Chapter 7 (6) - Respiratory Video Notes Flashcards
Adenoids
Lymphoid tissue in nasopharynx
Adam’s Apple
Thyroid cartilage
Alveolus
Smallest air sacks, where diffusion of O2/CO2 occur
Apex
Upper aspect of lung
Base
Bottom of lung
External Respiration
Exchange of air between atmosphere and body
Glottis
Opening between vocal cords into trachea
Hypopharynx
Laryngopharynx
Intercostal Muscle
Muscles between ribs
Larynx
“Voice Box;” Between pharynx and trachea
Mediastinum
Medium portion of thoracic cavity
Includes: Heart, Esophagus, Trachea, Lymph nodes, Thymus Gland
Nasopharynx
Part of throat above soft palate
Pleura
Double layer membrane surrounding lungs
- Visceral covers lung
- Parietal attaches to thoracic cavity
Septum
Cartilaginous division
Soft Palate
Muscular sheet separates nasopharynx from rest of pharynx
Trachea
“windpipe;” From larynx to Carina (division of trachea to lungs)
Laryngeal Carcinoma
Cancerous tumor of larynx (voice box)
Mediastinotomy
Incision into the Mediastinum
Capnography
Recording of CO2 levels
Phrenitis
Inflammation of diaphragm
Rhinorrhea
Flowing from the nose, runny nose
Thoracoplasty
Surgical repair of the chest
Tracheomalacia
Thinning of trachea
Dyspnea
Difficulty breathing, shortness of breath
Eupnea
Normal breathing pattern
Bradypnea
Slow breathing; less than 12/min
Tachypnea
Fast breathing; greater than 20/min
Hypopnea
Shallow breathing
Hypernea
Abnormal deep breathing
Apnea
Absence of breathing
Orthopnea
Difficulty breathing while lying down
Cheyne-Strokes
Irregular, deep and labored breathing followed by apnea
Crackle/Rales
Rice-krispy crackling which occurs with pneumonia (fluid in the lungs)
Wheezes
Heard during asthma attack; COPD
- Narrowed airways cause whistling-like sound due to obstructed airways
Rhonchi
Musical tones, with bronchitis and asthma
Stridor
Inspiration tone from obstructed upper airway
Dysphonia
Hoarseness from laryngitis
Hyperventilation
Excessive breathing in and out; caused by anxiety or overexertion
Hypoventilation
Low movement of air in and out
Leads to buildup of CO2 in blood
Hypercapnia
Excessive CO2 in blood
Hypoxemia
Deficient O2 in blood
Hypoxia
Deficient amount of O2 in the tissues
Lower Respiratory System
Trachea down
- Trachea
- Bronchi
- Bronchioles
- Alveoli
Epiglottitis
Inflammation of the epiglottis; in children (2-5yrs) from infection
Laryngotracheobronchitis
Inflammation of the throat, lower respiratory tract
Pansinusitis
Inflammation of all the sinus’
- Frontal
- Maxillary
- Ethmoid
Pleuritis
Pleurisy, inflammation of the lining of the lungs
Pneumonitis
Inflammation of the lungs
Hemoptysis
Lung and Bronchial hemorrhage with coughing up blood
Atelectasis
Collapse of small arteries
Tuberculosis
Lung infection from bacteria tuberculi
Lung Abscess
Collection of pus in lung
Pulmonary Edema
Fluid in air sacs which interrupt exchange of gasses
Pneumothorax
Collapsed lung, air accumulates around lung
Endotracheal Intubation
The insertion of a tube through the nose or mouth, pharynx, larynx, and into the trachea to establish an airway
Hemothorax
Blood in pleural cavity
Bronchodialators
Dilate the bronchial walls
Expectorants
Promote coughing and expulsion of mucus
Antitussive
Relieve coughing
Ventilators
Breathing substitute for patient who can’t breathe on own
Nebulizers
Deliver medication through mouth into lungs (think inhaler)
Empyema
Pus in the pleural cavity
Pleural Effusion
Escape of fluid in the pleural cavity
Pneumoconiosis
Caused by dust in lungs
Anthracosis
Caused by coal dust
Asbestosis
Caused by asbestos in lungs
Silicosis
Caused by silica dust from grinding rocks or glass
Cystic Fibrosis
Disease of exocrine glands that causes secretion of abnormally thick mucus which leads to chronic obstruction
Adelectosis
Collapsed alveoli leading to collapse of a lung or part of a lung
Chronic Destructive Pulmonary Disease
Any disease with obstruction to bronchial tubes
Asthma
Causes a narrowing of Bronchi leading to dyspnea, wheezing, coughing
Methods used to diagnose respiratory disorders
- Auscultation - listen with a stethoscope
- Assess Respiratory Rate
- Percussion - knocking on chest and listening
- Sputum Analysis - Cough up mucus (sputum) and analyze under scope
Normal adult respiratory rate is
15-20 respirations per minute
Abnormalities, such as masses and restricted blood flow, detected by:
- Chest x-ray
- MRI
- Lung Scans
Structures of respiratory tract can be observed by:
- Endoscopy
- Bronchoscopy
Laboratory Tests include:
- Throat cultures
- Sputum Sample
- Arterial Blood Gases
Adenoid (o)
Adenoid; gland
Alveol (o)
Alveolus
Bronch(o)
Bronchus
Bronchiol(o)
Bronchiole
Capn(o)
CO2
Epiglott(o)
Epiglottis
Laryng(o)
Larynx
Lob(o)
Lobe of the lung
Mediastin(o)
Mediastinum
Nas(o)
Nose
Or(o)
Mouth
Ox(o)
O2
Pharyng(o)
Pharynx
Phon(o)
Voice, Sound
Phren(o)
Diaphragm
Pleur(o)
Pleura
Pneum(o)
Air
Rhin(o)
Nose
Spir(o)
Breathing
Steth(o)
Chest
Thorac(o)
Thorax
ABG
Arterial Blood Gas
AFB
Acid Fast Bacillus
A&P
Auscultation & Percussion
ARD
Acute Respiratory Disease
ARDS
Acute Respiratory Disease Syndrome
ARF
Adult Respiratory Failure
AP
Anteroposterior
BS
Breathing Sounds
COPD
Chronic Obstructive Pulmonary Disease
CPR
Cardiopulmonary Resuscitation
CTA
Clear to Auscultation
CXR
Chest x-ray
DOE
Dyspnea on Exertion (short of breath with activity)
DPT
Dipheria, Pertussis, Tetanus
ET Tube
Endotracheal Intubation tube
FEV
Forced Expiratory Volume
FVC
Forced Vital Capacity
IMV
Intermittent Mandatory Ventilation
IPPB
Intermittent Positive Pressure Breathing
LLL
Left Lower Lobe
LUL
Left Upper Lobe
MDI
Metered Dose Inhaler
PA
Posteroanterior (direction for x-ray, from posterior to anterior)
PCP
Pneumocystis Carini Pneumonia
PEEP
Positive End Expiration Pressure
PFT
Pulmonary Function Test (measure mechanics of breathing)
RLL
Right Lower Lobe
RUL
Right Upper Lobe
SIDS
Sudden Infant Death Syndrome
SOB
Short of Breath
TB
Tuberculosis
URI
Upper Respiratory Infection
V/Q Scan
Ventilation/Perfusion Scan
Pleural Cavity
Space between the 2 layers of the pleura
Right Lung
3 Lobes: Superior, Medial, Inferior
Left Lung
2 Lobes: Superior, Inferior
Air Passageway
Air, Nose, Pharynx, Larynx, Trachea, Lungs, Blood Stream
- Inhalation requires the diaphragm to move inferior
- Exhalation requires the diaphragm to move superior
Choking
Occurs occasionally when a person swallows and inhales simultaneously where some food enters the larynx
- Abominable Thrust Maneuver one way to save from choking
Vocal Chords
Size and Thickness determine pitch and sound
- Men = Thick and Long for low pitch
- Women = Short and Thin for high pitch
True Vocal Chords
Run Vertical and open to the Glottis
False Vocal Chords
Epithelial to either side of True Vocal Chords
External Respiration
Exchange of air between atmosphere and body (cells)
Internal Respiration
Bringing O2 into the cells and ridding the cells of CO2
Includes: Lungs, Respiratory Tract, Muscles that move diaphragm & Chest Wall
Cilia
Small, hairlike fibers that constantly move mucus and foreign particles up away from lungs
Inspiration
Brings air from outside into nose and mouth; Inhalation
Nose
2 Nares divided by Septum.
Warms, Filters, and Moistens Air
Passage of Air
- Enters through Nares (nostrils) where its warmed, moistened, filtered
- Enters into Nasopharynx, where adenoids are located
- Enters into Oropharynx, where tonsils are located
- Enters into Laryngopharynx (hypopharynx), where divides to esophagus and trachea
- Divides to Right and Left Bronchi at the Cerani
- Into Bronchioles
- Into Alveoli, where air exchange occurs