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Flashcards in ch-39p2 Deck (32):
1

The main cause of this condition is small tidal volumes

Passive or compression atelectasis

2

Decreased or increased surfactant production is a risk for atelectasis.

Decreased

3

Actelasis is a _________ disease which is associated with loss of FRC.
A. Obstructive
B. Restrictive
C. Chronic
D. Acute

B. Restrictive

4

What is FRC and what is the value?

Functional Residual Capacity: 2400 mL

5

What is TLC?

Total Lung Capacity: 6000 mL

6

What is the formula for Residual Volume?

RV = FRC - ERV

7

What is VC?

Vital Capacity - 4800 ml

8

What is the biggest volume you can add after exhale called?

IRV

9

What is the value for FRC?

2400 mL

10

What is the value for RV?

1200 mL

11

What is IRV + TV = ?

Inspiratory Capacity= 3600 mL

12

You cannot make this go away in your lungs?

Residual Volume RV 1200 mL

13

What is the value for total lung capacity?

6000 mL

14

This air keeps alveoli open, it will not leave

FRC

15

Your resting expiratory level?

Tidal Volume

16

What is the value of Tidal Volume

500 mL

17

What is the value of Vital capacity?

4800 mL

18

What is the largest value at 6000 mL?

Total lung capacity

19

What are some contraindications of Incentive Spirometry?

A patient cannot be instructed or supervised
Patient cooperation is absent
Patient cannot deep breathe
VC less than 10 ml/kg

20

What are some hazards of IS?

Hyperventilation
Baratrauma
Pain
Fatigue
Hypoxia from movement of O2 mask
Exacerbation of bronchospasm

21

The transpulmonary pressure gradient is increased or decreased by:
Decrease pleural pressure
Increase alveolar pressure

Increased: Transpulmonary pressure gradient is increased by decreased pleural pressure & increased alveolar pressure

22

The common purpose of lung expansion therapy is to improve pulmonary function by:

Maximizing airway clearance

23

The most common factor that lung expansion therapies include is that they are designed to increase:
A. Improve airway resistance
B. the work of breathing
C. Functional residual capacity
D. Tidal volumes

C. Functional residual capacity

24

Atelectasis is one of the most important determinants of hypoxemia after abdominal surgery and may account for _______of deaths within 6 days of surgery.
A. 30%
B. 15%
C. 21%
D. 24%

D. 24%

25

Impairment of the function of pulmonary surfactant can also have an impact on the development of atelectasis. T or F

True

26

Surfactants decrease or increase the surface tension of the walls of the alveoli

Decrease

27

_________ sounds are common when excessive secretions block the airways and prevent transmissions of breath sounds.
A. Crackles
B. Wheezing
C. Diminished breath
D. Abnormal

C. Diminished breath

28

___________ may be present if atelectasis leads to significant hypoxemia.
A. Increased lung sounds
B. Tachycardia
C. Wheezing
D. decreased respiratory rate

B. Tachycardia

29

All modes of lung expansion therapy increase lung volume by

A. increasing the transpulmonary pressure (PL) gradient.
B. Decreasing airway resistance
C. Reduce alveolar pressure
D. increasing FRC

A. increasing the transpulmonary gradient

30

The PL gradient can be increased by either:
A. decreasing surrounding pleural pressure
B. increasing the alveolar pressure
C. Increasing surrounding pleural pressure
D. Decreasing the alveolar pressure

A decreasing surrounding pleural pressure
B. Increasing the alveolar pressure

31

A spontaneous deep inspiration increases the pulmonary pressure gradient by:
A. increasing pleural pressure
B. decreasing the pleural pressure.
C. clearing mucous levels
D. decreasing alveolar pressure

B. decreasing the pleural pressure

32

Incentive spirometry enhances lung expansion via a spontaneous & sustained:
A. decrease in pleural pressure.
B. increase in pleural pressure
C. decrease in alveolar pressure
D. increase in FRC

A. decrease in pleural pressure