Ch. 26 Flashcards

1
Q

What is Ventilation?

A

Physical process of moving air into and out of the lungs for gas exchange.

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2
Q

What is Gas Diffusion?

A

Process in which molecules move from an area of greater concentration or pressure to an area of lower concentration of pressure.

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3
Q

What is Gas Transport?

A

Transport of oxygen in two forms by blood into tissues.

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4
Q

What is Control of Ventilation?

A

Ventilation is regulated through neural pathways.

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5
Q

What are normal respiratory functions?

A
  • Ventilation
  • Gas Diffusion
  • Gas Transport
  • Control of Ventilation
  • Respiratory System Defenses
  • Normal Breathing Pattern
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6
Q

What is Respiratory System Defenses?

A

Structures and physiological processes of respiratory tract.

  • Warm
  • Humidify
  • Filter inspired air
  • Trap and destroy bacteria
  • Keep airway clear
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7
Q

What is Normal Breathing Pattern?

A

Smooth, even, and regular.

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8
Q

What is included in the Normal Respiratory Structure?

A
  • Mouth
  • Nose
  • Sinuses
  • Pharynx
  • Larynx
  • Epiglottis
  • Trachea
  • Mainstem Bronchi
  • Bronchioles
  • Alveolar Ducts
  • Alveoli
  • Lungs
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9
Q

Explain respiratory functions of newborns and infants:

A
  • Rapid breathing
  • May have occasional pauses between breathes
  • First 3 months after birth
  • 30-60 bpm
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10
Q

Explain respiratory functions of toddlers and preschoolers:

A
  • By 3rd year of life
  • 20-30 bpm
  • smooth/regular rhythm
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11
Q

Explain respiratory functions of a child and adolescent:

A
  • By school-age

- bpm steadily slow to adult rate 18-26 bpm

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12
Q

Explain respiratory function of adults and older adults:

A
  • Thoracic wall becomes more rigid
  • Protective functions of lungs are impaired
  • Normal PaO2 decreases with decreased response to hypercapnia
  • 12-20 bpm
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13
Q

What are factors affecting respiratory function:

A
  • Body position
  • Injury
  • Environment
  • Lifestyle and habits
  • Family History
  • Causes of increased work of breathing (Restricted lung movement/ airway obstruction)
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14
Q

What does altered respiratory function include?

A
  • Cough
  • Sputum production
  • SOB
  • Chest pain
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15
Q

What do you want to take into consideration when doing a respiratory assessment?

A
  • Normal pattern assessment
  • Risk identification
  • Dysfunction identification
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16
Q

What are components of a physical respiratory assessment?

A
  • Auscultation
  • Inspection
  • Palpation
  • Percussion
17
Q

What is respiratory Point-of-Care Testing assessment?

A

Pulse Oximetry

18
Q

What is a respiratory Laboratory Studies assessment?

A
  • Sputum culture
  • ABG monitoring
  • EtCO2 monitoring
19
Q

What are types of respiratory Diagnostic Procedure assessments?

A
  • Chest x-ray
  • Bronchoscopy
  • Skin tests
20
Q

What are possible respiratory Nursing Diagnoses?

A
  • Ineffective breathing pattern
  • Ineffective airway clearance
  • Impaired gas exchange
21
Q

What general areas should be included in the formulation of respiratory patient goals and outcomes?

A
  • Knowledge regarding prevention of respiratory dysfunction
  • Adequate oxygenation of tissues
  • Ability to mobilize pulmonary secretions
  • Effective coping with self-concept and lifestyle
22
Q

What are implementation aspects of respiratory health promotion?

A
  • Preventing respiratory illness
  • Encouraging smoking cessation
  • Reducing allergens
  • Monitoring peak flow
  • Providing adequate hydration
  • Positioning and ambulation
  • Deep breathing
  • Assisting with incentive spirometry
23
Q

What are interventions for altered respiratory function?

A
  • Coughing
  • Pursed lips breathing
  • Chest physiotherapy
  • Aerosol therapy
  • Dyspnea management
  • Hyperventilation management
  • Assisted ventilation
  • Artificial airways
  • Suctioning
  • Chest tubes
  • Emergency airway measures
  • Oxygen therapy
24
Q

Oxygen therapy is used primarily to reverse hypoxemia and to accomplish what three goals?

A
  • Improve tissue oxygenation
  • Decrease work of breathing in patients with dyspnea
  • Decrease work of the heart in patients with cardiac disease
25
Q

What are types of oxygenation delivery systems?

A
  • Nasal Cannula
  • Venturi Mask
  • Simple Oxygen Mask
  • Reservoir-Type (nonrebreather) Mask
  • Mechanical Ventilator
  • Transtracheal Catheters
26
Q

What are considerations for the use of oxygen therapy at home?

A
  • Medications
  • Energy Conservation
  • Home Oxygen Systems
  • Fostering Self-Esteem