Chapter 39 Week 11 Flashcards
What can occur if not enough oxygen
Brain damage and serious illness
Within scope of practice for Psw related to oxygen therapy
Never turn up or down oxygen level
Can only assist
Respiratory functions involves what three processes
Air moves into and out of lungs
O2 and CO2 are exchanged at the alveoli
Blood Carrie’s O2 to the cells and removes CO2 from them
Respiratory and cardiovascular system
Work together to deliver oxygen all around the body and excrete carbon dioxide
Factors affecting respiratory system
Asthma
Upper respiratory infections
Factors effecting circulatory system
Red blood cell count
Iron deficiency anemia
Blood loss
Cancers of the blood
Factors affecting nervous systems
Affect signals to the rest of the body to breath
Stroke
ALS
Multiple sclerosis
Factors effecting oxygen
Aging
Exercise
Fever
Pain
Nutrition
Drugs
Smoking
Allergies
Pollutant exposure
Alcohol
What’s happening right now in health care
Respiratory infections are bad
Running out of antibiotics
Pneumonia
Infection in alveoli, red blood cells cannot pick up oxygen
What happens with age to respiratory system
Muscles weaken, lungs become less elastic, difficulty coughing
Produce less blood cells
Decrease bone marrow function
People with nervous system condition are prone to what
Respiratory infections
How to prevent respiratory infections
Exercise and deep breaths
On exertion means
With Activity
SOB
Shortness of breath
SOBOE
Short of breath on exertion
Fever
Increase in body temperature
38c and higher
What happens with fever
Metabolism increases so heart rate goes up
Orthopnea
Client wants to sit up in bed or chair as it’s difficult to breathe when lying flat
A change in vital signs that you need to observe for
Increase HR, increase RR, decreased SpO2
Cyanosis
Blue or grey/pale hue of the skin
What increases red blood cell formation
Fruits and veggies
How opioids work
Work on central nervous system, connect with receptors
Cause respiratory depression
Dispelled longer in elderly
What should u look for in respiratory rate
Quality and quantity
Tachypnea
Rapid breathing
Respiration more then 24 per minute
Bradypnea
Slow breathing
Respirations less then 12 per minute
Apnea
Lack of absence of breathing
Sleep apnea and periodic apnea
Kussmaul respirations
Deep and rapid respirations
Juicy fruit breath, really high blood pressure
Hypiventilation
Slow, shallow, and sometimes irregular breaths
Hyperventilation
Respirations are rapid and deeper then normal
Dyspnea
Difficult, laboured, or painful breathing
Cheyne-stokes
Respirations gradually increase in rate and depth and then become shallow and slow
Last breaths before death
Orthopnea
Breathing deeply and comfortably only when sitting
Hypoxia
Deficiency of oxygen
Orthopneic position
Why do u need to move the client every 2 hours
Equal extension of lungs in each side
Coughing and deep breathing technique (DB&C)
Prevent infection
Take deep breath, hold for 3 seconds, exhale through pursed lips, repeat 4 times
Record how many times they do it
Atelectasis
Portion of the alveoli collapse
Incentive spirometer
A machine that measures the amount of air inhale
Oxygen concentrator
The machine filters oxygen from the air in the room
Plugged in
Oxygen cylinder
Compressed oxygen
Make sure it is always full, always check
How much oxygen is in the air we breath
21%
Liquid oxygen system
A portable unit is filled from stationary container
If fire occurs
Turn off oxygen and get out
Smaller delivery device
Less O2 needs
Greater size in delivery device
More O2 needs
Partial rebreather mask
Breathing some of the CO2 in the air
Venturi mask
Each adapter deliveries a specific amount of oxygen
O2 flow rate is measured by
The amount of oxygen given
Measured in litres per minute (L/min)
Sputum
Mucus from the respiratory system
Intubation
Means inserting an artificial airway
Endo-tracheal (ET) tube
Is inserted through the mouth or nose into the trachea
Tracheostomy tube
Inserted through a surgically created opening into the trachea
The three parts of the tracheostomy
Obturator is used as a guide
Inner cannula is inserted and locked into place
Outer cannula is not removed
Extubation
Tube must not come out
As a Psw you can suction
Oro- pharyngeal
The mouth
The sensor on a pulse oximeter is used
Not only on the finger
A pulse oximeter is used to measure
The oxygen concentration in arterial blood
When the nurse is giving tracheostomy care, the support worker may be asked to assist when the ties are removed by
Cleaning the stoma
Does a respiratory therapist prescribe oxygen therapy
No
Respiration depression
Breaths not deep enough to bring enough air into the lungs
Respiratory arrest
Stoppage of breathing
Pollutant
Is a harmful chemical or substance in air or water
The Venturi mask allows
Allows precise amount of oxygen to be given
Distilled water
Is pure, sterile water that has been boiled and allowed to cool and condense
Chest percussion
Is a technique that loosens thick, sticky mucus that is trapped in the lungs into the larger airways
Suctioning
Is the process of withdrawing or sucking up fluid
A sheet tube
Is a hollow plastic tube surgically inserted into the chest cavity which allows for the removal of trapped air
Pneumothorax
Air (pneumonia) in the pleural space
Hemothorax
Is blood (hemp) in the pleural space
Pleural effusion
Is the escape and collection of fluid (effusion) in the pleural space (pleural)
