Intro Flashcards
movement of air in and out of the lungs
ventilation
gas exchange between alveoli and blood
respiration
subjective feeling of difficult, labored, or uncomfortable breathing
shortness of breath
rapid breathing, more than 20 breaths/min
tachypnea
SOB in recumbent position
orthopnea
orthopnea that wakes the patient from sleep prompting an upright position and feel the sensation of breathlessness
paroxysmal nocturnal dyspnea
abnormally low oxygen in the blood
hypoxemia
combination of patient’s subjective dyspnea with signs indicating difficulty breathing
respiratory distress
s&s include cyanosis, inability to maintain resp. effort, depressed mental status, dec PO2, dec O2, inc CO2, and low pH
impending respiratory arrest (respiratory failure)
what does the A-a gradient do?
determines the cause of a patient’s hypoxia
the difference between oxygen in alveoli and arterial blood
A-a gradient
what does a normal A-a gradient mean?
oxygen entering the lungs is properly diffusing into the blood from the alveoli
what are 2 conditions in which A-a gradient can be normal even in a state of hypoxemia?
high altitude
hypoventilation
how would A-a gradient change if oxygen is not moving as expected into the blood from the alveoli?
increased A-a gradient
what does an abnormal A-a gradient mean?
oxygen entering the lungs cannot properly diffuse into the blood