respiratory system Flashcards
respiratory primary function
- exchange of O2 and CO2
- delivery of O2 to tissues
- elimination of CO2
- maintain ABB (acid base balance)
O2 & CO2
*depth of deficit mast important
alveolus
- capillary membrane of aveoli allows diffusion of O2 & CO2
- have millions of aveoli
- need to be open
respiration
exchange of O2 & CO2
ventilation
air in, air out
inspiration
1st stage of ventilation
ventilation problem
choking
expiratory
2nd stage of ventilation
T/V or V/T
Title volume
T/V
- volume of air to be measured inspired and/or expired
* can be tested with (PFT) PULMONARY FUNCTION TEST
PFT FOR T/V
- MEASURES LUNG CAPACITY
- NORMAL T/V - 500-700
- NONINVASIVE
- YOU DO NOT WANT EXCESS CO2
RESIDUAL VOLUME
- CAN BE MEASURED WITH PFT TEST
* O2 PASSES THROUGH CAPILLARY MEMBRANE TO BLOOD STREAM TO CELLS AND TISSUES.
CAPILLARY MEMBRANE
ALLOWS DIFFUSION OF O2 AND CO2
LUNG COMPLIANCE
- NORMAL ABILITY TO CHANGE IN SIZE TO MEET THE NEEDS OF OXYGENATION
- CHANGE IN SIZE FOR VOLUME AND PRESSURE
PERFUSION
*BLOOD FLOW FROM RIGHT SIDE OF HEART THROUGH PULMONARY CIRCULATION TO LEFT SIDE OF THE HEART
V/P
*VENTILATION & PERFUSION MUST MATCH
HYPOXEMIA
- MEASURED ABG BELOW 80 OF PAO2
* PAO2-NORMAL 80-100
ELASTICITY
ABILITY OF LUNGS TO EXPAND
RECOIL
ABILITY OF LUNGS TO GO BACK
HYPOXIA
- EARLY SIGNS RESTLESSNESS IRRITABILITY
- O2 DEFICIT IN CELLS
- SOB
- CONFUSION
- INCREASED RESPIRATORY RATE
- TACYCARDIA
- LOOK AT PULSE OX
OXY HGB DISSOCIATION CURVE-COMPARE PAO2 WITH SAO2 (O2 BOUND TO HEMOGLOBIN)
- DEFINES HYPOXIA (ABG)
- CERTAIN PATHOLOGICAL CONDITIONS CAUSE SHIFTS
- PACO2 (ABG) 60 OR BELOW DANGEROUS/PULSE OX PLUMMETS RAPIDLY
- RIGHT SHIFT: MORE O2 TO CELLS AND TISSUE
- LEFT SHIFT: LESS O2 TO CELLS AND TISSUES; MORE O2 TO THE LUNGS
ABG RESULT
- NORMAL RANGE 80-100
* 60 AND BELOW: O2 DEPREVATION
UPPER RESPIRATORY SYSTEM
- NOSE
- SINUSES
- PHARYNX
- LARYNX (VOICE BOX)
- MAIN FUNCTION TO WARM FILTER AND HUMIDIFY INHALED AIR
LOWER RESPIRATORY SYSTEM
- TRACHEA
- MEDIASTINIUM
- RIGHT BRONCHUS *LEFT BRONCHUS
- BRONCHIOLES
- SMALLER BRONCHIAL TUBES
- ALVEOLAR DUCTS
- SACS
- ALVEOLI