Respiratory System and Disorders- Notes from Slideshow (quiz 3) PART 1 Flashcards
Decreased levels of oxygen in the tissues
Hypoxia
Decreased levels of oxygen in the arterial blood
Hypoxemia
Increased levels of CO2 in the blood
Hypercapnia
Decreased levels of CO2 in the blood
Hypocapnia
Difficulty breathing
Dyspnea
Rapid rate of breathing
Tachypnea
Bluish discoloration of skin and mucous membranes due to poor oxygenation of the blood
Cyanosis
Blood in the sputum
Hemoptysis
The incomplete expansion of the lungs
Atelectasis
characteristic of atelectasis
Collapsed alveoli
Etiology of Atelectasis
- Lack of mobility
- Pneumonia
- Radiation disease
- Granulomatous disease (such as lupus)
irreversible condition causing atelectasis
Pulmonary Fibrosis
Reversible condition causing atelectasis
Pneumonia
Another word for Pulmonary ventilation
Breathing
The process of air flowing into the lungs during inspiration & out during expiration.
Pulmonary ventilation
Why does air flow?
Due to pressure differences b/w the atmosphere & the gases inside the lungs
SEE PICTURE FOR BASIC ANATOMY OF THE RESPIRTORY SYSTEM
ON SLIDE ONE
Is transportations of gases an efficient process?
Yes, very.
What carries O2?
Hemoglobin
Why is Hgb the carrier of O2?
it has great affinity for O2
How many molecules of O2 bind to each Hgb?
4
What happens to O2 that is picked up by Hgb?
It is transported by the blood to various tissues
In what form are CO2 molecules transported?
Dissolved form-in our blood
Why is CO2 transported in the dissolved form and O2 transported in Hgb?
CO2 is more soluble in water than O2
Is all CO2 formed expelled from the body?
No
Why is some CO2 not expelled and instead retained?
It reacts with water to form compounds useful for life processes
This is used when the human body knows when to increase the supply of O2 & when to reduce it
adaptation
Regulatory system that tells the body when to increase the supply of O2 & when to reduce it
medulla
What is the respiratory system very sensitive to?
the concentration of CO2 in the arterial blood
What symptoms occur when there is a decrease or increase in CO2 in the arterial blood?
-acceleration or slowing down of respiration activity –change in rate & depth of breathing.
Where does gas exchange occur?
At the alveolar capillary membrane
- Blood low in O2 and high in CO2 is in artery before alveolar
- Gases dissolve in moist lining
- CO2 diffuses from blood into alveolar to be exhaled
- Oxygen diffuses into blood
- Oxygen is transported around body by RBCs
- Blood low in CO2 and high in O2 leaves the alveolar
Steps of Gas Exchange at the alveolar capillary membrane
Steps of Gas Exchange at the alveolar capillary membrane
- Blood low in O2 and high in CO2 is in artery before alveolar
- Gases dissolve in moist lining
- CO2 diffuses from blood into alveolar to be exhaled
- Oxygen diffuses into blood
- Oxygen is transported around body by RBCs
- Blood low in CO2 and high in O2 leaves the alveolar
What occurs in the respiratory system in some C Spine injuries?
Medulla and respiratory center of brain can be affected and they may not be able to breath
Why might you find yourself unintentionally breathing faster or slower?
The body is trying to achieve equilibrium because it is always working towards homeostasis
What is an example of a disorder that causes the exchange of gases to be impaired?
ARDS
Why does ARDS causes the exchange of gases to be impaired?
Fluid in the alveolar blocks the exchange of gases
The build-up of excess fluid between the layers of the pleura outside the lungs
Pleural effusion (PE)
Where can fluid in PE be visualized on a scan?
at the bottom of one of the lungs (looks like a fluid sac)
Most common Etiologies of PE
- Malignancy
- HF
Etiology of Pleural Effusion
- Heart failure
- Kidney failure
- Pulmonary embolism
- Hypoalbuminemia
- Infection
- Malignancy
- Heart failure
- Kidney failure
- Infection
- Malignancy
- Pulmonary embolism
- Hypoalbuminemia
Etiology of Pleural Effusion
What would a pt with Hypoalbuminemia present with?
- critically ill
- sick
- nutritional status compromised
- at risk for PE
Common Symptoms of PE
- Chest pain
- Difficulty breathing
- Painful breathing (pleurisy)
- Cough (dry or productive)
- Deep breathing typically increases pain.
- Fever, chills, & loss of appetite
- Chest pain
- Difficulty breathing
- Painful breathing (pleurisy)
- Cough (dry or productive)
- Deep breathing typically increases pain.
- Fever, chills, & loss of appetite
Common Symptoms of PE
Why do Fever, chills, & loss of appetite often accompany pleural effusions?
Because the PE is caused by infectious agents
Differential Diagnoses
When a practitioner differentiates between two or more conditions that could be behind a person’s symptoms
Differential Diagnoses vs Diagnosis. What’s the difference?
Differential Diagnoses- more than one possible diagnosis
Diagnosis- one single theory
When diagnosing a pt it is important to
Consider all possible etiologies
Example of Differential Diagnoses: You have a client that has a chest x-ray. It shows the pleural effusion. What must a practitioner consider?
That pleural effusion has many etiologies and all possibilities must be considered or ruled out
Example of Differential Diagnoses: A pt has a cough. What must a practitioner consider?
That a cough can be caused by many things such as a common cold or lung cancer.
What type of fluid builds up in PE?
- Can be clear
- Could be an exudate
- Can be all different substances
In what case would exudate build up in PE?
In case of infective process
In what case would all different substances build up in PE?
In case of malignancy
Main Symptoms of Infectious Pneumonia: Systemic
- high fever
- chills
- high fever
- chills
Main Symptoms of Infectious Pneumonia: Systemic
Main Symptoms of Infectious Pneumonia: Central NS
- Headaches
- Loss of appetite
- mood swings
- Headaches
- Loss of appetite
- mood swings
Main Symptoms of Infectious Pneumonia: Central NS
Main Symptoms of Infectious Pneumonia: Skin
- clamminess
- blueness
- clamminess
- blueness
Main Symptoms of Infectious Pneumonia: Skin
Main Symptoms of Infectious Pneumonia: Vascular
-low BP
-low BP
Main Symptoms of Infectious Pneumonia: Vascular
Main Symptoms of Infectious Pneumonia: Lungs
- cough with sputum or phlegm
- SOB
- pleuritic chest pain
- hemoptysis
- cough with sputum or phlegm
- SOB
- pleuritic chest pain
- hemoptysis
Main Symptoms of Infectious Pneumonia: Lungs
Main Symptom of Infectious Pneumonia: Heart
- High HR
- High HR
Main Symptoms of Infectious Pneumonia: Heart
Main Symptoms of Infectious Pneumonia: Gastric
- N and V
- N and V
Main Symptoms of Infectious Pneumonia: Gastric
Main Symptoms of Infectious Pneumonia: Muscular
- fatigue
- aches
- fatigue
- aches
Main Symptoms of Infectious Pneumonia: Muscular
Main Symptoms of Infectious Pneumonia: Joints
-pain
-pain
Main Symptoms of Infectious Pneumonia: Joints
What is occurring at the alveolar capillary level in pneumonia?
- inflamed, thickened alveolar wall
- alveolus filled with fluid
How do the changes on the alveolar capillary level affect the body in pneumonia?
Gases are unable to perfuse through fluid and inflammation
What happens to someone who gets pneumonia who also has underlying respiratory disease?
Makes things more complicated for them than someone who doesn’t have underlying disease
What lab value indicatshypoxemia?
low PaO2
What level of PaO2 is normal?
80-100 mmHg
What test is conducted to find out PaO2?
blood gas