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32 Cards in this Set
- Front
- Back
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NANDA
Nursing Diagnoses Ineffective Airway Clearance |
Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway
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NANDA
Nursing Diagnoses Impaired Gas Exchange |
Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane
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NANDA
Nursing Diagnoses Ineffective Breathing Pattern |
Inspiration and/or expiration that does not provide adequate ventilation
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NANDA
Nursing Diagnoses Risk for Aspiration |
At risk for entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids into tracheobronchial passages
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NIC
Nursing Interventions Respiratory Monitoring |
Collection and analysis of patient data to ensure airway patency and adequate gas exchange
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NIC
Nursing Interventions Airway Management |
Facilitation of patency of air passages
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NIC
Nursing Interventions Cough Enhancement |
Promotion of deep inhalation by the patient with subsequent generation of high intrathoracic pressures and compression of underlying lung parenchyma for the forceful expulsion of air
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NIC
Nursing Interventions Airway Suctioning |
Removal of airway secretions by inserting a suction catheter into the patient's oral airway and/or trachea
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NIC
Nursing Interventions Aspiration Precautions |
Prevention or minimization of risk factors in the patient at risk for aspiration
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NOC
Nursing Outcomes Return to functional baseline status, stabilization of, or improvement in: Respiratory Status: Airway Patency— |
Extent to which the tracheobronchial passages remain open
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NOC
Nursing Outcomes Return to functional baseline status, stabilization of, or improvement in: Respiratory Status: Gas Exchange— |
The alveolar exchange of O2 and CO2 to maintain arterial blood gas concentrations
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NOC
Nursing Outcomes Return to functional baseline status, stabilization of, or improvement in: Respiratory Status: Ventilation— |
Movement of air in and out of the lungs
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Bronchoscopy
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direct examination of larynx, trachea, and bronchi using an endoscope
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Cilia
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short hairs that provide a constant whipping motion that serves to propel mucus and foreign substances away from the lung toward the larynx
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Crackles
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soft, high-pitched, discontinuous popping sounds during inspiration caused by delayed reopening of the airways
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Diffusion
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exchange of gas molecules from areas of high concentration to areas of low concentration
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Dyspnea
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labored breathing or shortness of breath
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Hemoptysis
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expectoration of blood from the respiratory tract
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Hypoxemia
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decrease in arterial oxygen tension in the blood
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Hypoxia
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decrease in oxygen supply to the tissues and cells
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Orthopnea
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inability to breathe easily except in an upright position
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physiologic dead space
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portion of the tracheobronchial tree that does not participate in gas exchange
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pulmonary perfusion
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blood flow through the pulmonary vasculature
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respiration
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gas exchange between atmospheric air and the blood and between the blood and cells of the body
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ventilation
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movement of air in and out of airways
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wheezes
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continuous musical sounds associated with airway narrowing or partial obstruction
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Epiglottis
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a valve flap of cartilage that covers the opening to the larynx during swallowing
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Glottis
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the opening between the vocal cords in the larynx
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Thyroid cartilage
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the largest of the cartilage structures; part of it forms the Adam's apple
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Cricoid cartilage
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the only complete cartilaginous ring in the larynx (located below the thyroid cartilage)
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Arytenoid cartilages
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used in vocal cord movement with the thyroid cartilage
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Vocal cords
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ligaments controlled by muscular movements that produce sounds; located in the lumen of the larynx
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