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Terms in this set (100)
hyperventilation, if Alkaline, respiratory alkalosis
someone is blowing off
too much CO2 they
become more
if a patient's lung are not acidic, respiratory acidosis
functioning very well and
they are unable to remove
or blow off CO2 very well,
the CO2 will build up in
their system becoming
is adequate arterial blood flow through the peripheral
tissues (peripheral perfusion) and blood that is
Perfusion
pumped by the heart to oxygenate major body
organs (central perfusion)
upper respiratory tract nose, sinuses, pharynx, larynx
Lungs,Trachea, two mainstem bronchi, lobar,
Lower respiratory tract segmental, and subsegmental bronchi; bronchioles;
alveolar ducts; alveoli
common cause of Cigarette smoke
respiratory ailments
, maintaining a patent airway to allow adequate
ventilation and oxygenation.
Along with a focused respiratory assessment, the
Nursing care of a patient
nurse will utilize information obtained from the patient
experiencing upper
and family during the admission history interview.
respiratory system
Information regarding the patient's history of upper
disorders
respiratory disorders, smoking, and environmental
exposures will be utilized to determine the necessary
testing and treatment
Alveoli function decreases
Ability to cough decreases
Lungs loose residual volume, vital capacity and gas
Normal Changes in Aging exchange decreases.
Adults Respiratory muscles atrophy
Vascular resistance increases, capillary flow
decreases
Susceptibility to infection increases.
three bones that protrude into the nasal cavities from
the internal portion of the nose
The turbinates increase the total surface area for filtering, warming,
and humidifying inspired air before it passes into the
nasopharynx.
air-filled cavities within the bones that surround the
nasal passages
Lined with ciliated membrane, the sinuses provide
The paranasal sinuses
resonance to speech, decrease the weight of the
skull, and act as shock absorbers in the event of facial
trauma..
Fremitus refers to compression or consolidation of lung tissue, as occurs
vibratory tremors that can in pneumonia.
be felt through the chest
by palpation, Increased
fremitus may indicate
, Bronchial
Lung sounds Bronchovesicular
Vesicular
Crackles
Wheezes
Adventitious sounds
Rhonchus
Pleural friction rub
Cyanosis, decreased capillary refill, clubbing of nails
Other Indicators of in fingers, level of consciousness, Chest
Respiratory Adequacy Circumference, Anxiety, Dyspnea Orthopnea, General
Appearance
Laboratory assessment
- RBC
- ABG- is a blood gas and this tells us the acid base
balance of the patient
- Sputum- can tell us if microorganisms are growing in
the lung - describe color, clarity, and any odor
Imaging assessment
- x-rays-Xrays show us areas of opaque which usually
indicate pneumonia/consolidation of fluid
-CT- computed tomography. Lung nodules, areas of
Diagnostic Assessment of
fluid buildup
lungs
Other noninvasive diagnostic assessments
- Pulse oximetry-circulating O2- tells us oxygen levels
in the tissues- usually fingers, toes, or earlobes
- Capnometry and capnography-how much CO2 is
leaving the lungs.
-PFTs-Lung function- tell us how well the lungs
function at moving air in and out
- Exercise testing-Exercise tolerance
, -Endoscopic examinations
-Bronchoscopy- is a camera that looks at the airway
passages
Invasive Diagnostic
-Thoracentesis- can remove fluid buildup from the
Assessment
lung
-Lung biopsy- is used to diagnose some lung diseases
or cancer
A.Tightening of the vocal cords
B.Decrease in residual volume
C.Decrease in the anteroposterior diameter
Which assessment finding D.Decrease in respiratory muscle strength
for an older adult patient
does the nurse ascribe to D. As a person ages, vocal cords become slack,
the natural aging process? changing the quality and strength of the voice; the
anteroposterior diameter increases; respiratory
muscle strength decreases; and the residual volume
increases.
A.25%
B.50%
C.75%
D.100%
The nurse knows that
under normal physiologic
ANS: B
conditions of tissue
Oxygen dissociates with the hemoglobin molecule
perfusion, a patient will
based on the need for oxygen to perfuse tissues.
have what percent of
Under normal conditions, 50% of hemoglobin
oxygen dissociate from
molecules completely dissociate their oxygen
the hemoglobin
molecules when blood perfuses tissues that have an
molecule?
oxygen tension (concentration) of 26 mm Hg. This is
considered a "normal" point at which 50% of
hemoglobin molecules are no longer saturated with
oxygen.