Pulmonary

Question 1

What is the function of the lungs

Answer 1

ventilation
-transports o2 into air sac’s and transports co2 from the tissues to the atmosphere

Question 2

what are the functions of the conducting and respiratory portion of the lungs

Answer 2

conducting: air is just moved through
respiratory: exchange occurs

Question 3

what is the equation for ventilation?

Answer 3

Ventilation= TV x RR

Question 4

What happens to TV and RR during exercise

Answer 4

increase

Question 5

when people have both emphysema and chronic bronchitis what is it called

Answer 5

COPD

Question 6

COPD is the ____ leading cause of death

Answer 6

4th

Question 7

over production of mucus causes an occlusion of airways
blue bloaters

Answer 7

chronic bronchitis

Question 8

destruction of elastic fibers surrounding the alveoli fibers- resulting in barrel chest

Answer 8

Emphysema

Question 9

what are the causes of emphysema

Answer 9

1. smoking
2. genetics- hereditary alpha 1-antitrypsin deficiency

Question 10

-shortness of breath
-dyspnea on exertion
-orthopnea (only able to breathe in upright position)
-wheezing
-increased respiratory rate
-peripheral cyanosis
-digital clubbing

Answer 10

signs/symptoms of COPD

Question 11

-pursed lip breathing
-elbow changes
-malaise
-chronic cough
-barrel chest
-weight loss
-use of accessory muscles of respiration
-prolonged expiratory period

Answer 11

signs/symptoms of COPD

Question 12

will a pt with COPD have an increased or decreased FEV1/FVC ratio

Answer 12

decreased-

Question 13

what is FEV1/FVC measuring

Answer 13

amount of air forcefully expelled in 1 minute

Question 14

How do we as PT assess whether the lungs are doing their job?

Answer 14

O2 sat
cyanosis
pulmonary function tests (FVC, FEV1, FEV1/FVC)

Question 15

Which assessment is differential to determine if the lungs are doing their job

Answer 15

pulmonary function tests

Question 16

COPD is a _____ disease which _____

Answer 16

obstructive disease which impedes lung emptying

Question 17

increased breathing then leads to ______ and _____ tidal volumes

Answer 17

hyperinflation and smaller tidal volumes

Question 18

what is a normal FVC and FEV1 percentage

Answer 18

80%

Question 19

what is considered severely impaired FVC % and FEV1 %

Answer 19

FVC: 50% or less
FEV1: 40% or less

Question 20

Can you improve CV conditioning and ventilatory efficiency in an individual with COPD

Answer 20

yes

Question 21

Diminished lung volume is an example of what kind of lung disease

Answer 21

restrictive

Question 22

What are the etiologies for restrictive lung diseases

Answer 22

neuromuscular disorders (DMD, ALS, guilian barre, spinal cord disorders
chest wall disorders
pleural disorders: fibrosis, effusions

Question 23

what are some pathologies/conditions that affect the pulmonary circulation

Answer 23

body positioning
stenosis of heart valves
congestive heart failure
pulmonary embolus

Question 24

if oxygen sat is <88% what should you do

Answer 24

provide patient with supplemental oxygen to improve survival and cognition