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26 Cards in this Set

  • Front
  • Back

Pharynx

muscular tube extending from nose and mouth to the trachea

Mediastinum

space between lungs, contains: heart, great vessels, esophagus, trachea, major bronchi, many nerves.

glottis

is space between vocal cords and the narrowest portion of an adult airway

phrenic nerve

controls diaphragm

minute ventilation

is the amount of air moved by the lungs in one minute

residual volume

the amount of air left after maximum exhallation

exhalation

passive, not alot of muscular effort, muscles relax, smaller thorax compresses air into lung

PH of cerebrial spinal fluid

regulates ventilation, related to level of CO2, failure to meet O2 needs = hypoxia

oxygenation

O2 binding to hemoglobin, required for internal respiration, no guarantee though.

External respiration

fresh air into lungs

internal respiration

exchange of gases between circulatory system and cells

chemoreceptors do?

monitor O2, CO2, H+, and ph of Cerebrospinal fluid

factors affecting pulmonary ventillation

intrinsicly: infection, allergic reaction, unresponsive/ tounge obstruction


extrinsically: trauma, foreign body obstruction

Factors affecting respiration

external: decreased atmospheric pressure at high altitudes


internal: pneumonia, copd

Agonal resp

heart stopped still breathing

cheyne-stoke

stroke and head injury

ataxic

irregular and unidentifiable

kussmaul

deep, gasping

oropharyngeal airway

prevents tounge blockage, and easier to suction, mouth to earlobe.


USE: Unresponsive without gag, apneic being ventilated with BVM


Dont: conscious, gag intact

Nasopharyngeal airway

USE: unresponsive/ altered, gag intact, unable to maintain own air way spontaneously.


Nose to Earlobe, bevel faces septum.


Don't: sever head injury, history of fractured nasa bone

suctioning portable or fixed

widebore, thick walls, non kink tube, plastic, rigid pharyngeal suction tips, non rigid palstic catheters, a non breakable collection bottle, water supply to rinse tips, pressure at more that 300mmhg

Suction times

Adult-15, child-10, infants-5

Nonrebreather

prefered, combines mask and resevoir bag, 10-15 L/min, remove mask when O2 stops, 100% O2

Nasal cannulas

24-44% O2, 1-6 L/min

CPAP indications and contra indications

Indication: patient alert and able to follow commands, display signs of moderate to severe distress, rapid breathing, pulse Ox < 90%


Contra: in resp arrest, pneumothorax signs/chest trauma, tracheostomy, gastric bleeding or vomiting, unable to follow commands

Children head sizes

much larger and can require more positioning of airway, also tounge is proportionally larger.