week 6 - disorders of the respiratory system Flashcards

(67 cards)

1
Q

What are the 3 functions of the respiratory system?

A
  1. Breathing
  2. exchange of O2 and CO2
  3. Speech production
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2
Q

What is external respiration>?

A

exchange of gases across membrane of the lungs
Gas exchange at pulmonary capillaries
Ventilation occurs

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3
Q

what is ventilation?

A

exchange of air between lungs and atmosphere

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4
Q

What is internal respiration?

A

exchange of gases from blood into organs and tissues
gas exchange at cellular level
as all cells need oxygen for metabolism and need to remove carbon dioxide

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5
Q

What areas are part of the upper respiratory tract?

A

Nose and naval cavity - air in, smell

Pharynx - carries food and air to oesophagus

Larynx - breathing, prevents against breathing in food

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6
Q

What is the function of the upper respiratory tract?

A

moistens/warms incoming air
filters incoming air
passageway fir respiration

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7
Q

What areas are part of the lower respiratory tract?

A

Larynx - maintains open airway, routes food and air

Trachea - transports air to and from the lungs

Broinchi - branch into the lungs

Lungs - transport air to the alveoli for gas exchange

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8
Q

Describe the bronchi in more detail?

A

Consist of cartilage rings and smooth muscle
They divide into bronchioles
They stop at the alveoli

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9
Q

What is pleura?

A

The pleura covers the lung:
Parietal pleura - inner
Pleural cavity - middle
Visceral pleura - outer
The pleura lubricarte fluid

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10
Q

What is the diaphragm?

A

It is a muscle which separates the chest and the abdomen
Innervated (supplied with nerves) by phrenic nerve

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11
Q

Describe the alveoli/

A

They are air sacs in the lungs.
Their membranes are one cell thick and are surrounded by capillaries for efficient gaseous exchange

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12
Q

What are properties of the alveoli for efficient gas exchange?

A

Large surface area
Good blood supply
Short diffusion. pathway
Moist surfaces - the liquid on the surface of alveoli dissolves gases and facilitates diffusion

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13
Q

Describe gas exchange in brief?

A

Oxygen moves from lungs to the bloodstream while carbon dioxide passes from the bloodstream top the lungs

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14
Q

What is the partial pressure gradient?

A

Where a gas diffuses from a higher pressure to a lower pressure down the gradient

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15
Q

What are the 2 phases of the respiratory cycle?

A

Inspiration
Expiration

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16
Q

Describe the process of inspiration (breathing in)?

A

external intercostal muscles contract - so ribs move up and out

Diaphragm contracts and flattens

Chest cavity/wall and lungs expand as ribs expand

Lung volume increases - causing air pressure to fall so air can flow in

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17
Q

Describe the process of expiration (breathing out)?

A

external intercostal muscles relax - so ribs return back to normal

the diaphragm relaxes

chest cavity and lungs contract as ribs return back to normal

Lung volume decreases - causing air pressure to rise so air can flow out

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18
Q

How is breathing regulated via the central nervous system/

A
  1. Respiratory centre in MO establishes basic breathing pattern
  2. Chemoreceptors - monitor CO2, O2, H+ levels
  3. Medulla - sensitive to H+ in CSF resulting from co2 in blood
  4. Carotid/aortic bodies sensitive to co2, Ph, o2
  5. Conscious control in the brain
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19
Q

What is physiologic dead space (Vd) - a type of breathing measurement?

A

volume of air in respiratory zone that does not take part in gas exchange

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20
Q

What is tidal volume (Vt) - a type of breathing measurement?

A

The amount of air in and out of the lungs with each respiratory cycle (1 breath, expiration and inspiration)

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21
Q

What is respiratory rate (f) - type of breathing measurement?

A

Amount of breathes per minute

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22
Q

How can you calculate minute volume (Ve) (L/min) - a type of breathing measurement?

A

(Vt x f)

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23
Q

What is alveolar ventilation (Va) - a type of breathing measurement?
And how do you calculate it?

A

it is the amount of air that reaches the alveoli
Calculate it by (Vt-Vd) x f

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24
Q

What does Vd/Vt calculate/

A

the portion of Vt that does not exchange

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25
What are the 3 ways to measure lung function?
Pulmonary function tests Lung volumes and vital capacity Gas transfer test
26
What is tidal volume (Vt) - a measurement of lung function?
Amount of air inhaled/exhaled during normal breathing
27
What is minute volume (MV) - a measurement of lung function?
The total air exhaled per minute
28
What is vital capacity (VC) - a measurement of lung function?
The total volume of air exhaled after max inhaling
29
What is functional residual capacity (FRC) - a measurement of lung function?
The amount of air left in the lungs after exhaling normally
30
What is residual volume - a measurement of lung function?
The amount of air left in the lungs after exhaling max
31
What is forced vital capacity (FVC) - a measurement of lung function?
The amount of air exhaled forcefully and quickly after inhaling max
32
What is forced expiratory volume (FEV) - a measurement of lung function?
The amount of air expired during the 1st 2nd and 3rd seconds of the FVC test
33
What is spirometry? - a measurement of lung function
Spirometry measures the amount an/or speed of air that can be inhaled and exhaled Revise the spirometry graph
34
Describe the process of the gas transfer test - measurement of lung function
Go over it
35
What are the 4 respiratory processes?
Pulmonary ventilation External respiration Internal respiration Cellular respiration
36
What is pulmonary ventilation./
breathing
37
What is external respiration?
The gas exchange between air in alveoli and the blood in capillaries
38
What is internal inspiration?
The gas exchange between blood and cells/tissues of body
39
What is cellular respiration?
The production of energy - ATP
40
What are some disorders of the respiratory system ?
Asthma, emphysema, bronchitis Infections like pneumonia, TB, botulism Lung cancer Congestive heart failure - CHF Cystic fibrosis
41
Lung capacity in disease slide
42
What happens in a respiratory assessment/
Determine the adequacy of gas exchange routinely on the patient If there is early recognition of respiratory disease, response is early
43
What should a respiratory assessment include?
HIPPAA History Inspection/observation Palpation Percussion Auscultation Adjuncts - blood gas analysis, chest x ray, spirometry etc
44
History What are some history considerations in a respiratory assessment?
medical history Sputum presence employment history exercise tolerance reason for admission
45
What is sputum?
It is a thick mucus produced in the lungs coughed up from the lower airways
46
What are the types of sputum and what do they show?
Green, thick, foul - infection Blood stained - TB, pleural effusion, lung cancer White, thick - COPD, asthma Pink and frothy - pulmonary oedema, HF Brown/brick coloured - TB, infection
47
Inspection/Observation What measures should be inspected during a respiratory assessment on the patient?
Breathing rate Quality of breathing Breathing rhythm Degree of effort to breathe Cough Mental status Skin colour Deformities
48
What are some other breathing terms?
Tachypnoea - fast breathing rate Bradypnoea - slow breathing rate Orthopnoea - sensation of breathlessness Dyspnoea - shortness of breath
49
Palpitation?
Assess the bilateral movements of the chest
50
Percussion
The chest should have a resonant/hollow percussion Disease - hyper-resonant/flat notes Pneumothorax/emphysema - high percussion note Pleural effusion - low percussion note Asthma - drum like sound
51
Auscultation
This is where you listen to the chest with stethoscope to check for normal breathing sounds Detect air entry throughout
52
Learn the adventitious breath sounds
53
What are some respiratory assessment tools
Pulse oximetry Spirometry Arterial blood gas analysis Chest x-ray
54
Describe pulse oximetry?
It is where you assess o2 saturation
55
What are the potential problems with pulse oximetry?
Dark skin pigmentation, nail varnish etc can affect light emission Thick skin can inhibit conduction The monitor becomes unreliable if o2 saturation is below 85% etc etc
56
Important points on pulse oximetry?
Does not record co2 Does not indicate adequate ventilation The position of the probe must be changed frequently to prevent pressure damage
57
How does a chest x-ray assess any respiratory issues?
It identifies and diagnoses problems with the lungs
58
What is arterial blood gas (ABG) sampling?
It is where blood is obtained from the patient when they are deemed acutely ill/at risk by direct arterial puncture/insertion of arterial line Blood gas measured in kPa, 1 kPa = 7.5mmHg
59
What does ABG help with?
Gives indication of respiratory function Gives view of metabolic environment in patients body Gives indication of bodies ability to maintain homeostasis
60
What is a limitation of blood gases?
It must be examined alongside medical history, clinical symptoms/examonation
61
Learn ABG analysis values?
62
What conditions can be tested for via ABG?
hypoxia Severe sepsis Diabetic ketoacidosis - acidic blood Renal tubular acidosis - kidneys do not remove acid
63
What is Chronic Obstructive Pulmonary Disease? (COPD)
It is when there is a recurrent obstruction to airflow Consists of a group of disorders like emphysema/bronchitis Incurable
64
What are the features of asthma? COPD
Bronchospasms, productive cough,
65
What are the features of chronic bronchitis? COPD
Mucosal swelling, chest pain, cough
66
What are the features of emphysema? COPD
Barrel chest, Dyspnoea, Orthopnoea
67