Oxygenation Flashcards

1
Q

What vital sign is associated with ventilation?

A

Respiration

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2
Q

Definition: moving of air in the lungs

A

Ventilation

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3
Q

Definition: exchange of oxygen and CO2 between the atmospheric air in the alveoli and blood in the pulmonary capillaries

A

Respiration

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4
Q

Definition: movement of solute from higher to lower concentration

A

Diffusion

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5
Q

Electrical activity of atrial depolarization is associated with what kind of ECG pattern?

A

P wave (Atria pumps)

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6
Q

Electrical activity including a delay at the AV node is associated with what ECG pattern?

A

PR segment (ventricle filling)

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7
Q

Electrical activity of ventricular depolarization is associated with what ECG pattern?

A

QRS complex (ventricle pumps out blood, atria rests)

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8
Q

Electrical activity of ventricular repolarization is associated with what ECG pattern?

A

T wave (ventricle rests)

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9
Q

No electrical activity on an ECG shows what pattern?

A

Isoelectric line (atria filling)

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10
Q

Disturbance of the rhythm of the heart

A

Dysrhythmia

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11
Q

Describe how atrial dysrhythmia will look on an ECG

A

no P wave since there is a problem with atria

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12
Q

Describe how a ventricular dysrhythmia will look on an ECG

A

No QRS complex

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13
Q

Tachyarrhythmia with pulse = ?

A

stable

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14
Q

Tachyarrhythmia without pulse = ?

A

Unstable

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15
Q

Ischemia

A

decreased O2 supply to the heart caused by insufficient blood supply

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16
Q

Infarction

A

death of heart tissue due to lack of O2

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17
Q

Perfusion

A

blood flow from Lt side of heart, through systemic circulation; oxygenated capillary blood passes through body tissues

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18
Q

Internal Respiration

A

exchange of oxygen and CO2 between the circulating blood and body tissues

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19
Q

Paresthesia is caused by ?

A

decreased O2 to tissues

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20
Q

Treatment for hyperventilation

A

Breathe into paper bag

Breathing back in Co2 increases CO2 in blood

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21
Q

Perfusion

A

blood flow from left side of the heart, through systemic circulation; oxygenated capillary blood passes through body tissues

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22
Q

Internal Respiration

A

exchange of oxygen and carbon dioxide between the circulating blood and body tissues

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23
Q

Increase CO2 in the blood leads to what?

A

vasodilation

24
Q

Hyperventilation leads to?

A

Respiratory Alkalosis

25
Hypoventilation leads to?
Partially Compensated Respiratory Acidosis
26
If lungs have a problem, what compensates?
Kidneys
27
If the kidneys have a problem, what compensates?
Lungs
28
Kussmaul breathing happens with ______ failure
kidney
29
Implementations for COPD
``` Fan to circulate air Coughing Increase fluid intake (to liquify secretions) Incentive Spirometer Suctioning Diaphragmatic Breathing Pursed-Lip Breathing ```
30
Incentive spirometer patient goal is based on what?
the patient's height
31
Factors Affecting Oxygenation
Physiologic - hyper/hypo - ventilation; hypovolemia; hypoxia; decreased H & H; conditions affecting chest wall movement (pregnancy/trauma); chronic disease (COPD)
32
What is the formula for BP
BP = CO x PVR
33
Formula for Cardiac Output
CO = HR x SV
34
Resistance of the ejection of blood from the left ventricle
Afterload
35
Increased afterload = ______ stroke volume
decreased
36
Decreased afterload = _______ stroke volume
increased
37
Amount of blood at the end of ventricular diastole
Preload
38
Increased preload = _____ stroke volume
increased
39
Decreased preload = __________ stroke volume
decreased
40
Amount of blood ejected from the ventricles per contraction
stroke volume
41
Increase in contractility = _______ stroke volume
increased
42
Decrease in contractility = ______ stroke volume
decreased
43
Stroke volume is directly proportional to what?
contractility and preload
44
Ability of the ventricles to squeeze out blood
contractility
45
Your patient is easily tired out and confused. They have dyspnea, SOB, and crackles upon auscultation and chest pain. What sided heart failure is this patient experiencing?
Left-sided heart failure
46
Your patient has pitting edema in their lower extremities, upper right quadrant abdominal pain, and has gained 10 lbs in the last 5 days. What sided heart failure is this patient experiencing?
Right-sided heart failure
47
Fluid in lungs
pulmonary edema
48
Deficiency of oxygen in the arterial blood
Hypoxemia
49
Deficiency of oxygen in the tissues
Hypoxia
50
BNP lab is associated with what diagnosis?
Heart failure
51
Troponin lab is associated with what diagnosis?
MI
52
The major advantage of a Venturi mask is that it can..
deliver a precise concentration of O2
53
A patient with end-stage COPD has a nursing diagnosis of Impaired Gas Exchange. Which assessment finding shows that interventions have been effective?
The patient's SpO2 is 92% on 2 L of oxygen
54
An elderly man was admitted to the medical unit with dehydration. A clinical indication of this problem is?
weight loss
55
A goal that the patient will "demonstrate adequate tissue perfusion" has been established. Which would be included in evaluation of this goal? A. Symmetrical chest expansion B. Uses pursed-lip breathing C. Has brisk capillary refill D. Has activity tolerance
C. has brisk capillary refill
56
Which is the most effective way to maintain a patient's airway? A. active coughing B. incentive spirometer C. nebulizer treatment D. abdominal breathing
Active coughing