Respiratory Assessment Flashcards

1
Q

Upper respiratory tract

A

Nasal Cavity
Oral Cavity
Pharynx
Larynx

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2
Q

Lower respiratory tract

A

Trachea
Left and Right lung
pericardium
diaphragm

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3
Q

Diaphragm

A

a thin skeletal muscle that sits at the base of the chest and separates the abdomen from the chest.

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4
Q

Muscles of inspiration/expiration

A

intercostals -between the ribs

Scalenes –up by the neck

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5
Q

Cells of the respiratory system

A

goblet cell
submucosal gland
secretory cell

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6
Q

pulmonary arteriole

A

flow of oxygen depleted blood that has returned to the heart

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7
Q

Pulmonary venule

A

flow of freshly oxygenated blood back to the heart

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8
Q

Beta 2 simtulation

A

leads to bronchodilation –> open airway

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9
Q

ACh blocker

A

leads to bronchodilation –> open airways

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10
Q

Functioning respiratory system relies on (3 things)

A

Alveolar ventilation, pulmonary perfusion, gas exchange

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11
Q

Restrictive diseases

A
Inability to effectively breathe in: 
Interstitial lung disease
Infiltrative lung disease
Disorders of pleura or chest wall 
Surgical resection of lung 
Misc: pregnancy, obesity, ascites
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12
Q

Obstructive diseases

A

inability to effectively breathe out:
Reduced FEV1/FVC ratio to less than 70%
Asthma
COPD

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13
Q

Pathophysiology of asthma

A

contracted smooth muscle
inflammation and swelling
excess muscus
decreased lumen diameter

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14
Q

Pathophysiology of COPD

A

walls of alveoli destroyed

bronchioles lose shape and are clogged with mucus

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15
Q

Pulmonary Embolism

A

Blood clot
Often forms in leg and migrates to lung
Occludes blood vessel in lung
Prevents effective gas exchange

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16
Q

Acute cough

A

3 weeks or less

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17
Q

Sub-acute cough

A

3-8 weeks

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18
Q

Chronic cough

A

8 weeks or longer

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19
Q

Productive vs. Non-productive cough

A

Productive is wet

non-productive is dry

20
Q

Effective vs. Ineffective cough

A

effective –> productive cough that gets phlegm out

Ineffective –> productive cough that doesn’t get phlegm out

21
Q

Orthopnea

A

shortness of breath when laying down

22
Q

Normal respiratory rate

A

14-18 BPM

23
Q

Tachypnea

A

> 18 BPM

24
Q

Bradypnea

A

<14 BPM

25
Q

Chest Palpation

A

Place hands on back

Should move apart symmetrically with breaths

26
Q

Percussion of the posterior chest

A

Evaluates density of underlying tissue

Areas of unusual density can indicate pathology

27
Q

Stethoscope: Bell vs Diaphragm

A

Bell –> low pitched sounds

Diaphragm –> high pitched sounds

28
Q

Normal Bronchial sounds

A

Listen over trachea and larynx
High pitched, loud
Expiratory sounds > Inspiratory sounds

29
Q

Normal Bronchovesicular sounds

A

Listen over major bronchi or between scapula
Medium pitch and intensity
Sounds on inspiration equal in length to expiration

30
Q

Normal Vesicular sounds

A

Listen over smaller bronchioles and alveoli
Low pitched and soft
Inspiration > expiration

31
Q

Rales or Crackles

A

Short, popping sounds
Most often heard during inhalation
Can indicate: infection, inflammation, CHF

32
Q

Wheezes

A

high pitched, heard over airways

33
Q

Stridor

A

high pitched wheeze, heard over larynx

33
Q

Stridor

A

high pitched wheeze, heard over larynx

34
Q

Rhonchi

A

low pitched, snoring quality

35
Q

Friction Rub

A

Deep, harsh, grating sound
Inspiration > expiration
Caused by rubbing of visceral and parietal pleura

36
Q

Normal pH

A

7.35-7.45

37
Q

Normal PaO2

A

80-100 mmHg

38
Q

Normal PaCO2

A

35-45 mmHg

39
Q

Normal SaO2

A

92-100% on room air

40
Q

Tidal volume

A

volume in/out during normal resting breath

41
Q

Vital Capacity

A

highest volume you can breathe in/out

42
Q

Residual Volume

A

Air remaining in the lungs after biggest possible breath

43
Q

Total lung capacity

A

normal volume of an adult male lung

44
Q

FEV1

A

air pushed out in the 1st second after largest breath

45
Q

Normal FEV1/FVC ratio

A

> 70%