Respiratory Flashcards
reflex, irritation in URT - removing irritant
sneezing
severe SOB & coughing attacks at night
paroxysmal nocturnal dyspnea
PFT & spirometry
measures…
pulmonary function test
pulmonary volumes & airflow times
FEV
measures…
forced expiratory volume
how much air a person can forcibly exhale
FEV1
amt of air exhaled in first second
FVC
measures…
forced vital capacity
amt of air exhaled during FEV test
TLC
measures…
total lung capacity
amt of air in lungs at max inspiration
exercise tolerance test measures…
ability of lungs & heart to supply O2 & remove CO2 before, during, after exercise
peak flow meter measures…
how well air moves out of lung
smooth & even respirations
E > I
eupnea
rapid superficial breathing
regular or irregular
tachypnea
slow, deep RR
regular rhythm
bradypnea
cessation of breathing
apnea
increased depth of breathing
regular rate & rhythm
hyperpnea
periods of apnea alternating with climbing & falling respiratory cycles
Cheyne-Stokes respirations
periods of apnea alternating with shallow breaths of equal depth
ataxic breathing
deep, regular sighing respirations
high RR
Kussmaul respirations
long, gasping inspiration
short, inadequate expiration
apneusis
long, ineffective expiration
shallow
increased RR
obstructed breathing
brief & inadequate respiratons
labored gasping or snorting
during or following cardiac arrest, CVA
agonal
high pitched continuous musical sound
I and/or E
narrowed airway
wheezes
“sonorous wheeze”
deep, low rumbling
respiratory secretions
rhonchi
high pitched, discontinuous, intermittent popping sounds
heard during early inspiration
air forced through passage/alveoli narrowed by pus, mucus, fluid
crackles/rales
fine crackles heard during…
late inspiration
coarse crackles heard during…
early inspiration
high pitched monophonic inspiratory wheezing
loudest over anterior neck
partially obstructed URT
stridor
low pitched grating noise
I and E
rough, inflamed or scarred pleura rub against one another
pleural friction rub
Passage of foreign material into trachea & lungs
aspiration
aspiration of gastric acid
chemical pneumonitis
aspiration of oral/pharyngeal bacteria
aspiration pneumonia
exogenous lipid pneumonia
aspiration of oil
aspiration of an object
foreign body aspiration
3 populations most affected by aspiration
premature babies
college age people who binge drink
dysphagia pts
s/s of aspiration (11)
coughing; fever
wheezing
stridor
hoarseness
nasal flaring
chest retraction
chest discomfort
cyanosis
pulmonary edema
resp distress syndrome
excess fluid in pleura
increased pressure on lungs
pleural effusion
etiology of pleural effusion (2)
↑ fluid production
↓ fluid absorption
r/f for pleural effusion (5)
CHF
kidney failure
PE
trauma
infection
s/s of pleural effusion
dyspnea
chest pain
tachypnea
tachycardia
percussed dullness
absence of breath sounds over area
tracheal deviation
hypotension
collapsed lung
alveoli deflated
little/no gas exchange
atelectasis
atelectasis uni/bilateral
unilateral (usually)
etiology of atelectasis (3)
airway blockage
pressure on lung
↓ surfactant
r/f for atelectasis (5)
obesity
general anesthesia
OSA
lung disorders
resp distress syndrome
s/s of atelectasis (5)
dyspnea; cough
tachycardia
chest pain
cyanosis
collapsed lung
may be open, closed, tension
pneumothorax
etiology of closed pneumothorax (3)
spontaneous
idiopathic
ruptured emphysematous bleb
etiology of open, tension pneumothorax
puncture wound
s/s of pneumothorax
s/s of 3 types
increased, labored respirations; dyspnea; tachycardia; pleural pain; asymmetrical chest movement
- Closed - absent breath sounds; hypoxemia
- Open- “sucking” noise; tracheal swing; ↓ BP; moderate hypoxemia
- Tension - absent breath sounds; tracheal deviation to unaffected side
tx for open pneumothorax
protect wound
as wound starts to heal, cover with 3-sided bandage so air can move out, but not into lung
tx for tension pneumothorax
needle decompression
chest tube to keep pressure from returning
Portion of ribcage removed from part of chest wall
flail chest
complications of flail chest (6)
hypoxia
pneumothorax
hemothorax
pulmonary contusion
pneumonia
atelectasis
URI most likely type of pathogen
virus
r/f for URI (6)
smoking
young age
chronic disease
altered immune system
stress
crowding
s/s of URI (9)
cough
congestion
runny nose
sinus pressure
excessive mucus
sore throat
mild fever
body aches
itchy eyes
influenza season
Oct - March
inflammation/swelling of epiglottis
epiglottitis
epiglottitis mostly caused by…
Haemophilus influenzae bacteria
r/f for epiglottitis (3)
male
unvaccinated
immunocompromised
s/s of epiglottitis
fever
sore throat
stridor
painful swallowing
drooling
anxiety
leaning forward (instinctively protecting airway from saliva)
interventions for epiglottitis
do NOT look in pt’s mouth or ask pt to open their mouth
keep them leaning forward
complications of epiglottitis (4)
meningitis
abscess
pneumonia
death with airway obstruction
immunization for epiglottitis
Hib vaccine series for babies
Bronchioles infection only in children
bronchiolitis
most likely pathogen causing bronchiolitis
viral
Human metapneumovirus (HMPV)