Oxygenation/Respiratory System Flashcards

1
Q

oxygen is a ____ and therefore must be ordered by an NP or Physician

A

DRUG

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2
Q

oxygen is ___/____ in the cell for energy

A

burnt/consumed

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3
Q

we breathe ___, oxygen is just a component

A

air

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4
Q
at sea level air is:
\_\_\_% oxygen
\_\_\_% nitrogen
\_\_\_% argon
\_\_\_% CO2
\_\_\_% water vapor
and small amounts of other gases
A
at sea level air is:
21 % oxygen
78.09 % nitrogen
.93 % argon
.039 % CO2
1 % water vapor
and small amounts of other gases
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5
Q

on an airplane there is __ to ___ % O2

A

15 to 18

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6
Q

____ is low oxygen content in the environment

A

hypoxia

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7
Q

____ is deficiency of oxygen in the arterial blood

A

hypoxemia

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8
Q

____ are increased levels of O2 delivered at higher than atmospheric pressure

A

hyperbaric

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9
Q

normal O2 sats are

A

95-100%

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10
Q

the zone of minimal SENSORY IMPAIRMENT

A

90-95%

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11
Q

the zone of minimal MENTAL IMPAIRMENT

A

75-85%

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12
Q

the zone of INC SENSORY AND MENTAL IMPAIRMENT

A

65-75%

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13
Q

the zone of POTENTIAL COLLAPSE

A

55-65%

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14
Q

two stimuli for breathing

A
  1. inc CO2, low PH –> chemoreceptors are activated

2. O2 receptors activated if O2 is VERY low

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15
Q

with inhalation the

  1. diaphragm ____/___
  2. rib cage ____
  3. ___ pressure allows air to come in
A

with inhalation the

  1. diaphragm contracts/flattens
  2. rib cage expands
  3. negative pressure allows air to come in
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16
Q

with exhalation

  1. diaphragm ___
  2. rib cage ____
  3. ___ pressure inside pushes air out
A

with exhalation

  1. diaphragm relaxes
  2. rib cage gets smaller
  3. positive pressure inside pushes air out
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17
Q

___ are the site of gas exchange

A

alveoli

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18
Q

rhonchi are ___ pitched ___ sounds that are like ____

A

low pitched rattling sounds that are like snoring

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19
Q

rhonchi are caused by ___ in the ___ ____

A

secretions in the larger airways

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20
Q

___ will clear after coughing

A

rhonchi

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21
Q

rhonchi are associated with what two diseases

A

COPD and CF

22
Q

crackles are ___ and on ___-

A

bubbling and on inhalation

23
Q

crackles are caused by lots of fluid in the ___/____

A

bronchioles/alveloi

24
Q

crackles ___ with coughing

A

WONT clear

25
Q

crackles can be heard with what two diseases

A

heart failure, PNA

26
Q

list 5 causes of hypoxemia

A
  1. hypoxia (low environmental O2)
  2. higher O2 demand than supply
  3. dec. resp system function
  4. dec. O2 carrying capacity of blood (anemia)
  5. inadequate vascular system
27
Q

you get destruction of alveoli with ___ and ___

A

CF and TB

28
Q

trachea causes deviation to the…

A

side of collapse

29
Q

5 signs of abnormal respirations

A
  1. change in RR
  2. facial distress
  3. accessory muscle use
  4. skin/mucous membrane color
  5. blood gases
30
Q

2 ways to measure blood gases

A
  1. pulse ox

2. arterial/venous blood gases

31
Q

___ is the gold standard for measuring blood gases

A

ABG

32
Q

VBG require a special

A

catheter

33
Q

___ measures absorption of red and infrared light by pulsatile blood

A

pulse ox

34
Q
normal ABG levels: 
pH
CO2
HCO3
O2
BE
A
pH 7.35-7.45
CO2 35-45
HCO3 22-26
O2 80-100
BE -2 to +2
35
Q

if O2 is normal it is ____

A

compensated

36
Q

if O2 is abnormal it is _____

A

uncompensated

37
Q

never give ____ O2, ____ has better neurological sequelae

A

100%, 21%

38
Q

nasal cannula are for ___ O2 between __

A

LOW flow O2 between 1-5 L/min

39
Q

nasal cannula deliver __% O2

A

28-44%

40
Q

rebreather mask is for ___ and deliver ___% O2

A

6-15L/min and deliver 35-55% O2

41
Q

rebreather mask saves ___ of a person’s exhaled air

A

1/3

42
Q

rebreather mask allows the person to ____ some of the CO2, which ____ ____

A

rebreathe some of their CO2, which stimulates breathing

43
Q

non-rebreather mask delivers the ____ O2

A

highest non invasive

44
Q

non-rebreather masks should be set at ___ or more with ___ % O2 delivery

A

15 L/min or more, 60-80% O2

45
Q

with a NRB exhaled air escapes via

A

side ports

46
Q

___ delivers up to 100% O2

A

ETT

47
Q

___ is a handheld device used to provide positive pressure ventilation to pts not breathing or not breathing adequately

A

ambu bag/BVM

48
Q

SBAR stands for

A

S - situation, concise statement of the problem
B - background, pertinent and brief info related to the situation
A - assessment, analysis and consideration of options (what you think)
R - recommendations, action requested/recommended (what you want)

49
Q

QSEN stands for

A

Quality and Safety Education for Nurses

50
Q

QSEN focuses on ___ and ____

A

HC quality and safety

51
Q

5 TARGETS of QSEN

A
  1. patient centered care
  2. teamwork and collaboration
  3. EBP
  4. safety
  5. informatics