Cardio Pulm 2 Flashcards Preview

NPTE Prep > Cardio Pulm 2 > Flashcards

Flashcards in Cardio Pulm 2 Deck (46):
1

Active cycle of breathing

Breathing control: 5-10 sec of normal breathing
Thoracic Expansion: 3-4 deep slow breaths with passive exhalation (may be combined with purcussions/ vibrations)
Forced Expiratory technique: one or two huffs with glottis open.

2

Autogenic Drainage

pt sitting upright in chair
unsticking phase: breathe in through nose followed by 2-3 second hold, exhale
collecting phase: breath at tidal volume followed by 2-3sec breath holds
Evacuation phase: deeper inspirations, with breath holding followed by huff.

3

High frequency airway oscillation

hand held devices that combine positive expiratory pressure with high frequency vibrations to mobilize secretions

4

Diaphragmatic breathing

breathing predominatly with diaphragm while minimizing accessory muscle and motion of the upper rib cage.

5

Inspiratory muscle training: 2 devices

flow resistive: inhale through tubes of varying diameter
Threshold breathing: inhale through tube with valve that opens at certain pressure

6

Pursed lip breathing

breathin in slowly though nose, pucker lips, gently breath out.
good for reducing dyspnea/ respiratory rate, increase positive airway pressure

7

Segmental breathing

firm pressure at end of exhalation, expand ribcage into therapists hands, reduce hand pressure with inhalation

8

Reverse Trendelenberg

supine with head above trunk and LE>>>decreased weight on abdominal contents/ diaphragm

9

Fowlers positions (high to low)

High-Fowlers: supine HOB 80-90deg
Fowlers: supine HOB 45-60
Semi-Fowlers: supine HOB elev 30-45 deg,
Low Fowlers: Supine HOB 15-30deg

10

Trendelenburg position

supine with feet 15-30 deg higher than head

11

Cor Pulmonale

hypertrophy of the R ventricle caused by altered structure/ function of the lungs

12

Rheumatic fever

inflammatory disease that can develop as complicaiotn of strep throat

13

Bronchitis

inflamm of the bronchi characterized by hypertrophy of the mucus secreting glands

14

Pulmonary edema

fluid collects in alveoli making it difficult to breath

15

angina

transient precordial sensation of pressure or discomfort from myocardial ischemia

16

Atelectasis

one of more area of lung collapse of fail to inflat properly

17

endocarditis

inflamm of the endothelium that lines the heart and cardiac valves

18

athlerosclerosis

slow progressive accumulation of fatty plaques on the inner walls of the arteries

19

asthma

chronic inflamm of the airways caused by increased airway sensitivity to various stimuli

20

myocarditis

inflamm and weakness of the heart muscle

21

Cystic Fibrosis

an autosomal recessive genetic disorder of the exocrine glands

22

ARDS

respiratory failure due to fluid accumulation in the alveoli

23

Heart sounds: S1

closure of the mitral and tricuspid valves at the onset of systole (normal)

24

Heart sounds: S2

Closure of the aortic and pulmonic valves at the onset of diastole (normal)

25

Heart sounds: S3

vibrations of the distended ventricle walls due to passive flow of blood from the atria during systole (abnormal in healthy adults)

26

Heart sounds: murmur

Vibrations of longer duration than the heart sounds due to disrupted blood flow past a stenotic or regurgitant valve (abnormal)

27

Heart sounds: S4

pathologic sound of vibration of the ventricle walls with ventricular filling and atrial contraction (abnormal)

28

ECG: QRS

time for both ventricular depolarization and repolorazation

29

ECG: T

Ventricular repolarization

30

ECG: P

atrial depolarization

31

ECG: PR

Time for atrial depolarization and conduction from the SA node to the AV node

32

ECG: ST

Isoelectric period following the QRS complex

33

ECG: QT

Ventricular depolarization and atrial repolorization

34

pH values

7.4 (7.35-7.45)

35

PaCO2

measure ventilation: 40mmHg at sea level

36

PaO2

Measures O2 in artierial blood: 97 mmHg at sea level

37

HCO3

bicarbonate: important in chemical buffering system: keeps blood from becoming to acidic or basic: 24 mEq/L (22-26)

38

SaO2

% O2 saturation of hemoglobin (how well lungs are functioning to oxengenate blood: 95-98%

39

Acidemia

pH<7.35

40

Alkalemia

pH> 7.45

41

Eucapnia

normal level of CO2 in arterial blood (PaCO2 of 35-45mmHg)

42

Hypercapnia

elevated level of CO2 in arterial blood (PaCO2 >45mmHg)

43

Hypocapnia

low level of CO2 in arterial blood (PaCO2 <35mmHG)

44

Hypoxemia

low level of O2 in arterial blood (PaO2 <40

45

Hypoxia

low level of O2 in the tissue despite adequate perfusion of the tissue

46

Partial thromboplastin time (PTT)

tests how quickly blood clots: 26.3-39.4 sec PTT is more sensitive than PT (prothrombin time)