Unit 6 Screening For Pulmonary Disease Flashcards
What are Signs and symptoms of Pulmonary Disorders?
- Cough (Productive or No Productive)
- Dyspnea
- Cyanosis
- Clubbing
- Altered Breathing Patterns
What are the most common sites for referred pain from the pulmonary system?
The chest, ribs, upper trapezius, shoulder, thoracic spine
These areas are often affected due to the anatomical and physiological connections between the lungs and surrounding structures.
If a patient has brown phlegm, what would this indicate?
Chronic lung disease, cystic fibrosis or Bronchiectasis
If a patient has charcoal/grey phlegm, what would this indicate?
Environmental, common in people who work in coal mines and factories or heavy smokers
If a patient has White phlegm, what would this indicate?
Allergies, asthma, or viral infections
If a patient has Pink/Red/Bloody phlegm, what would this indicate?
Could be related to an infection or cancer, in some cases
If a patient has Yellow/green phlegm, what would this indicate?
Likely related to an infection
What is the primary function of the respiratory system?
To provide oxygen to and to remove carbon dioxide (CO2) from cells in the body.
What is ventilation?
Movement of air from outside of the body to the alveoli of the lungs
Ventilation is critical for gas exchange in the respiratory system.
Define respiration in the context of pulmonary physiology.
The process of oxygen uptake and CO2 elimination between the body and the outside environment
Respiration involves both external and internal processes.
What is essential to life regarding acid-base regulation?
The proper balance of acids and bases in the body
This balance is crucial for maintaining physiological functions.
What does pH represent in body fluid?
The hydrogen ion concentration
pH is a measure of acidity or alkalinity.
What is the normal pH range that must be maintained in extracellular fluid?
7.35 to 7.45
This range is critical for normal cellular functions.
What is the condition called when pH is less than 7.35?
Acidosis
Acidosis can disrupt various bodily functions.
What is the condition called when pH is greater than 7.45?
Alkalosis
Alkalosis can also lead to physiological disturbances.
What pH value range indicates that life cannot be sustained?
Less than 7.0 or greater than 7.8
Extreme pH levels can lead to severe health issues.
What is respiratory acidosis?
A condition that decreases pulmonary ventilation, leading to increased retention of CO2, hydrogen, and carbonic acid.
What happens to circulating hydrogen levels in respiratory acidosis?
They increase due to decreased pulmonary ventilation.
List two conditions that can lead to respiratory acidosis.
- Pneumothorax
- Pulmonary fibrosis
What are clinical signs of Respiratory Acidosis?
- Decreased Ventilation
- Confusion
- Sleepiness and Unconsciousness
- Diaphoresis
- Shallow, rapid breathing
- Restlessness
- Cyanosis
What condition is characterized by an increased respiratory rate and depth leading to decreased CO2 and hydrogen?
Respiratory Alkalosis
This condition results in an increased pH, or alkalosis.
What happens to CO2 and hydrogen levels in respiratory alkalosis?
They are eliminated from the body too quickly, decreasing their availability to buffer the alkaline environment.
This contributes to the condition of alkalosis.
Name three conditions that can lead to respiratory alkalosis.
- Anxiety
- Pain
- Cerebral trauma or lesions
These conditions can trigger an increased respiratory rate.
What is a common clinical sign of respiratory alkalosis?
- Hyperventilation
- Light-headedness
- Dizziness
- Numbness and tingling of the face, fingers, and toes
- Syncope (fainting)
These symptoms result from the effects of decreased CO2 levels.
What are different disorders/disease that can occur in the Pleura?
- Pleuritis
- Pneumothorax
What are different disorders/disease that can occur in the Airways?
(Bronchus, Bronchi, Bronchioles)
- COPD
–Asthma
–Bronchitis (acute or chronic)
What are different disorders/disease that can occur in the Alveoli?
- Pneumonia
- Emphysema
What are different areas that Lung Cancer can occur?
- Lining of the bronchi
- Outside areas of the lungs (Mucous glands)
What are different disorders/disease that can occur in the Vessels?
- Pulmonary Embolism
- Pulmonary Hypertension
–Leads to Cor Pulmonale
What is pleural pain?
Sharp pain caused by friction between pleural surfaces or intercostal muscle spasm due to stretching of the parietal pleura
Pleural pain is often associated with respiratory movements.
What are the causes of pleural pain?
- Pleurisy (infection/injury)
- Pneumonia
- Tumor
- Pneumothorax
Each cause can lead to inflammation or irritation of the pleura, contributing to pain.
What is Pneumothorax?
A collection of air outside the lung but within the pleural cavity
There is typically change in respiratory movement on the affected side
What is a common Sx with Pneumothorax?
Dyspnea
Shortness of breath
What type of pain is associated with Pneumothorax?
Where can Pain refer?
- Sudden, sharp chest pain
Can refer pain to the shoulder
Using the Picture, what Pulmonary Disease is associated with these pain patterns?
Pneumothorax
What are some Cardiovascualr Signs of Pneuomothorax?
- Weak and Rapid Pulse
- Fall in Blood Pressure
What type of cough is associated with Pneumothorax?
- Dry and hacking cough
What position is typically comfortable for those patients with Pneumothorax?
- Sitting upright is most comfortable
What is bronchitis?
Inflammation of the bronchial tubes.
What are the symptoms of acute bronchitis?
- Mild fever from 1 to 3 days
- Malaise
- Back and muscle pain
- Sore throat
- Cough with sputum production, followed by wheezing
- Possibly laryngitis
What characterizes chronic bronchitis?
- Persistent cough with sputum production (worse in the morning and evening than midday)
- Reduced chest expansion
- Wheezing
- Fever
- Dyspnea (shortness of breath)
- Cyanosis (blue discoloration of skin and mucous membranes)
- Decreased exercise tolerance
How is chronic bronchitis defined?
Coughing for at least 3 months per year for 2 consecutive years without having had a precipitating disease.
What are the characteristics of a normal bronchus?
Healthy bronchioles accommodate a constant flow of air when open and relaxed.
Normal bronchus has a mucous membrane that appears healthy and unobstructed.
What is bronchospasm?
Narrowing of the airway caused by contraction of the smooth muscle surrounding the bronchus.
Bronchospasm is a key feature in asthma that leads to difficulty in breathing.