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10 Cards in this Set

  • Front
  • Back
Definition:
Obstructive pulmonary disease; Destruction of alveolar walls and distention of alveolar sac. Patients are usually smokers

Signs and Symptoms:
Thin, barrel-chest appearance
Coughing, but little sputum
Prolonged exhalation
Diminished breath sounds
Wheezing and rhonchi
Pursed-lip breathing
Pink Complexion "pink puffers"
Tachycardia (increased heart rate)
Tachypnea (breathing rate high)
Diaphoresis (sweating, moist)
Tripod position
May be on home oxygen
Emphysema
Defintion:
Obstructive pulmonary disease; Affects bronchi and bronchioles, characterized by productive cough that persist for atleast 3 months a year for 2 years

Signs and Symptoms;
Typically overweight
Chronic cyanotic complextion
"blue bloaters"
vigorous productive cough w/ sputum
coarse rhonchi
wheezes
possible crackles at base of lungs
Chronic Bronchitis
Definition:
Increased sensitivity of the lower airways to irritants and allergens, causing bronchospasms and inflammation of the lining of the bronchioles.

Signs and Symptoms:
Dyspnea (shortness of breath)
Nonproductive cough
Wheezing
Tachypnea (breathing faster)
Tachycardia (increased hear rate)
Anxiety and apprehension
Possible fever
Typical allergic signs; runny noise, sneezing, stuffy, blood shot eyes
Chest tightness
inability to sleep
SpO2 <95% before O2
Asthma
Definition:
Increased sensitivity of the lower airways to irritants and allergens, causing bronchospasms and inflammation of the lining of the bronchioles.

Signs and Symptoms:
Extreme Fatigue
Too tired to breathe
Inability to speak
Cyanosis to core of body
Heart rate > 150 bpm or slow rate
Quiet or absent breath sounds
Tachypnea (>32 bpm)
Excessive diaphoresis
Accessory muscle use
Confusion
SpO2 <90% with O2
Extreme Asthma
Definition:
An acute infectious, caused by bacterium or a virus that affects the lower respiratory tract and causes lung inflammation and fluid or pus-filled alveoli

Signs and Symptoms:
Malaise and decreased appetite
Fever
Cough
Dyspnea
Tachypnea
Chest pain (sharp and localized usually made worse when breathing deeply or coughing)
Decreased chest wall movement
Splinting of thorax by patient with his arm
Crackles, localized wheezing, and rhonchi,
Altered mental status
Diaphoresis
Cyanosis
SpO2 <95%
Pneumonia
Definition
Obstruction of blood flow in the pulmonary arteries that leads to hypoxia. Can be caused by blood clot, air bubble fat particle, or foreign particles or amniotic fluid

Signs and Symptoms:
Sudden onset of dyspnea
Rapid breathing
Sudden onset of sharp, stabbing chest pain
Cough (may cough up blood)
Tachypnea
Tachycardia
Syncope (fainting)
Cool, moist skin
Restlessnesss, anxiety, sense of doom
Decrease in blood pressure or hypotension
Cyanosis (late)
Distention neck veins (late signs)
Crackles
Fever
SpO2<95%
Signs of complete circulatory collapse
Pulmonary Embolism
Definition:
excessive amount of fluid collects in the spaces between the alveoli and capillaries.

Signs and Symptoms:
Dyspnea, especially on exertion
Difficulty in breathing when laying flat
Frothy sputum
Tachycardia
Anxiety, apprehension, combativeness, confusion
Tripod position with feet dangling
Fatigue
Crackles and possibly wheezing
Cyanosis
Pale, moist skin
Cough
SpO2 <95%
Pulmonary Edema
Definition:
Inadequate pumping function of the heart that drastically increases the pressure in the pulmonary capillaries, which in turn forces fluid to leak into the space between the alveoli and capillaries and, eventually, into the alveoli themselves

Signs and Symptoms:
Dyspnea, especially on exertion
Difficulty in breathing when laying flat
Frothy sputum
Tachycardia
Anxiety, apprehension, combativeness, confusion
Tripod position with feet dangling
Fatigue
Crackles and possibly wheezing
Cyanosis
Pale, moist skin
Cough
SpO2 <95%
Distended neck veins
Swollen lower extremities
Signs of cardiac compromise
Cardiogenic Pulmonary Edema
Definition:
Sudden rupture of a portion of the visceral lining of the lungs, not caused by trauma. Males are five times likely to suffer from this, thin, tall, lanky and between the ages of 20-40. Patient may have history of smoking or a connective tissue disorder (Marfan syndrome or ehlers-danlos syndrome) or COPD

Signs and Symptoms:
Sudden onset of shortness of breath
Sudden onset of sharp chest pain or shoulder pain
Decreased breath sounds to one side of the chest
Subcutaneous emphysema
Tachypnea
Diaphoresis
Pallor (extreme paleness)
Cyanosis (late)
SpO2 <95%
Spontaneous Pnuemothorax
Definition:
Patient begins to breathe faster and deeper, beginning to "blow off" excessive amounts of CO2. Body needs a certain level of CO2 for normal function

Signs and Symptoms:
Fatigue
Nervousness and anxiety
Dizziness
Shortness of breath
Chest tightness
Numbness and tingling feeling around mouth, hands, and feet
Tachypnea
Tachycardia
Spasms of the fingers and feet causing them to cramp (carpopedal spasm)
May precipitate seizures in a patient
Hyperventilation Syndrome