NR 283 RESPIRATORY WORKSHEET
RESPIRATORY SYSTEM DISORDERS RISK FACTORS Etiology/Pathophysiology Clinical Manifestations COMPLICATIONS
FLAIL CHEST -many fractures to ribs -instability of chest -chest pain -obesity
in more than 1 place or wall portion causes -SOB -kyphoscoliosis
fracture to sternum & paradoxical movement -hospitalizations for
consecutive ribs -breathing in unstable surgical procedures
part of chest: chest -musculoskeletal
wall move inward abnormalities
-breathing out -pectus excavatum-
unstable chest depression in sternum
part:chest wall moves -neuromuscular
outward disease: dystrophy,
-impaired movement myasthenia gravis,
of gas in & out of Guillian-Barre
lungs syndrome
-decrease in tibal -muscle weakness=
volume possibly hypoventilation
progress to -unable to move out
hypercapnic secretions in lungs
respiratory failure hypoxemia
-
-primary: can occur air or gas in the -pleural pain -once water is drained
PNEUMOTHORAX spontaneously 20-30 pleural space caused -tachypnea and plural tissue is
yrs old by a rupture in the -dyspnea healed most likely to
-family history visceral pleura (which -absent or recover
-secondary: chest surrounds the lungs) decreased breath - pleurodesis
trauma or the parietal pleura sounds and (instillation of a caustic
and chest wall hyperresonance to substance, such as
-causes long to percussion on the talc, into the pleural
collapse affected side space) for recurrent
-hypotension cases
1
, NR 283 RESPIRATORY WORKSHEET
RESPIRATORY SYSTEM DISORDERS RISK FACTORS Etiology/Pathophysiology Clinical Manifestations COMPLICATIONS
PLEURAL EFFUSION -abscess in pleural -presence of fluid in small effusion: can -chest tube/drainage
area the pleural space. go undetected body system in place
-history -different type of & lymph move fluid -infection risk
them depending what Larger effusions:
is in the fluid: -dyspnea
-transudate: watery -pleural pain
-Exudate: fluid rich -impaired
cells ventilation
-pus (empyema) -compression
-blood(hemothorax) atelectasis-
-Chyle (chylothorax)- decreased lung
ASPIRATION milky fluid lymph & volume
fat droplets -decreased breath
ASPIRATION: sounds
CNS abnormalities that ASPIRATION: -pleural friction rub
affect normal passage of fluid and can be heard over
swallowing & cough solid particles into the areas of inflamed
reflex lung pleura
-AMS caused by
substance abuse, -right lung is more ASPIRATION ASPIRATION
sedation, anesthesia susceptible than L -pain -broncial inflammation
-seizure disorder lung b.c branching of -SOB & collapse of airways
-stroke R mainstream -cough distal to obstruction
-neuromuscular bronchus is straighter -recurrent infection &
disorders: dysphagia, bronchiectasis
NG tube feeding (permanent dialtion of
bronchus)
-aspiration pnuemonia
-bacterial pneumonia
-severe pneumonitis
bronchial damage
-hypoventilation
-hypotension
-intractable coughing,
choking w/out
vomitting, fever,
dyspnea & wheezing
2
RESPIRATORY SYSTEM DISORDERS RISK FACTORS Etiology/Pathophysiology Clinical Manifestations COMPLICATIONS
FLAIL CHEST -many fractures to ribs -instability of chest -chest pain -obesity
in more than 1 place or wall portion causes -SOB -kyphoscoliosis
fracture to sternum & paradoxical movement -hospitalizations for
consecutive ribs -breathing in unstable surgical procedures
part of chest: chest -musculoskeletal
wall move inward abnormalities
-breathing out -pectus excavatum-
unstable chest depression in sternum
part:chest wall moves -neuromuscular
outward disease: dystrophy,
-impaired movement myasthenia gravis,
of gas in & out of Guillian-Barre
lungs syndrome
-decrease in tibal -muscle weakness=
volume possibly hypoventilation
progress to -unable to move out
hypercapnic secretions in lungs
respiratory failure hypoxemia
-
-primary: can occur air or gas in the -pleural pain -once water is drained
PNEUMOTHORAX spontaneously 20-30 pleural space caused -tachypnea and plural tissue is
yrs old by a rupture in the -dyspnea healed most likely to
-family history visceral pleura (which -absent or recover
-secondary: chest surrounds the lungs) decreased breath - pleurodesis
trauma or the parietal pleura sounds and (instillation of a caustic
and chest wall hyperresonance to substance, such as
-causes long to percussion on the talc, into the pleural
collapse affected side space) for recurrent
-hypotension cases
1
, NR 283 RESPIRATORY WORKSHEET
RESPIRATORY SYSTEM DISORDERS RISK FACTORS Etiology/Pathophysiology Clinical Manifestations COMPLICATIONS
PLEURAL EFFUSION -abscess in pleural -presence of fluid in small effusion: can -chest tube/drainage
area the pleural space. go undetected body system in place
-history -different type of & lymph move fluid -infection risk
them depending what Larger effusions:
is in the fluid: -dyspnea
-transudate: watery -pleural pain
-Exudate: fluid rich -impaired
cells ventilation
-pus (empyema) -compression
-blood(hemothorax) atelectasis-
-Chyle (chylothorax)- decreased lung
ASPIRATION milky fluid lymph & volume
fat droplets -decreased breath
ASPIRATION: sounds
CNS abnormalities that ASPIRATION: -pleural friction rub
affect normal passage of fluid and can be heard over
swallowing & cough solid particles into the areas of inflamed
reflex lung pleura
-AMS caused by
substance abuse, -right lung is more ASPIRATION ASPIRATION
sedation, anesthesia susceptible than L -pain -broncial inflammation
-seizure disorder lung b.c branching of -SOB & collapse of airways
-stroke R mainstream -cough distal to obstruction
-neuromuscular bronchus is straighter -recurrent infection &
disorders: dysphagia, bronchiectasis
NG tube feeding (permanent dialtion of
bronchus)
-aspiration pnuemonia
-bacterial pneumonia
-severe pneumonitis
bronchial damage
-hypoventilation
-hypotension
-intractable coughing,
choking w/out
vomitting, fever,
dyspnea & wheezing
2
