Oxygenation Flashcards
The function of the respiratory system
GAS EXCHANGE
It required for cell functioning.
OXYGEN
Give the components of upper respiratory tract
- Mouth
- Nose
- Pharynx
- Larynx
Components of lower respiratory tract
- Trachea
- Bronchi
- Bronchioles
- Alveoli
- Pulmonary capillary network
- Pleural membranes
An action of air flowing out of lungs
EXPIRATION
Pulmonary ventilation consists of:
- Inspiration
- Expiration
It is the expansibility or stretchability of lung tissue
LUNG COMPLIANCE
It is an action of air flowing into lungs
INSPIRATION
It is the continual tendency of lungs to collapse away from the chest wall
LUNG RECOIL
Factors that affect lung compliance & recoil
- Intrapleural pressure
- Intrapulmonary pressure
- Tidal volume
- Atelectasis
- Surfactant
What happens during inspiration?
- Diaphragm and intercostals contract.
- Thoracic cavity size increases.
- Volume of lungs increases.
- Intrapulmonary pressure decreases.
- Air rushes into lungs to equalize pressure.
What happens during expiration?
- Diaphragm and intercostals relax.
- Volume of the lungs decreases.
- Intrapulmonary pressure rises.
- Air is expelled
Occurs after alveoli are ventilated.
ALVEOLAR GAS EXCHANGE
_____ _____ on each side of respiratory membranes affect diffusion.
PRESSURE DIFFERENCES
It is the pressure exerted by each individual gas in a mixture according to its concentration in the mixture
PARTIAL PRESSURE
It is transported from lungs to tissues
OXYGEN
What is the percentage of O2 that combines with hemoglobin in red blood cells and is carried to tissues as oxyhemoglobin.
97%
The rate of transport of oxygen is affected by:
- Cardiac output
- Number of RBC and blood hematocrit
- Exercise
CARBON DIOXIDE
___ % is carried inside RBCs as bicarbonate.
___% combines with hemoglobin as carbahemoglobin.
___% transported in solution in plasma and as carbonic acid.
- 65%
- 30%
- 5%
Normal hematocrit in men & women
Men: 40-54%
Women: 37-50%
It is transported from tissues to lungs and is continually produced in process of cell metabolism
CARBON DIOXIDE
Diffusion down to capillary-tissue-cell level is comparable to capillary-alveolar level in the lungs.
SYSTEMIC DIFFUSION
It determines the direction of diffusion
PRESSURE GRADIENT
Includes both neural and chemical controls to maintain correct concentrations
RESPIRATORY REGULATION
Location of respiratory center in the brain
- Medulla oblongata
- Pons
These are located in medulla oblongata that respond to changes in blood and hydrogen ion concentration.
CHEMOSENSITIVE RECEPTORS
This is characterized by extreme inspiratory effort with no chest movement and an inability to cough or speak.
COMPLETELY OBSTRUCTED AIRWAY
Factors affecting respiratory function
- Age
- Environment
- Lifestyle
- Health status
- Medications
- Stress
When this happens, arterial PO2 rises and PCO2 falls. The person may experience light-headedness and numbness and tingling of the fingers, toes, and around the mouth as a result
HYPERVENTILATION
It is released during stress that causes the bronchioles to dilate, increasing blood flow and oxygen delivery to active muscles.
EPINEPHRINE
Harsh, high-pitched sound in inspiration
STRIDOR
An abnormally slow respiratory rate, which may be seen in clients who have taken drugs such as morphine or sedatives, who have metabolic alkalosis, or who have increased intracranial pressure (e.g., from brain injuries)
BRADYPNEA
It is indicated by low-pitched snoring during inhalation
PARTIALLY OBSTRUCTED AIRWAY
Refers to the rate, volume, rhythm, and relative ease or effort of respiration
BREATHING PATTERNS
Normal respiration, is quiet, rhythmic, and effortless.
EUPNEA
Rapid respiration; is seen with fevers, metabolic acidosis, pain, and hypoxemia
TACHYPNEA
Increased levels of carbon dioxide
HYPERCARBIA/HYPERCAPNIA
Inadequate alveolar ventilation, may be caused by either slow or shallow breathing, or both
HYPOVENTILATION
Absence of any breathing
APNEA
Low levels of oxygen in the blood
HYPOXEMIA
Is the increased movement of air into and out of the lungs. During hyperventilation, the rate and depth of respirations increase and more CO2 is eliminated than is produced.
HYPERVENTILATION
A type of hyperventilation that accompanies metabolic acidosis by which the body attempts to compensate for increased metabolic acids by blowing off acid in the form of CO2
KUSSMAUL BREATHING
Rhythmic waxing, waning of respirations from very deep to very shallow with short periods of apnea commonly caused by chronic diseases, increased intracranial pressure, or drug overdose
CHEYNE-STOKES RESPIRATIONS
Cluster respirations, shallow breaths interrupted by apnea; may be seen in clients with CNS disorders.
BIOT
Difficulty breathing while lying down
ORTHOPNEA
Difficulty breathing
DYSPNEA
Condition of insufficient oxygen in body tissue
HYPOXIA
Bluish discoloration of skin, nail beds, mucous membranes due to reduced hemoglobin-oxygen saturation
CYANOSIS
Conditions that decrease cardiac output
> Congestive heart failure
Hypovolemia
Are noninvasive tests that show how well the lungs are working. The tests measure lung volume, capacity, rates of flow,
PULMONARY FUNCTION TESTS
Maintains moist mucous membranes to aid removal of secretions
HYDRATION
These are used to deliver humidity and medications.
NEBULIZERS
These are devices that add water vapor to inspired air
HUMIDIFIERS
Aspirating secretions through a catheter connected to suction machine or wall suction outlet
SUNCTIONING
Is the drainage by gravity of secretions from various lung segments.
POSTURAL DRAINAGE
An estimation of the oxygen content a person inhales and is thus involved in gas exchange at the alveolar level.
FiO2 (Fraction of inspired oxygen)
This involves giving the client breaths that are greater than the tidal volume set on the ventilator through the ventilator circuit or via a manual resuscitation bag.
HYPERINFLATION
This can be done with a manual resuscitation bag or through the ventilator and is performed by increasing the oxygen flow (usually to 100%) before suctioning and between suction attempts. This is the best technique to avoid suction-related hypoxemia.
HYPEROXYGENATION
collection of air in the pleural space
PNEUMOTHORAX
accumulation of blood in the pleural space
HEMOTHORAX
excessive fluid in pleural space
PLEURAL EFFUSION