NCM RESPI DIS Flashcards
Upper Respiratory tract
NOPAPHALATRE
► Nose
► Paranasal Sinuses
► Pharynx
► Larynx
► Trachea
► Epiglottis
Lower Respiratory tract
BBA
► Bronchi
► Bronchioles
► Alveoli
Delivers warmed and moistened air to the alveoli
Inspiration
Inspiration: Transports oxygen across the alveolar membrane to _____
Hemoglobin-laden red blood cell
Allows carbon dioxide-filled air to discharge to the outside
Expiration
Caused by stimulation of the nerves of the respiratory tract mucosa by the presence of
dust, chemicals, mucus, or inflammation?
Cough
Series of expiratory coughs after a deep inspiration?
Paroxysmal cough
Rate and Depth of Respirations: 2
Tachypnea
Bradypnea
Nonrigid part of the chest draws inward because of decreased intrapleural pressure????
Retractions
Due to decreased oxygen in body cells (hypoxia)???
Restlessness
► Blue tinge to the skin
► Indicates hypoxia
Cyanosis
Change in the angle between the fingernail and the nailbed because of increased capillary
growth in the fingertips???
Clubbing of Fingers
Normal Breath Sounds: 2
Vesicular Breathing
Tubular or Bronchial Breathing
Adventitious Breath Sounds: WRLR
Wheeze
Rales
Laryngeal Stridor
Rhonchi
Snoring sound which connotes obstruction in the nose or pharynx????
Rhonchi
Harsh, strident sound on inspiration which connotes obstruction at the base of the tongue or in the larynx????
Laryngeal Stridor
Expiratory whistle sound???
Wheeze
Fine crackling sounds heard over the alveoli??
Rales
►Chest Diameters
Pigeon Chest
Elongated anteroposterior diameter of the chest caused by air trapping???
Pigeon Chest
► Invasive method of determining the effectiveness of ventilation and acid-base status
► Provide information about the oxygenation of the blood
Blood Gas Analysis
4 components of Blood Gas Analysis:
Partial pressure of O2
Partial pressure of CO2
pH
HCO3
►Continuous, non-invasive technique for measuring oxygen saturation
in the hemoglobin
►A sensor and a photodetector are placed under a vascular bed where
an infrared light is passed
Pulse Oximeter
►Continuous, non-invasive measurement of oxygen saturation
►Electrodes are heated to 44°C attached to the chest causing vasodilation and brings peripheral arterial blood to the surface to be
read for oxygen contentq
Transcutaneous Oxygen Monitoring
► Reveals information about the microorganisms causing the disease of
the upper respiratory tract
Nasopharyngeal Culture
►Diagnose an infection by the respiratory syncytial virus
►1-2 ml of sterile normal saline is instilled to the nose and then aspirated and
sent to laboratory for analysis
Respiratory Syncytial Virus Nasal Washing
►Analysis of specimen coughed out
►Teach to deep breath several times and cough out into a clean specimen cup
Sputum Analysis
► Show areas of infiltration or consolidation in the lungs
► Ask patient to hold breath during the procedure
► Remove jewelries
Chest Xray
► Introduction of radiopaque solution in the respiratory tract through USN
or catheter before an X-ray study is performed
Bronchography
► Measures the force of inertia, elasticity, and flow resistance
Pulmonary Function Studies
a device that records the force of air
exchange??
Spirometer
Liquifying Agents: 3
guaifenesin
saline nasal drops
nasal spray
Humidification: 2
Vaporizer
Nebulizer
► Effective method of raising mucus
coughing
► Involves changing the child’s position to help move mucus, initiate cough
reflex, and be expelled
Chest Physiotherapy
►Chest Physiotherapy
►3 Techniques:
►Postural Drainage
Percussion
Vibration
►Looks like a small plastic pipe where the child breathes in and the ball
inside the device causes vibration to the lungs
Mucus Clearing Device
►Elevates the arterial oxygen saturation level by supplying more oxygen
to the RBC by the respiratory tract
Oxygen Administration
Oxygen Administration
Types: 3
oxygen hood
nasal oxygen
oxygen mask
Pharmacologic Therapy: NADEBACM
Nasal Spray
antihistamine
decongestants
expectorants
bronchodilators
antibiotic
corticosteroid
► Hand held device used to provide a route of medication administration directly to the
respiratory tract
Meter Dose Inhaler