Quiz 3 Flashcards

1
Q

What is the function of the respiratory system?

A

Supply O2 to the body for energy production

Removing CO2 as a waste product of energy reactions

Maintaining homeostasis of arterial blood

Maintain heat exchange

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2
Q

Pathway of O2 from (inspiration-gas exchange)

A
  1. Nose
  2. Nasopharynx
  3. Trachea
  4. Bronchial tree
  5. Bronchioles
  6. Alveoli
  7. Capillaries
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3
Q

Structure, Function of the NOSE

A

S - Olfactory receptors and cilia lie at roof of nasal cavity

F - Warm, filter, humidify inspired air while cilia move microbes and debris out the way

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4
Q

Structure, Function and Developmental considerations of the MOUTH

A

S - contains paroid, submandibular and sublingual salivary glands

F - Secret saliva that moistens food and cleans and protects mucosa

DC - Older Adult Atrophic tissues ulcerate easily (at risk of infections) - malignant lesions

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5
Q

Structure, Function and Developmental considerations of the PHARYNX AND LARYNX

A

S - extends from base of skull to 6th cervical vertebra

F - Pharynx respiratory pathway
- Larynx sound production
- Larynx upper opening of trachea

DC - Infant larynx located more anteriorly

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6
Q

What subjective data do you collect from the NOSE

A

Discharge
Frequent upper respiratory infections
sinus pain
trauma
Epistaxis (nose bleeds)
allergies
altered smell

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7
Q

What subjective data do you collect from the MOUTH & THROAT

A

Sores or lesions
sore throat
bleeding gums
toothache
dysphagia
altered taste
smoking, alcohol consumption

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8
Q

Facts about structure of lobes of the lungs

A
  • Right lung is shorter (underlying liver)
  • Right Lung has 3 lobes
  • Left lung narrower (heart bulges to left)
  • Left Lung has 2 lobes
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9
Q

Facts about Pleurae Cavity

A
  • Visceral pleura
  • Pleura cavity has negative pressure (holds lungs tightly against chest wall)
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10
Q

What happens structurally when you inspire

A
  • Sternum elevates
  • Upper ribs elevates
  • Intercostal elevates ribs
  • Diaphragm lowers as contracts
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11
Q

What happens structurally when you expire

A
  • Intercostal muscles depress ribs
  • Lower ribs lower
  • Viscera compresses
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12
Q

Respiratory Developmental considerations with Infants and Children

A
  • Lungs develop in utero with demands of instant performance
  • Increased vulnerability of respiratory system from environmental factors (smoke)
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13
Q

Respiratory Developmental considerations with Aging Adult

A
  • Decreased vital capacity and increased residual volume based on structural changes
  • Histological changes lead to decreased gas exchange
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14
Q

Respiratory - Subjective data to collect

A
  • cough
  • shortness of breath
  • chest pain with breathing
  • history of respiratory infections
  • smoking history
  • environmental exposure
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15
Q

Respiratory - objective data to collect

A

Inspection
- thoracic cage
- Respiratory rate
- skin colour
- individual condition

Palpation
- confirm symmetric expansion
- detection of lumps, masses or tenderness

Auscultation
- assess breath sounds (note abnormal breathing sounds)

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16
Q

What is adventitious breath sounds

A

Added sounds that are not normally heard in lungs
- crackles
- wheeze
- popping

17
Q

Respiration - abnormal thorax findings

A
  • barrel chest
  • scoliosis
18
Q

Respiration patterns

A

Tachypnoea
Hyperventilation (too much CO2 blown out of body)
Bradypnea
Hypoventilation (retain too much CO2)
Cheyne-Stokes (stop breathing)
Biot

19
Q

Signs of respiratory distress

A
  • RR 5bpm or below
  • RR 20-36bmp or above
  • nasal flaring
  • tracheal tugging
  • use of intercostal muscles
  • cyanosis
  • chest pain
20
Q

Respiration - types of inhaled medications

A

SABA - short acting beta 2 (salbutamol)

LABA - long short acting beta 2 (salmeterol)

21
Q

Salbutamol - drug class, dose/frequency, mode of action, adverse effects

A

drug class
- beta 2 receptor antagonist

Dose/frequency
- asthma 1-2 inhalations (100-200mcg) (when required
- COPD 4-8 inhalations (400-800mcg) 1-6 hours
- Life threatening 4 inhalations every 4 minutes (no improvement call for help)

Mode of action
- relaxes bronchial smooth muscle and facilitates bronchodilation by stimulating beta 2 adrenoreceptors

Effects
- tremor, palpitations, headache

22
Q

3 types of breath sounds

A

Bronchial
Bronchovesicular
Vesicular