Fuck Pulm Flashcards

1
Q

What’s responsible for the transmission of air from the respiratory bronchioles to the alveolar sac, and dispersing it to the alveoli?

A

Alveolar ducts

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2
Q

What’s responsible for transporting gases between environment and the lungs?

A

Trachea

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3
Q

What’s responsible for exchanging oxygen and carbon dioxide during the process of breathing?

A

Alveoli sacs

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4
Q

What’s the definition of Ventilation?

A

the movement of air during inhalation and exhalation

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5
Q

What’s the definition of
Oxygenation?

A

The exchange of oxygen from the air to the blood

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6
Q

The functions of the nostrils are:

A

• Warm and moisten inhaled air
• Filter inhaled air before it reaches the lungs.

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7
Q

The function of the sinuses includes:

A

• Lightens the weight of skull bones,
• serve as resonators for sound production and provides mucus.

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8
Q

The functions of the Trachea include:

A

• Transport gases between the environment and lung

• Constitutes dead space with bronchi, about 150 mL- dead space is space that is filled with air but not available for gas exchange

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9
Q

Functions of the chest wall and diaphragm include:

A

• Ribs- protect the lungs from injury
• Intercostal muscles and Diaphragm- perform
muscular work of breathing

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10
Q

Functions of the bronchus include:

A

• Protects alveoli from small particulate matter in inhaled air
• Lined with goblet cells that secrete mucus which entraps particles
• Cilia sweeps particles upward for swallowing or expulsion
• Bronchial tree moves with lungs during respiration
• No gas exchange occurs in bronchus

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11
Q

Functions of the bronchioles include:

A

• Carry oxygen rich air to lungs/alveoli
• Carry carbon dioxide out of the lungs

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12
Q

Function of the alveolar ducts:

A

• Transmission of air from respiratory bronchioles to alveolar sacs
• Dispersing the air to the alveoli

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13
Q

Functions of the alveolar sacs are:

A

• The alveolar sacs are sacs of many alveoli, which are the cells that exchange oxygen and carbon dioxide in the lungs.

• Contain collagen fibers and elastic fibers that allow alveoli to stretch when filled with air during inhalation.

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14
Q

Functions of the alveoli are:

A

• Oxygen diffuses through a single cell in an alveolus and then across a single cell to a capillary and into the bloodstream. At the same time, carbon dioxide (CO2) molecules, are diffused back into the alveolus where they are expelled out of the body through the respiratory system.

• Type II pneumocytes within the alveoli secrete surfactant that maintains the shape and the surface tension of the alveoli. This surface tension allows for more surface area through which oxygen and CO2 molecules can pass (keeps the alveoli inflated).

• During inhalation, alveoli expand as negative pressure in chest created by the contraction of the diaphragm. During exhalation, the alveoli recoil as diaphragm relaxes.

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15
Q

What’s the definition of Perfusion?

A

Facilitates nutrient exchange at the capillary level. It is the process by which the cardiovascular system pumps blood throughout the lungs.

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16
Q

What’s the definition of diffusion?

A

Movement of substance in solution (liquid or air) from higher to lower concentration areas. It is the spontaneous movement of gases, without the use of any energy or effort by the body, between the alveoli and the capillaries in the lungs.

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17
Q

In case of respiration, What’s the definition of diffusion?

A

In the case of respiration, diffusion involves the distribution of oxygen from the atmosphere through the pulmonary capillary walls and into the bloodstream. At the same time, CO2 diffuses from the bloodstream into the alveoli.

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18
Q

Clubbed fingers occurs with?

A

Chronic Obstructive Pulmonary Disease (COPD)

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19
Q

Angiomas (spider nevi) Associated with?

A

liver disease or portal hypertension (evident on chest)

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20
Q

Barrel chest and tripod positioning usually indicates?

A

Chronic Obstructive Pulmonary Disease (COPD)

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21
Q

Hyperinflation of the chest on one side, with paradoxical rise and fall, should raise suspicion of a?

A

pneumothorax

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22
Q

Bilateral hyperinflation indicates?

A

a potential obstructive disorder with air trapping and the possible need for a bronchodilator.

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23
Q

Crackles that do not resolve after the patient coughs can be indicative of?

A

pulmonary edema.

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24
Q

Fine short high pitched intermittently crackling sounds can be during inspiration or expiration and are defined by their location. What’s the sound?

A

Crackles/ Rales

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25
Q

Continuous sound heard during inspiration and expiration, caused by air or secretions moving through airways narrowed by constriction/swelling or partial airway obstruction. What is this sound?

A

Wheezes/Ronchi

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26
Q

High pitched wheezing is a high-pitched musical sound and can be indicative of?

A

an asthma attack.

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27
Q

Low pitched wheezing can be caused by secretions in large airways, can indicate?

A

bronchitis or pneumonia.

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28
Q

High pitched harsh sound heard during inspiration caused by obstruction in the upper airway is called?

A

Stridor

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29
Q

Low pitched, grating, or creaking sounds that occur when pleural surfaces rub together during inspiration is called?

A

Pleural Friction Rub

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30
Q

Clinical presents of asthma exacerbation are?

A

• Chest constriction
• Coughing
• Wheezing
• Chest tightness
• Tachycardia
• Tachypnea
• Shortness of Breath (SOB)
• Excessive drooling (typically in Pediatric patients)

31
Q

What Sx are Late Findings of asthma exacerbation: If the patient is exhibiting the following symptoms, patient demise is pending.

A

• Accessory muscle use
• Inspiratory/Expiratory wheezes
• Hypoxia

32
Q

Acute Bronchitis Clinical Presentation are:

A

• Cough lasting up to 3 weeks
• Sore throat
• Fever
• Substernal aching w/coughing effort
• No pulmonary consolidation

33
Q

Chronic Bronchitis Clinical Presentation are:

A

• Hacking
• Rasping cough
• Thick sputum
• Dyspnea
• Cyanosis
• Clubbing of fingers
• Crackles
• Wheezing

34
Q

Clinical presentation for Emphysema includes:

A

• Barrel chest
• Tachypnea
• Hyperresonant
• Decreased breath sounds
• Prolonged expiration
• Occasional wheezing
• SOB with exertion; advanced Emphysema patients have SOB at rest

35
Q

Chronic Obstructive Pulmonary Disease (COPD) is a chronic progressive lung disease that is a combination of?

A

• Bronchitis - inflammation of the airways
• Emphysema - structural damage to the alveoli

36
Q

Clinical presentation for COPD includes:

A

• Dyspnea on exertion can progress to marked Dyspnea, even at rest.
• Chronic Bronchitis cough- productive; Emphysema cough -non-productive, unless w/Bronchitis
• Weight loss is unintentional.
• Patient will exhibit Tripod Positioning

37
Q

Clinical Presentation of Pulmonary Artery Hypertension include:

A

• Chest X-ray abnormality
• Pallor
• Dyspnea, progressive with exertion
• Fatigue
• Chest pain
• Syncope
• Dry cough
• Right ventricle enlargement
• Rapid weight gain
• Peripheral edema
• JVD- Jugular Vein Distention

38
Q

Hydrostatic pressure definition is?

A

the pressure that any fluid exerts in a confined space.

When there is an issue within the vascular system that is going to cause the system to back up into the pulmonary system, there is a good chance there is going to be some degree of Pulmonary Edema.

39
Q

Clinical Presentation of Pulmonary Edema are:

A

• Dyspnea
• Orthopnea- extreme SOB worse when lying down,
and a feeling of drowning when lying down
• Cold, clammy skin
• Palpitations
• Wheezing or gasping for breath
• Pink frothy sputum cough, tinged with blood in severe cases
• Inspiratory crackles
• Percussion dullness over bases
• Ventricular Dilation (S3 gallop & Cardiomegaly)

40
Q

There are three pathophysiology paths to pulmonary edema, what are they?

A

Cardiac, ARDS, Lymphatic

41
Q

Clinical Presentation
Of pneumonia are:

A

• Tachypnea
• Tachycardia
• Dyspnea (in some cases)
• Productive cough with purulent (or green) sputum; particularly if their pneumonia is bacterial.
• Fever (in some cases)
• Hypothermia in geriatric or immunocompromised patients
• Decreased breath sounds and crackles are likely; fluid in the lungs makes it difficult to hear the air
moving.
• Pleuritic chest pain; a sudden and intense sharp, stabbing, or burning pain in thechest when inhaling
and exhaling.
• Increased tactile fremitus- Palpable vibrations of the chest wall that results from the transmission of
sound vibration through the lung tissue to the chest wall.

• Tactile fremitus typically has a greater intensity in areas of increased lung density.

42
Q

Clinical Presentation of atelectasis are:

A

Dyspnea
Cough
Wheezing
Hypoxia
Tachycardia
Increased work of breathing

43
Q

Clinical Presentation of pulmonary fibrosis are:

A

• SOB, dry cough
• Increased dyspnea with exertion
• Chest discomfort
• Fatigue
• Unexplained weight loss
• Aching muscles and joints
• Clubbing of toes and fingers

44
Q

Clinical Presentation of pulmonary effusion are:

A

• Dyspnea
• Impaired ventilation
• Pleural Pain
• Dry cough, crackles, and pleural friction rub

45
Q

Clinical Presentation of Rapidly developing pulmonary effusion are?

A

• Cyanosis
• Chest expansion decreased on affected side
• Breath sounds decreased or absent
• Percussion dullness/affected side

46
Q

Clinical Presentation of Pneumothorax/Hemothorax are:

A

• Sudden pleural pain
• Tachypnea
• Dyspnea
• Hyper resonance to percussion
• Absent or diminished breath sounds

47
Q

Late findings (Patient demise is imminent) of Pneumothorax/Hemothorax are:

A

• Tracheal deviation toward unaffected side
• Tension pneumothorax
• Hypoxia
• Hypotension

48
Q

Clinical Presentation of Pulmonary Embolus are:

A

• Dyspnea
• Tachycardia
• Tachypnea
• Dry Cough (Most frequent sign)
• Generalized chest discomfort

49
Q

Clinical Presentation of Acute Respiratory Distress Syndrome (ARDS) are:

A

• Dyspnea
• Tachypnea (often >40/min)
• Tachycardia
• Hypotension
• Hypoxic/Hypercarbia
• Use of accessory muscles
• Diaphoresis
• Cough
• Chest pain
• Crackles and/or wheezes
• Abnormal P/F Ratio
• Fever

50
Q

Clinical Presentation of flail chest are:

A

• Pain that causes the patient to splint with rapid shallow breathing.
• Deformity of the chest wall; results in loss of tidal volume, Atelectasis, inability to clear secretions
• Dyspnea
• Chest wall pain related to the movement of the flailed segment.
• Chest wall contusions
• Paradoxical movement of a portion of chest wall
• Affected area draws in when patient breathes in and rest of chest expands, the affected
area moves outwards and patient exhales and the rest of chest contracts.
• Possible underlying conditions- Pneumothorax and/or Hemothorax

51
Q

What is Asthma?

A

A chronic inflammatory disorder of the bronchial mucosa that causes bronchial hyper-responsiveness, airway constriction, and airflow obstruction that is reversible

52
Q

What is Bronchitis?

A

Inflammation of the large airways and bronchi.

53
Q

What is Emphysema?

A

Emphysema is a progressive condition that damages and enlarges the alveoli in the lungs.

54
Q

What is COPD?

A

a chronic progressive lung disease that is a combination of:
• Bronchitis - inflammation of the airways
• Emphysema - structural damage to the alveoli

55
Q

What is Pulmonary Artery Hypertension?

A

high blood pressure that affects the arteries in the lungs resulting in narrowed, blocked, or destroyed vessels.

56
Q

What is Pulmonary Edema?

A

Excess fluid in the interstitial space and the alveoli. Excessive fluid from the capillary leakage will also appear in the lungs.

57
Q

What is POPE?

A

Post Obstructive Pulmonary Edema (POPE)
Negative-pressure pulmonary edema,which results from upper airway obstruction.

58
Q

What is Transfusion-related Acute Lung Injury (TRALI)?

A

a clinical syndrome in which there is an acute, non-
cardiogenic pulmonary edema associated with hypoxia that occurs duringor after a transfusion.

59
Q

What is Pneumonia?

A

An infective lung condition caused by virus, bacteria, fungus, or parasites that leads to inflammation and purulent fluid in the alveoli.

60
Q

What is Atelectasis?

A

Atelectasis is defined as the collapse of lung tissue.

61
Q

What is compression Atelectasis?

A

Atelectasis caused by an external pressure.

Such as tumor, fluid or air in pleural space or abdominal distention that compresses the lower portions of the lungs causing them to collapse.

62
Q

What is absorption Atelectasis?

A

Absorption is loss of gas or air volume by obstructions or hypoventilated alveoli, inhalation of concentrated oxygen or anesthetic agents.

63
Q

What is adhesive Atelectasis?

A

Adhesive which is a reduction of surface tension needed to keep alveoli open from a decrease or inactivation of surfactant.

64
Q

What is Pulmonary Fibrosis?

A

An excessive amount of fibrous or connective tissue in the lung, damaging it and making it scarred and stiff.

65
Q

What is Pneumothorax/Hemothorax?

A

Pneumothorax- Air in the pleural space that restricts lung expansion. Hemothorax- Blood in the pleural space that restricts lug expansion.

66
Q

What is a tension pneumothorax?

A

A severe condition that results when air or blood is trapped in the pleural space under positive pressure displacing mediastinal structures, compromising cardiopulmonary functions.

67
Q

What is Pulmonary Embolus?

A

A sudden blockage in a lung artery. A blood clot breaks loose and travels through the blood stream to the lungs. The most common cause is a Deep Vein Thrombosis (DVT); 50% of patients that have a DVT will develop a Pulmonary Embolus (PE).

68
Q

What is Acute Respiratory Distress Syndrome (ARDS)?

A

a syndrome in which fluid collects in the alveoli, impeding the transfer of oxygen in the blood.

It is a non-cardiac pulmonary edema caused by increased alveolar capillary membrane permeability and usually affects both lungs.

69
Q

What is Flail Chest?

A

Defined as a fracture of three or more sequential ribs, in two or more locations, that result in a flail section.

70
Q

What is this breath sound is this?

A

Vesicular breath sound

71
Q

What is this breath sound?

A

Inspiratory stridor

72
Q

What is this breath sound?

A

Wheeze

73
Q

What is this breath sound?

A

Course crackles

74
Q

What is this breath sound?

A

Fine crackles