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EMS 60 > Mosby Ch. 24 Respiration > Flashcards

Mosby Ch. 24 Respiration Flashcards

0
Q

Inflammation of the tissue from foreign material entering the endotracheal tree

A

Aspiration Pneumonia

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1
Q

A fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolar-capillary injury

A

Acute Respiratory Distress Syndrome

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2
Q

An abnormal dilation of the bronchi caused by a pus-producing infection of the bronchial wall

A

Bronchiectasis

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3
Q

Collection of air within the visceral pleura

Pt.’s w/ emphysema

A

Bleb

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4
Q

A condition that results when a bleb ruptures, allowing air to enter the pleural space from within the lung

A

Spontaneous Pneumothorax

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5
Q

What are the S/S of life-threatening pulmonary distress?

A
  • ALOC
  • Severe cyanosis
  • Audible stridor
  • One or Two word Dyspnea
  • Tachycardia (>130) (SNS)
  • Pale & Diaphoretic (SNS)
  • Accessory muscle use
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6
Q 
•Thin, barrel chest appearance 
•Nonproductive cough 
•wheezing and rhonchi 
•Pink complexion ("pink puffers")
•Extreme Dyspnea on exertion 
•prolonged inspiration 
(pursed lip breathing)
A

Emphysema S/S

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7
Q
  • Typically overweight
  • Productive cough with sputum
  • Coarse rhonchi
  • Chronic cyanosist (“blue-bloaters”)
  • Mild, chronic Dyspnea
  • Resistance on inspiration
A

Chronic Bronchitis S/S

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8
Q

Thin walled cystic lesions in the lung

Often seen in pt’s w/ emphysema

A

Bullae

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9
Q

What is a sign of accessory muscle use in infants?

A

Head bobbing

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10
Q

Is it harder for a chronic bronchitis it to breath in or out?

A

Both

Increased air resistance during inspiration and expiration

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11
Q

Is it harder for a chronic emphysema it to breath in or out?

A

Out

Increased airway resistance only on exhalation

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12
Q

Acute asthma associated with

Respiratory arrest
Drop in BP
Reduced Cardiac Output

A

Near-Fatal Asthma

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13
Q 
• Decreased LOC/ALOC/Agitation 
•Pale & Diaphoretic 
•Retractions
•One or Two word Dyspnea 
•Flaccid Muscles
•HR >130min
•Resp >30min
Pulsus Paradoxus >20mmHg
•ETCO2 >45mmHg
A

S/S of Asthma

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14
Q 
Cough
Hemoptysis 
Dyspnea
Hoarseness
Dysphasia 
Weight Loss
Weakness
A

S/S of lung cancer

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15
Q 
Dyspnea 
Rapid breathing 
High minute volume 
CP
facial tingling 
Carpopedal spasm
Etco2 <35mmHg
A

Hyperventilation Syndrome

16
Q 
ALOC
Cyanosis 
Tachycardia
Localized Decreased BS 
Hyperresonance to percussing
SubQ Emphysema
A

Spontaneous Pneumothorax

17
Q 
Sore throat
Fever chills 
Headache
Facial pain (sinus)
Purulent nasal discharge
Halitosis 
Enlarged lymph nodes
A

URI

18
Q

Sound heard in all areas of healthy lungs

A

Resonance

19
Q

This sound is associated with overinflation, or hyperinflation of lungs

A

Hyperresonance

20
Q

What can Hyperresonance indicate?

A

Pulmonary disease
Pneumothorax
Asthma

21
Q

This sound suggests fluid or pulmonary congestion

A

Dullness or flatness

22
Q

Are BS louder during inspiration or expiration?

A

Inspiration

23
Q 
These normal BS are heard over most lung fields 
The major normal BS
soft and low pitched
Long inhale and shorter exhale 
Can be 
harsh(exercise)
Diminished(old age)
A

Vesicular BS

24
Q

These normal BS are heard over the major bronchi and upper right posterior lung field
Loud and Harsh
Medium pitch
Equal inhale and exhale

A

Bronchovesicular BS

25
Q

These BS are heard over the trachea
Highest in Pitch
Coarse, harsh, loud
Short inhale long exhale

A

Bronchial BS

26
Q

Abnormal BS heard in addition to normal BS

A

Adventitious BS

27
Q

Two categories of adventitious BS

A

Continuous and discontinuous

28
Q

Discontinuous
High pitched
Heard during end of inspiration
Sound of hair between fingers

A

Crackles

29
Q

Continuous
High pitched musical
Usually heard during expiration

A

Wheezes

30
Q

Continuous low pitched rumbling usually heard on expiration

A

Rhonchi

31
Q

Inspiraty crowing type sound

A

Stridor

32
Q

“Toy boat or blue balloons”

What is abnormal?

A

Bronchophony

Sounds louder if consolidated

33
Q

“E-E-E”

What is abnormal?

A

Egophony

Sounds like “A” if consolidations are present

34
Q

Whisper while lungs are auscultated

What is considered abnormal?

A

Whispered pectoriloquy

If sounds are clear or increased loudness during auscultation
Poss. Lung consolidation

35
Q

What is consolidation?

A

Pneumonia or

Pleural effusion

EMS 60 (13 decks)

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