  • Common in children
  • Occurs in adults with chronic bronchitis, in association with a viral infection
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15
Q

Pulmonary fibrosis (2)

A
  • Excessive amount of fibrous tissue in lung

- Idiopathic or caused by scar tissue

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16
Q

Obstructive Lung Diseases (3)

A
  • Narrowing of airways resulting in airway obstruction
  • Worse on expiration
  • Dyspnea and wheezing
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17
Q

Asthma (2)

A
  • Chronic inflammation of the airways

- Causes bronchial hyperresponsiveness

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18
Q

Asthma symptoms (3)

A
  • Expiratory wheezing
  • Dyspnea
  • Tachypnea
19
Q

COPD (3)

A
  • Persistent airflow limitation
  • Usually progressive
  • Most common lung disease in the world
20
Q

2 Primary types of COPD

A
  • Emphysema

- Chronic bronchitis

21
Q

COPD Assessment (7)

A
  • Chronic productive cough
  • Barrel chest
  • Increasing tolerance of high CO2 levels
  • DOE
  • Clubbing
  • Wheezing
  • Increased of pulmonary infections
22
Q

Emphysema (4)

A
  • Abnormal permanent enlargement of the gas-exchange airways
  • Destruction of alveolar walls
  • Loss of elastic recoil
  • Air trapping
23
Q

Emphysema Assessment (5)

A
  • Chronic cough and dyspnea
  • Pursed-lip breathing
  • Barrel chest
  • Hyperresonance on percussion
  • Anorexia, weakness, muscle loss, weight loss
24
Q

Chronic bronchitis (3)

A
  • Hyper-secretion of mucus and chronic productive cough that lasts for @ least 3 months
  • Thicker mucus
  • Recurrent pulmonary infections
25
Q

Chronic bronchitis treatment (3)

A
  • Bronchodilators
  • Expectorants
  • Physical therapy
26
Q

Chronic bronchitis assessment (5)

A
  • Heavy productive cough
  • Cough becomes worse
  • Dyspnea and wheezing
  • Cyanosis
  • Generalized edema
27
Q

Hypoxia

A

SpO2 saturation bellow 92%

28
Q

Hypoxemia

A

Arterial blood PaO2 below 80mmHg

29
Q

Hypoxemia symptoms (3)

A
  • Mood changes
  • forgetfulness
  • Inability to concentrate
30
Q

Hypercapna

A

Elevated CO2

31
Q

Hypercapnia symptoms (8)

A
  • Respiratory acidosis
  • Tachypnea
  • Dyspnea
  • Headache
  • Confusion
  • Lethargy
  • Nausea
  • Vomiting
32
Q

Obstructive Lung Disease Diagnostics (4)

A
  • Chest X-ray
  • PFT
  • ABGs
  • Bronchoscopy
33
Q

Obstructive Lung Disease Treatment (8)

A
  • Stop smoking
  • Bronchodilators
  • Antibiotics
  • Oxygen therapy
  • Steroids
  • Chest physiology
  • Postural drainage
  • Pulmonary disease diet
34
Q

Acute bronchitis

A
  • Acute infection or inflammation
  • Commonly follows a viral illness
  • Acute bronchitis causes symptoms similar to those of pneumonia
35
Q

Pneumonia (2)

A
  • Lower tract

- Caused by: bacterial, viruses, fungi, protozoa, or parasites

36
Q

Types of Pneumonia (3)

A
  • Community acquired
  • Healthcare acquired
  • Ventilator-associated
37
Q

Tuberculosis (5)

A
  • Leading cause of death from curable infectious disease in the world
  • Airborne transmission
  • Tubercle formation
  • Caseous necrosis
  • Tuberculin skin test
38
Q

Pulmonary embolism (2)

A
  • Occlusion of a portion of the pulmonary vascular bed by an embolus
  • Pulmonary emboli commonly arise from DVT
39
Q

PE Symptoms (8)

A
  • Sudden chest pain
  • Dyspnea, tachypnea
  • Tachycardia
  • Anxiety
  • Hemoptysis
  • Pleural friction
  • Pulmonary hypertension/shock
  • May cause death
40
Q

PE Diagnostics (3)

A
  • Dopple
  • Ventilation and perfusion scan
  • D-dimer
41
Q

PE Treatment (2)

A
  • Heparin

- Clot is dissolved by fibrinolytic system

42
Q

Pulmonary infarction causes what to the lungs

A

-Shrinking and scarring in the affected area of the lung

43
Q

Pulmonary hypertension is caused by….(6)

A
  • Heritable defects
  • Drugs
  • Cenoocclusive disease
  • Lung or heart disease
  • Systemic disorders
  • Chronic pulmonary embolism
44
Q

Lung Cancer Causes (2)

A
  • 80% caused by smoking

- Environmental, occupational, and genetic risk