Respiratory Function Flashcards

1
Q

Upper Respiratory Tract

A

Mouth
Nose
Pharynx
Larynx

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2
Q

Lower Respiratory Tract

A

Trachea
Bronchi
Bronchioles
Aveoli
Lungs

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3
Q

Gas Transport: oxygen moves from lungs into tissue by two routes

A

Dissolved in plasma 3%

Attached to Hgb in RBCs 97%

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4
Q

The process of ventilation is regulated by

A

neural pathways in the brainstem

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5
Q

What drives ventilation?

A

Carbon dioxide

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6
Q

Respiratory Rate: Newborn/Infant

A

30-60 bpm

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7
Q

Respiratory Rate: 3 y/o Child

A

20-30 bpm

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8
Q

Respiratory Rate: Into Adulthood

A

Gradually decreases to 12-20 bpm

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9
Q

What body position allows for greatest lung expansion?

A

An upright posture; standing or sitting erectly

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10
Q

Major Functions of Upper Respiratory System

A

Humidify, warm, and clean inspired air

Nose is highly effective in filtering foreign particles

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11
Q

Major Functions of Lower Respiratory System

A

Further filter and clean incoming air

Mucus blanket traps bacteria/microscopic foreign particles, cilia, macrophages

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12
Q

Smoking

A

Vasoconstricts
Mucus production increases
Slows mucociliary escalator

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13
Q

Can depress the CNS resulting in decreased respiration

A

Drugs and Alcohol

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14
Q

Altered Lung Function: Restricted Lung Movement

A

Stiffen or may restrict expansion of the chest

May cause the lung to collapse
or alveoli to collapse (atelectasis)

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15
Q

Altered Lung Function: Airway Obstruction

A

Narrowed airways

Mucus
Inflammation
Altered bronchial smooth muscle tone

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16
Q

Respiratory Assessment: Inspection

A

Barrel-shaped chest
Cyanosis
Clubbing
Rate and pattern of respiration

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17
Q

Respiratory Assessment: Palpation

A

Look for swelling or tenderness and fremitus

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18
Q

Respiratory Assessment: Percussion

A

Detect fluid-filled or consolidated portions of the lung

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19
Q

Respiratory Assessment: Auscultation

A

Sounds are classified as bronchial, bronchovesicular, and vesicular

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20
Q

Cyanosis and where to assess

A

Bluish skin discoloration

Central - Mucous membranes of eyes and mouth

Peripheral - toes/fingers, extremities

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21
Q

Clubbing

A

Enlargement and rounding of the tips of fingers/toes

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22
Q

Chest Deformity in Respiratory Issue

A

Barrel-shaped due to expansion of chest after long term inability to exhale all air in COPD patients

23
Q

Ronchi

A

Low-pitched, snoring or moaning

Fluid in larger airways

24
Q

Wheeze

A

High-pitched, musical sounds

Associated with narrowed airways

25
Q

Crackles

A

High-pitched, popping sounds

Alveoli

26
Q

Stridor

A

High-pitched, most severe type of inspiratory wheeze

27
Q

Nursing Diagnosis: Ineffective Breathing Pattern

A

Labored breathing

Inspiration/Expiration that does not provide adequate ventilation

28
Q

Nursing Diagnosis: Ineffective Airway Clearance

A

Cannot expel obstructions from the respiratory tract to maintain a clear airway

29
Q

Nursing Diagnosis: Impaired Gas Exchange

A

Crackles

Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane

30
Q

Venturi Mask

A

Most precise

31
Q

Before you suction, you should always

A

Hyperoxygenate / Preoxygenate

32
Q

Atelectasis

A

Collapsing of the alveoli

33
Q

Hypoxemia

A

Low concentration of oxygen in the blood

34
Q

Hypercapnia

A

High concentration of carbon dioxide in the blood

35
Q

Hemoptysis

A

Coughing up blood

36
Q

Quad Cough

A

Helps quadriplegic pts generate an effective cough; nurse will help by pushing in and upward like the Heimlich maneuver

37
Q

Low-Flow (Huff) Cough

A

Pt inhales deeply and says “huff” three or four times while exhaling

38
Q

Pursed-lip breathing

A

Causes back pressure in the airways

Eases expiration
Prevents air trapping

39
Q

Suctioning max time

A

no more than 10 seconds at a time

40
Q

Incentive Spirometer

A

Motivates the pt to breathe (inhale) deeply by offering the incentive of measuring progress

41
Q

Peak Flow Meter

A

Measures highest flow during maximal expiration

42
Q

Peak flow meter used for (population)

A

Asthmatics
Chronic Bronchitis
Emphysema

43
Q

Pts should use a spirometer how often?

A

8-10 times an hour

44
Q

Fremitus is what and how do you assess?

A

Vibration of air movement through the chest wall

palpating the back while the pt says “99”

45
Q

Fermitus increase

A

consolidation in the lung

46
Q

Fermitus decrease

A

pleural effusion or pneumothorax

47
Q

Atmosphere contains how much oxygen?

A

21%

48
Q

Accessory muscles when breathing

A

Neck
Shoulders
Sitting, forward leaning
Flaring of nostrils (infant)

49
Q

Infectious sputum characteristics

A

yellow/green
has putrid/musty odor

50
Q

How to thin out secretions

A

Hydrate

51
Q

Sputum culture (does what)

A

to identify the specific agent causing the infection

52
Q

Sputum sensitivity test (does what)

A

will determine which antibiotic to use

53
Q

Hyperventilation

A

PaCO2 lower than 35 mm Hg

54
Q

Aerosol Therapy

A

Add moisture to oxygen delivery systems
Hydrate thick sputum and prevent mucous plugging
Administer drugs to the airways (bronchodilators and corticosteroids)