Chamberlain College of Nursing
Chapter 15 – Respiratory
4 major functions
Supplying oxygen for energy
Removing carbon dioxide
Acid-base balance (homeostasis)
Maintaining heat exchange
Control of respirations – normal stimulus, alternative stimulus and what condition
Pons and medulla
Normal stimulus (Hypercapnia)
Decrease in O2 in blood (Hypoxemia)
Inspiration (Active) expiration (passive)
Lower – bronchi, pleural membranes, muscles of respiration (normal, accessory)
Bronchi- right main bronchus
Pleural membranes- the parietal lines diaphragm and thoracic wall, the visceral lines outer surface of
lung, and pleural fluid acts as lubricant
Muscles of inspiration- normal( intercostal muscles, diaphragm), accessory ( neck, abdomen, chest)
Anterior Landmarks – sternum (Angle of Louis, sternal angle, 2ICS), clavicle, costal angle (normal)
Costal angle < 90 degrees
Posterior Landmarks – vertebra prominens, spinous processes (T1 to T4), CVA tenderness
Vertebra prominens- C7 (if 2 bumps equally prominent C7, T1)
Spinous processes- aligned w/ same numbered rib to T4