oxygenation Flashcards

1
Q

when do you hear crackles?
What are causes of crackles?
what causes?

A

Crackles: air moves through fluid in airways to reinflate alveoli.
-not cleared by coughing
-end of inhalation
popping sounds
-pneumonia, CHF, pulmonary edema, COPD, asthma – think fluid in lungs

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2
Q

When do you hear rhonchi? What does it sound like? causes?

A

A type of wheeze caused by air moving through narrowed airway passage due to secretions** or swelling or tumor.

  • often cleared by coughing
    hear: inhalation and exhalation
  • Low pitched, monotone sounds, fluid sounds
  • bronchitis or bronchial obstruction
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3
Q

Wheeze- cause? sounds? when hear?

A

caused by air moving through narrowed airway passage due to swelling** or secretions or tumor
-inhalation and exhalation
-musical sound
asthma, chronic
-emphysema (causes scar tissue in lungs over time)

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4
Q

Pleural friction rub:

A

grating sound on inspiration + expiration caused by lung rubbing against pleura
pleuritis

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5
Q

mild hypoxemia Pa02 and Spo2

A

PaO2 60-80

SpO2 91-95

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6
Q

moderate hypoxemia Pa02 and Spo2

A

PaO2 40-60

SpO2 74-91

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7
Q

severe hypoxemia PaO2 and SpO2

A

PaO2 <40

SpO2 <74

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8
Q

pH

A

7.35-7.45 acidity of blood

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9
Q

PaCo2

A

35-45 arterial CO2

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10
Q

PaO2

A

80-100 arterial O2

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11
Q

HCO3

A

22-26 bicarb, A-B balance

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12
Q

SpO2 measures

A

95-100% % HgB saturated w/ O2

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13
Q

FiO2

A

21% environment.

Can be 100% in supplemental oxygen

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14
Q

ETCO2:

A

35-45 amount of CO2 exhaled

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15
Q

if client has bad lung, which lung do you place up in bed?

A

bad lung

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16
Q

what does incentive spirometer measure?

A
  • inhalation - trying to slowly expand lungs

- 8-10x/ hour

17
Q

calculating L 1L = %

A

24 (+4 for every additional L)

18
Q

venturi mask O2

A

24-50%

19
Q

simple mask

A

40-60%

20
Q

Reservoir mask

A

90%

21
Q

Dyspnea Level 1-4?

- SOB after self-paced mile

A

1

22
Q

Dyspnea Level 1-4?

-SOB walking 100 yards or flight of stairs

A

2

23
Q

Dyspnea Level 1-4?

SOB performing ADLs

A

3

-when convern starts

24
Q

Dyspnea Level 1-4?

-SOB during no activity

A

4

25
Q

Normal RR for adults

A

12-20

26
Q

Normal RR for older adults (60 or up)

A

16-23

27
Q

Newborn infant RR

A

30-60

28
Q

what is tactile fremitus?

A

vibration of air against chest wall is felt

  • Increases with consolidation (fluid or something else taking place of the air in the lungs)
  • Decreases with pleural effusion (sound must pass through this extra fluid so sound is diminished)
    palpation: fluid in lungs makes dull sound
29
Q

tractile fremitus increases with _____ and decreases with_____

A

increase with consolidation

decrease with pleural effusion

30
Q

what does PaO2 (arterial blood gas) measure?

A

Measures arterial CO2, bicarb, pH, O2

31
Q

hyperventilation- low or high CO2

A

low