** Chapter 18: Respiration Flashcards

1
Q

Condition in which there is permanent abnormal widening of the airways due to inflammation

A

Bronchiectasis

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2
Q

Group of diseases including asthma, chronic bronchitis, and emphysema (most common cause is smoking)

A

Chronic Obstructive Pulmonary Disease (COPD)

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3
Q

Lungs’ ability to expand and contract

A

Elastic Recoil

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4
Q

Curvature of spine

A

Kyphosis

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5
Q

Maximum volume that lungs can expand during fullest inspiration

A

Total Lung Capacity:

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6
Q

Maximum amount of air that can be expelled after fullest inhalation.

A

Vital Capacity

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7
Q

Respiratory health vital for __, __, and __ active life.

A

physically, mentally, and socially

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8
Q

Lifetime of insults to __ __ takes its toll during older age.

A

respiratory system

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9
Q

Respiratory diseases leading to cause of disability is the __ leading cause of death.

A

fourth

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10
Q

Respiratory problems develop ___ and difficult to ___.

A

easily

manage

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11
Q

Changes occur in __, __, and ___.

A

upper airway paths, nose, and trachea

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12
Q

Changes in the Nose include:

A

Connective tissue changes & thicker hair in nostrils

-May be harder to clear their nose

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13
Q

Changes in the Nasopharynx include:

A

Reduced secretions & thicker mucous (harder to expel)

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14
Q

Changes in the Trachea include:

A

Trachea stiffens due to calcification of cartilage

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15
Q

In older age, the reduced cough is due to

A

blunting of laryngeal & coughing reflex

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16
Q

___ reflex is also reduced.

A

Gag

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17
Q

The reduction in __ __ and reduced __ can increase your risk for aspiration.

A

gag reflex

cough

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18
Q

Lungs reduce in __ and __

A

size & weight

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19
Q

Their is decreased elastic recoil due to ______

A

less elastic collagen & elastin

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20
Q

The alveoli become __ __.

A

less elastic

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21
Q

The alveoli can contain fewer ___ ___, which makes the blood not flow that well.

A

functional capillaries

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22
Q

There is a ___ in vital capacity and an __ in residual volume.

A

reduction

increase

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23
Q

The reduction in vital capacity and the increase in residual volume leads to:

A

Less air exchange & more air & secretions remaining in lung tissue

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24
Q

Loose or brittle __ can be aspirated.

A

teeth

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25
Brittle teeth can predispose someone to getting __ __.
respiratory infections
26
The mucous membranes get ___.
drier
27
The change in mucous membranes hinders the removal of ___, which can lead to _____
mucous | infection and mucous plugs
28
__ and ___ vaccines are important.
Influenza & Pneumonia
29
Influenza & Pneumonia vaccines should be given at age ___. If they are given before this age, then you are advised to ____.
65 | take a second one.
30
___ is a major threat to respiratory health.
Immobility
31
Chronic Obstructive Pulmonary Disease (COPD) is higher in ___ and ___
women | smokers
32
COPD is a combination of:
Asthma Chronic bronchitis Emphysema
33
You can also see COPD in __ __.
Lung Cancer
34
__ is a high risk of complications of bronchiectasis or cardiac problems.
Asthma
35
___ has high rates of mortality.
Asthma
36
Asthma can be developed from chronic __ __ in the older years.
acid reflex
37
__ __ causes persistent, productive cough, wheezing, recurrent respiratory infections, and shortness of breath.
Chronic bronchitis
38
3 ways to manage Chronic Bronchitis:
Remove bronchial secretions Prevent obstruction of airway Maintain adequate fluid intake
39
Causes of this disease are: chronic bronchitis, chronic irritation, and morphologic changes in the lung
Emphysema
40
___ ___ plays a major role in the development of emphysema.
Cigarette smoking
41
Symptoms develop __ in emphysema, which can __ treatment.
slowly | delay
42
What are some treatments for emphysema: | 4
Postural drainage, bronchodilators, avoid stress, and breathing exercises
43
Most lung cancer now occurs in patients older than ___ years.
65
44
Lung cancer has a higher incidence in __ than in the other gender.
men
45
Incidence for lung cancer in smokers is ___ as likely as nonsmokers!!!!
twice
46
Recurrent pneumonia and pulmonary edema can be symptoms of:
lung cancer
47
Treatment for lung cancer: | 3
surgery, chemotherapy, & radiotherapy
48
Causes of lung abscesses:
pneumonia, tuberculosis, malignancy, trauma, & aspiration
49
Symptoms of __ __ include: anorexia, weight loss, elevated temperature, & chronic cough
lung abscesses
50
Eating will be very challenging for patients with ___ ___, and they might not be able to talk in full sentences because they would use all their breath
lung abscesses
51
Treatment for lung abscess:
postural drainage; high-protein, high-calorie diet
52
Atypical presentation for respiratory conditions: | 2
No chest pain | Lower body temperature
53
Sputum characteristics: COPD
translucent, grayish white
54
Sputum characteristics: Lung Abscess/Bronchiectasis
purulent & foul smelling
55
Sputum characteristics: Left sided heart failure/Pulmonary edema
red & frothy
56
List some things to assess to detect respiratory complications:
Respiratory rate & volume, depth of inspiration, pulse, blood pressure, temperature, elevated neck veins if they have fluid overload, patency of airway, cough, secretions, & mental status
57
For patients with emphysema or COPD, __ oxygen level stimulates breathing instead of __ carbon dioxide level.
low | high
58
For patients with emphysema or COPD, a O2 sat of ___% to ___% is okay.
88-92%
59
Carbon dioxide narcosis means:
CO2 poisoning
60
What are these symptoms of: Muscle twitching, confusion, visual defects, profuse perspiration, hypotension, cerebral depression (increased sleeping or comatose state), & circulatory failure
CO2 poisoning, aka: carbon dioxide narcosis
61
___ blood gas is better than __ blood gas because it has oxygen needed blood in it.’
Arterial | venous
62
___ blood gas does not have oxygenated blood.
venous
63
What should you look for when ensuring safe oxygen administration?
- assessment of oxygen equipment - home oxygen safety (do they know how to put it on? Do they smoke? Do they know not to have flames in the house? etc) - evaluate home environment
64
Postural drainage is used to ____
remove bronchial secretions
65
Discontinue __ __ technique if dyspnea, palpitations, chest pain, apprehension, or other signs of distress occur
postural drainage
66
ALWAYS OFFER ___ and ___ after postural drainage procedure.
oral hygiene & rest
67
___ is important in removal of secretions.
Coughing
68
Nonproductive coughing is __ and __.
useless & stressful
69
What are some measures to promote productive cough:
- Hard candy to increase secretions - Breathing exercises - Use of humidifier - Expectorants - Increase fluid intake
70
___ and ____ are essential.
Good handwashing & oral hygiene
71
Some ___ affect respiratory health.
herbs
72
__ foods open airways.
Hot, spicy
73
Avoid ___ foods.
mucus-forming (ex: dairy)
74
Some vitamins are beneficial like vitamin ___
C
75
What are some examples of complementary therapies:
Acupuncture, acupressure, yoga, Rolfing, & massage
76
When checking proper use and operation of ventilators, pay attention to the __, __, and ___ needs of ventilator-dependent
physical, emotional, & social
77
Respiratory problems are __ and produce ___.
frightening | anxiety
78
Patients need ___ to meet demands of chronic diseases.
encouragement