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Terms in this set (100)
hyperventilation, if someone is Alkaline, respiratory alkalosis
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
Perfusion (peripheral perfusion) and blood that is pumped by the heart
to oxygenate major body organs (central perfusion)
upper respiratory tract nose, sinuses, pharynx, larynx
Lungs,Trachea, two mainstem bronchi, lobar, segmental, and
Lower respiratory tract
subsegmental bronchi; bronchioles; alveolar ducts; alveoli
common cause of respiratory Cigarette smoke
ailments
maintaining a patent airway to allow adequate ventilation
and oxygenation. Along with a focused respiratory
Nursing care of a patient assessment, the nurse will utilize information obtained from
experiencing upper the patient 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
Normal Changes in Aging Adults
Lungs loose residual volume, vital capacity and gas exchange
decreases. 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
The paranasal sinuses Lined with ciliated membrane, the sinuses provide resonance to
speech, decrease the weight of the skull, and act as shock
absorbers in the event of facial trauma..
Fremitus refers to vibratory compression or consolidation of lung tissue, as occurs in pneumonia.
tremors that can be felt through
the chest by palpation, Increased
fremitus may indicate
Bronchial
Lung sounds Bronchovesicu
lar Vesicular
Crackl
es
Adventitious sounds
Wheez
es
Rhonch
us
Pleural friction rub
Cyanosis, decreased capillary refill, clubbing of nails in
Other Indicators of Respiratory fingers, level of consciousness, Chest Circumference, Anxiety,
Adequacy
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
Diagnostic Assessment of lungs
-CT- computed tomography. Lung nodules, areas
of fluid buildup 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 Assessment
-Thoracentesis- can remove fluid buildup from the 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 for an
D.Decrease in respiratory muscle strength
older adult patient does the
nurse ascribe to the D. As a person ages, vocal cords become slack, changing the quality
natural aging process?
and strength of the voice; the anteroposterior diameter
increases; respiratory muscle strength
decreases; and the residual volume increases.
A.25
%
B.50
%
The nurse knows that under
normal C.75
physiologic conditions of tissue %
perfusion, a patient will have D.10
what percent of oxygen 0%
dissociate from the hemoglobin
molecule? ANS: B
Oxygen dissociates with the hemoglobin molecule based on the
need for oxygen to perfuse tissues. Under normal conditions,
50% of hemoglobin molecules completely dissociate their
oxygen molecules when blood perfuses tissues that have an
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.
A.Cough
B.Dyspnea
C.Chest pain
D.Sputum
Which assessment finding does production ANS: A
the nurse interpret that is
associated most closely with Cough is a main sign of lung disease. Dyspnea (difficulty in breathing or
lung disease? breathlessness) is a subjective perception and varies among
patients. A patient's feeling of dyspnea may not be consistent
with the severity of the presenting
problem. Sputum production may be associated with coughing and indicate
an