Respitory Disorders

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Respitory Disorders
2011-07-13 22:05:27

resp test
Show Answers:

  1. normal ph balance
  2. if ph goes up blood becomes
  3. if ph goes down blood becomes
  4. name the upper airway in order
    • nasel cavity
    • pharynix
    • epiglottis
    • larynx
    • trachea
  5. kreps cycle
    • the glucose is broken down and burned, the end
    • cycle is co2
  6. internal resp
    at the tissue level or cell level
  7. external resp
    takes place at the alveoli
  8. what too organs work together in resp
    heart and lungs
  9. perfusion is
  10. shallow breathing is a problem with
  11. persed lip breathing
    opens the airway
  12. alveoli what happens
    o2 and co2 change takes place
  13. o2 above what level should be humidified
  14. what is. the middle of the branch of lungs called
  15. in a co2 retainer what happenes
    airway collapse
  16. how many lobes do the right side of lung have
  17. sclrosis
  18. stanosis
  19. how do u collect a sputum sample
    get first thing in morning, a big luggy from deep down
  20. if sputem is green it endicates
    infection, they will fever and look sick
  21. blue bloaters
    is from copd, chronic broncitis, it is from right sided heart failure so they get edema
  22. pink puffers
    • is caused from emphysema, it is more inside the alveolis, this person is skinny from energy used
    • high fowlers, orthopnic(standing or sitting up)
  23. if a person has pneumonia what are some signs
    • diminished sounds in the localized area of the lung
    • pain
  24. nx: for pneumonia
    ineffective gas exchange r\t pneumonia
  25. name 2 types of pneumonia
    • bacterial and viral
    • bacterial being the worse
  26. what is pneumocystis carinii pneumonia{PCP}
    • it is a opertunestic pneumonia
    • usually cause of death in aids pt and immunecompromised pt
  27. what is the diff between c-pap and bi-pap
    • c- is continous positive airway and bi- adjusts to the pressure needed
    • always ask if they snore or use a cpap
  28. epiglotitis
    is a dangourous bacteral infection
  29. croup(Laryngotracheobronchitis)
    is a virous
  30. ryanitis
    is inflamation of the nose (allergies)
  31. what can interfer with a pulse ox and what do we check if pt looks normal
    nail polish, dirty, pt must be still, ck wires, hypotension, hypovolemia(dehydrated), hypothermia(cold)
  32. wheezing
  33. crackles
    • fluid
    • will not clear with coughing
  34. what is co2
    • it is the waste productof energy production in cells
    • it is your acid
  35. co2+h2o(bound hydrogen)=
    h2co3 + h+(hydrogen)
  36. free hydrogen creates
  37. Epistaxis
  38. priority is too
    allways maintain airway
  39. nx:copd
    • ineffective airway clearance r\t airway obstruction
    • increase nutrition bal r/t work load to breath
  40. things to do for copd
    • increase fluides if not contraindecated
    • cal intake
    • periods of rest and stagered activities
    • eating may take them an hour
  41. nasal polyps
    benign overgrowth scar tissue
  42. PE s/s treatment
    • pain sob impending dume,antiquags
    • ted hose or scd and do not take no as an answer
    • in labodomy pos clots are formed
  43. what is the difference to know if it is heart or pe
    • cpr heart you get a pulse
    • pe you get edema
  44. what must be bound with o2 to get to the cells
    hemaglobin (HGB)
  45. normal po2
  46. normal o2
  47. what is resp acidosis/alkalosis
    • pco2 up and ph down/ acid
    • pco2down and ph up/alk
    • see saw effect
  48. what is metabolic acidosis/alkalosis
    • hco3 and ph down/acid
    • hco3 andph up /alk
    • elevator effect
  49. acid /base ratio
  50. strider
    • high pitch sound
    • airway obstruction
    • croup or epglotitis
  51. early s/s of hypoxia(dec o2)or hypercapnia(inc co2
    loc change, pick at sheets,restless,tackycardia
  52. cardiac output =
    stroke volume * heartrate per min
  53. po2 is
    o2 disolved in blood
  54. cynosis sign
    late sign
  55. Emphysemia is
    • primarly an aveoli disease
    • co2 is no longer ther stemulation to breath
    • the medulla normally tells them to breath when co2 gets high,
    • they now have o2 as there drive to breath
    • if you give them too much o2, they quit breathing
  56. if they can't breath what do we do
    bag them
  57. polycythemia
    • increased red blood cell production
    • heart works harder, more blood volume
    • some times have to take blood out
  58. NX: ineffective airway clearence
    • pt deep breath
    • hit chest/vest
    • fluids
    • suction
    • mucusdrugs expectorants
  59. hypervent causes
    resp alkolosis
  60. ketoacidosis
    increased acid
  61. diareha causes
    loss of bicarb, pancreous(gut) produces bicarb
  62. vomiting causes
    alkolosis, due to loss of stomach acid
  63. (PRIMARY BASE)bicarbs bind with
    acid to nutralize it
  64. metabolic acidosis is
    too much acid and decrease in bicarb
  65. metabolic acids produced
    • bun ketones,uric acid
    • kidneys gets rid of it
  66. lungs regulate
  67. too much co2 acid =
    h+ or free hydrogen
  68. all liquids have a
  69. Intubation
    • relief of obstruction
    • ease of suctioning with a tube
    • in mouth
  70. trachemotomy
    • keep hole open to maintain airway
    • surgery placement
    • if comes out stay with them and get help
  71. TPA
    clot buster
  72. thoracentesis cause and treat
    • plural space has fluid
    • go in and remove the fluid so lungs dont collapse
    • watch bleeding, vitals, sit semi fowlers,infections,pain control, lay on uneffected side
  73. transudate/exudate
    • trans-internal
    • ex-fluid outside body
  74. pulmonary function test
    • laryngoscope-throtand vocalcords
    • bronchoscopy-into lungs
    • PFT-title volume normal in out breathing about 500cc
  75. co2 retainers
    airways collapse, chest enlarges
  76. with clots
    perfusion can not happen
  77. stinosis
  78. sclerosis
  79. good lungs
    airflow into alveoli and perfusion has to happen
  80. inspiration
    • diaphram expands and lets air in
    • pressure of least resestance
  81. expiration
    elasticity in lungs pushes air out
  82. scar tissue
    is hard and will not expand
  83. pneumothorax open and closed
    • open is from puncture or tramatic event
    • closed internal ruptures air goes into plural space and it clapses
    • will hear no breath sounds over the claps area
  84. pulmonary edema s\s
    dyspia, sob, red foamy sputem
  85. chf is
    backwards heart failure into lungs
  86. test for pe
  87. insentive spirometer teach
    suck in
  88. asthma
    • reactive airway disease
    • constrictive/spasms
  89. dyspnea
    difficult rapid breathing using excessive muscles
  90. bradypnea
    slow breathing
  91. tachypenia
    fast breathing
  92. apneustic
    periods of apnea
  93. apnea
    stop breathing
  94. adventitious breath sounds
    abnormal breath sounds
  95. rhonchi
    wheeze may clear with cough
  96. diff between plural friction rub and pericardial rub
    • low pitch , if you hold breath and it goes away
    • its plural rub
  97. tictile freemitus
    feel vibration when they say 123
  98. crepitus
    in blood gases gangreen
  99. most common diagnosis related group in usa