Respiratory Flashcards
describe PARANASAL SINUSES
air-filled cavities w/mucous membranes near bones of skull to make head lighter, give resonance to voice, & make mucus for lubrication; 4 pairs (frontal, sphenoid, maxillary, ethmoid)
describe FRONTAL PARANASAL SINUSES
frontal bone above eyebrows; infection leads to severe pain
describe SPHENOID PARANASAL SINUSES
behind eye under pituitary close to optic nerve; infection leads to vision damage
describe MAXILLARY PARANASAL SINUSES
largest; under eyes; infection leads to pain posterior maxillary teeth
describe ETHMOID PARANASAL SINUSES
between nose & eyes; irregular shaped air cells thinly separated from orbital cavity
describe the PHARYNX
takes air & food; 3 parts (nasopharynx, oropharynx, & laryngopharynx)
aka: pharynx
the throat
define the NASOPHARYNX
posterior to nasal cavity down behind mouth
define the OROPHARYNX
visible thru mouth between soft palate & epiglottis passing air & food to laryngopharynx
define the LARYNGOPHARYNX
after oropharynx; where food & air separate
describe the TRACHEA
transport air; in front of esophagus; has flexible C shaped cartilage rings to open tube
aka: trachea
windpipe
define the BRONCHI
branches from trachea
aka: bronchi
primary bronchi or bronchial tree
define the ALVEOLI
surrounded by pulmonary cavities for O2 & CO2 exchange & make surfactant for stability
aka: alveoli
air sacs
describe the RIGHT LUNG
larger; 3 lobes (upper, middle, lower)
describe the LEFT LUNG
2 lobes (upper & lower)
define MEDIASTINUM
space between lungs
define PLEURA
thin, moist, & slippery membrane outside lungs & inside thoracic cavity
describe the PARIETAL PLEURA
outer layer lining walls of thoracic cavity, covers diaphragm, & forms lung sacs; attaches to chest wall
define VISCERAL PLEURA
inner layer that covers & attaches to lungs
define PLEURAL CAVITY
thin fluid filled area between parietal & visceral pleura for lubrication
aka: pleural cavity
pleural space
define PHRENIC NERVES
stimulate diaphragm to contract
what 2 things consist respiration
1 inhale + 1 exhale
define EXTERNAL RESPIRATION
breathing
define INTERNAL RESPIRATION
cellular gas exchange
describe INHALATION
diaphragm contracts & moves down for expansion & the created negative pressure draws air in
describe EXHALATION
diaphragm relaxes & moves up to increase pressure
define ADENOIDS
mass of gland-like lymphoid tissues @ back of upper pharynx
describe CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
group of disease that obstruct bronchial air flow; s/s: persistent dypnea w/exerition, chronic cough, <50% normal inspiratory capacity
define CHRONIC BRONCHITIS
airways inflamed from irritants
describe EMPHYSEMA
progressive long term loss of lung function with decrease in # of alveoli making it harder to breathe & expand; alveoli also abnormally big in size & lose elasticity leading to SOB & impaired heart function
define AIRWAY INFLAMMATION
bronchi swell & clog w/mucus gen after allergies
define BRONCHOSPASM
spasm of smooth muscles in bronchi walls
describe UPPER RESPIRATORY INFECTION
caused by any of 200 viruses; inflammation of respiratory mucous membranes
aka: upper respiratory infection
acute nasopharyngitis, common cold or rhinopharyngitis
describe ALLERGIC RHINITIS
allergic disease of mucous membranes in nose & upper respiratory bc of exposure to pollen/allergenic substance
describe NONALLERGENIC RHINITIS
not caused by allergen; ex) cold air, meds, spicy food
aka: allergic rhinitis
allergy for airborne allerge or hay fever
describe CROUP
acute respiratory infection in kids & infants; s/s: larynx obstruction, hoarseness, swelling of vocal cords, bark cough, stridor
define STRIDOR
harsh & high pitch sound from blockage
define EPISTAXIS
nose bleed
cause: epistaxis
dry air, medication, high blood pressure
describe INFLUENZA
acute, highly contagious viral infection spread via droplets; s/s: respiratory inflammation, fever, chills, muscle pain
describe PERTUSSIS
contagious bacterial infection of upper respiratory; s/s: recurrent paroxysmal cough, breathlessness, noisy inspiration; preventable w/vaccine (DTap/Tdap)
describe RESPIRATORY SYNCYTIAL VIRUS (RSV)
common & highly contagious viral infection spread via droplets; gen mild & cold like; can lead to bronchiolitis
describe RHINORRHEA
runny nose
aka: pharyngitis
sore throat
describe STREP THROAT
pharyngitis from bactera; red, painful, & purulent throat
describe LARYNGOSPASM
sudden spasmodic closure of larynx; sometimes w/GERD
define APHONIA
only able to whisper
aka: aphonia
lost voice
describe DYSPHONIA
difficulty speaking; s/s: hoarseness, weakness, cracking
define LARYNGITIS
voice lost bc of inflammation of larynx
define ACUTE BRONCHITIS
inflammation of bronchi gen from viral infection; s/s: productive cough, shortness of breath, wheezing, low fever
aka: acute bronchitis
chest cold
define BRONCHIECTASIS
permanent thickening of bronchi walls bc of chronic infection & inflammation
define BRONCHORRHEA
excessive discharge of water mucus from bronchi bc chronic bronchitis or asthma
define PLEURISY
inflammation of pleura
aka: pleurisy
pleuritis
cause: pleurisy
trauma, tuberculosis, connective tissue disease, infection
describe PLEURODYNIA
sharp chest pain bc of pleurisy; inflamed pleural membranes rube w/inhalation
describe PLEURAL EFFUSION
excess accumulation of fluid in pleural space leading to fluid into pleural cavity causing limited lung expansion & breathlessness; common w/pneumona, CHF, & kidney/liver disease
define PYOTHORAX
pus in pleural cavity between pleural layers bc of bacterial infection
aka: pyothorax
pleural empyema
define EMPYEMA
collection of pus in any body cavity
describe HEMOTHORAX
blood/bodily fluid in pleural cavity bc of trauma, disease, or surgery; common w/pneumonia, TB, & malignant tumors
describe PNEUMOTHORAX
air in pleural space causing pressure imbalance & full/partial collapse bc of trauma/lung disease related rupture
define ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS)
lung inflammation & fluid in alveoli cause low O2 levels bc O2 can’t reach blood
cause of ARDS
trauma, pneumonia, smoke/fumes, inhaled vomit, sepsis
describe ATELECTASIS
incomplete expansion of part/all lung from blockage or pneumothorax; alveoli can’t expand
aka: atelectasis
collapsed lung
define GRANULOMA
local area of inflammation in lungs
describe PULMONARY EDEMA
fluid in lung tissue (esp alveoli); gen symptom for heart failure
define PULMONARY EMBOLISM
sudden blockage of pulmonary artery from embolus
describe TUBERCULOSIS (TB)
infectious disease that gen attacks lungs & in ppl w/weak immune systems; can be latent in healthy ppl & drug resistant
define PNEUMONIA
alveoli & air passages filled w/pus & fluid
cause: pneumonia
infection, bacteria, fungi, virus, aspiration, pollution/chemical
describe COMMUNITY-ACQUIRED PNEUMONIA (CAP)
from contagious infection outside hospital; gen bacterial but can be fungal/viral
define BRONCHOPNEUMONIA
bacterial pneumonia that gen leads to lobar pneumonia
define LOBAR PNEUMONIA
at least 1 lobe affected
define HOSPITAL-ACQUIRED PNEUMONIA
defenses impaired & acquired @ hospital
aka: hospital acquired pneumonia
nosocomial pneumonia
describe MYCOPLASMA
milder & longer lasting; bacterial
aka: mycoplasma
walking pneumonia
define PNEUMOCYSTIS PNEUMONIA (PCP or PJP)
opportunistic pneumonia caused by fungus
statistic of viral pneumonia
~1/2 all pneumonia
describe INTERSTITIAL LUNG DISEASE
group of about 200 disorders causing inflammation & scarring of alveoli & other structures; scarred & stiff cause low O2 transfer
describe PULMONARY FIBROSIS
progressive formation of scar tissue in lung causing difficulty breathing & decreased lung capacity; an interstitial lung disease
define PNEUMOCONIOSIS
fibrosis of lung tissues bc of mineral dust
define ASBESTOSIS
asbestos particles in lung
define SILICOSIS
siica dust in lungs
describe CYSTIC FIBROSIS
genetic bc of 2 faulty genes affecting respiratory, digestive, & reproductive; can’t easily process mucus leading to buildup, lungs & pancreas become clogged
s/s: cystic fibrosis
lung damage, poor growth, nutrtional deficiencies, wheezing, persistent cough, chronic respiratory infections, heat intolerance, pancreatic insufficiency, excessive mucus in lungs, lots of sweating, impaired secretion of intestinal fluids
describe BRONCHOGENIC CARCINOMA
leading cause of cancer death; origin in bronchi
aka: bronchogenic carcinoma
lung cancer
define BRADYPNEA
slow heart rate (<10/min)
describe CHEYNE-STOKES RESPIRATION
irregular breathing pattern w/alt. rapid/shallow breath & bradypnea/apnea; in comatose & near death ppl
define TACHYPNEA
abnormally fast respiration (> 20/min)
define DYSPNEA
difficult/painful breathing
aka: dyspnea
shortness of breath
describe HYPERPNEA
gen w/exertion, high altitude, anemia, or sepsis; breathe deeper & more rapid than @ rest
describe HYPERVENTILATION
faster, deeper, & excessive breathing decreasing CO2 in blood; s/s: anxiety, dizziness, numbness, rapid breathing, tingling hands/feet
define HYPOVENTILATION
shallow/slow respiration
aka: hypoventilation
hypopnea
define EXPECTORATION
coughing/spitting up saliva/mucus/fluid
define HEMOPTYSIS
spitting up blood/blood stained sputum
describe ANOXIA
absence of O2 in body even w/good blood flow; >4 min = irreversible brain damage
describe HYPOXIA
deficient O2 levels in body, less severe than anoxia
cause: hypoxia
trauma, lung disease, cardiovascular problems, carbon monoxide poisoning, high altitudes
define ASPHYXIA
loss of consciousness when not enough O2
describe CARBON MONOXIDE POISONING
high CO interfere w/using O2; s/s: nausea, vomiting, dizziness, SOB, headaches, lethargy, confusion
define HYPERCAPNIA
weirdly high CO2 buildup in blood
aka: hypercapnia
CO2 retention
define HYPOXEMIA
low O2 levels in blood
describe RESPIRATORY FAILURE
respiratory acidosis; O2 dangerously low or CO2 dangerously high
define ORTHOPNEA
breathing easier when sitting up
define RALES
abnormal crackling sound w/inhalation indicating fluid or mucus
define RHONCHI
coarse rattling/high pitched snoring indicating narrowing of air passageway
define WHEEZING
high pitched sound w/exhalation
describe DIPTHERIA
serious infection of nose & throat where thick sheet of gray matter covers pharynx obstructing air; preventable w/vaccine
define SEVERE ACUTE RESPIRATORY SYNDROME (SARS)
potentially fatal viral infection affecting respiratory & can cause multiorgan failure
define BRONCHOSCOPY
camera thru nose/mouth to airways
define LARYNGOSCOPY
flexible/rigid camera thru mouth
define PEAK FLOW METER
measure air flow out of lungs
define POLYSOMNOGRAPHY
physiological activity during sleep
aka: polysomnograohy
sleep study
describe PULMONARY FUNCTION TESTS (PFTs)
tests measure volume. air flow, & gas exchange; factors being gender, height, & sex
define SPIROMETER
tool measures air capacity & time for every breath
define PULSE OXIMETER
on finger/earlobe to measure O2 saturation
define SPUTUM CYTOLOGY
mucus coughed up & examined for cancer
describe SPUTUM CULTURE & SENSITIVITY
mucus coughed up & monitor for bacterial growth, if growth test sensitivity/resistance to antibiotics; diagnostic & treatment
define TB SKIN TESTING
small amnt of tuberculin purified protein derivative injected under skin & check reaction 48 hrs later
aka: TB skin testing
Mantoux PPD skin test
define PULMONARY ANGIOGRAPHY
x-ray visual of arteries & veins w/contrast
define ARTERIAL BLOOD GASSES (test) {ABGs}
assess levels of O2 & CO2 in blood
describe SWEAT TEST
aid diagnosis of CF by measuring sodium in sweat; stimulate sweat w/chemical & electrode
describe VENTILATION/PERFUSION (V/Q) SCAN
nuclear medicine diagnostic w/inhalation of radioactive air to see if lungs fill & inject dye to see blood flow
aka: antitussive
cough medicine
aka: decongestant
nasal decongestant
define EXPECTORANT
makes mucus thin & less viscous to be easy to cough up
describe BRONCHODILATOR
inhaled drug relax & expand bronchi & relax muscle spasms in bronchial tubes; short or long acting
define NEBULIZER
turn liquid medicine to mist for inhalation
define ENDOTRACHEAL INTUBATION
tube into trachea to establish/maintain airway
define FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)
treat chronic sinusitis w/endoscope
define LARYNGOTOMY
surgical incision into larynx done when upper airway obstructed
define SEPTOPLASTY
surgical repair of nasal septum
describe TRACHEOSTOMY
surgical creation of stoma into trachea inferior vocal cords by inserting temporary/permanent tube for breathing
define PNEUMONECTOMY
surgical removal of all/part lung
define LOBECTOMY
surgical removal of organ lobe
define WEDGE RESECTION
small wedge shape of lung cancer removed
define THORACENTESIS
surgical puncture of chest wall w/needle to aspirate fluid from pleural sac
define THORACOTOMY
incision into chest wall to open pleural access lungs, heart, esophagus, diaphragm, etc
define VIDEO ASSISTED THORACIC SURGERY (VATS)
thoracoscope to look inside pleural & biopsy tissue & treat repeated collapsed lungs
define BILEVEL POSITIVE AIRWAY PRESSURE
machine change pressure w/respirations
aka: bilevel positive airway pressure
BiPAP machine
describe VENTILATOR
device for artificial respirations; forced inhalation & exhalation natural
describe HYPERBARIC OXYGEN THERAPY (HBOT)
breathe & absorb pure O2; promote healing, fight infection, treat CO poison
define AEROSOL THERAPY
inhaled meds in mist via nebulizer/inhaler
define CONTINUOUS POSITIVE AIRWAY PRESSURE
machine gives mild air pressure to keep airways open
aka: continuous positive airway pressure
CPAP
define POSTURAL DRAINAGE
drain pulmonary secretions, head should be lower than feet
define BETA-ANDRENERGIC AGONIST
drug dilates bronchi
define GLUCOCORTICOID
drug suppressing inflammation
define MAST CELL STABILIZER
drug inhibits release of histamines
define MUCOLYTIC
loosen mucus
define SPUTUM
phlegm ejected via mouth for siagnositcs
define PHLEGM
thick mucus secreted from respiratory passage
define OTOLARYNGOLOGIST
specialize in head & neck; an ENT