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61 Cards in this Set

  • Front
  • Back

Major conditions of the lungs

Pneumonia and chronic obstructive pulmonary disease

Major conditions of the heart

myocardial infarction and congestive heart failure

The average adult take how many breaths per minute

12-15 = 6 million/yr

The surface area of the lungs are approximately the same size as what

Tennis court

How many lobes does each side of the lungs have

The right side has three lobes the left side has two lobes

List the order in which air travels into the lungs

Pharynx, larynx, trachea, brachial tubes

where does gas exchange take place

In small air sacs called alveoli

What happens to the oxygen and carbon dioxide during gas exchange

Oxygen moves into blood from alveoli to the body. carbon dioxide is removed from the blood and exhaled

Name the protective mechanisms of the respiratory system

1)The epiglottis, protects the lungs from foreign objects by covering the trachea during swallowing.


2)And a cough the forceful way of expelling material to keep the airways clean.

What is the main job of the heart

Provide needed nutrients and oxygen to all the organs of the body

Tachycardia

Rapid heartbeat

What determines the amount of oxygen needed at any given time

Activity-dependent

Describe the flow of oxygen/blood through the heart and lungs

1)Oxygen poor blood enters right atria from the body


2)oxygen rich blood enters left atria after leaving the lungs


3)oxygen poor blood continues to right ventricle then to the lungs to receive oxygen


4) oxygen rich blood from lungs continue to the left ventricle then to body

Systolic

The higher of the two numbers during blood pressure readings. Measures the amount of pressure it takes for the heart to pump blood out to the rest of the body.

Diastolic

Measures the resting part of the process. this is when the blood filling the heart

What effects can high blood pressure have if left untreated

Damage to the heart, kidneys, and other body structures

What is considered to be prehypertensive according to the NHLBI

120/ 80 and 139/89

Coronary artery disease

Linked to arthrosclerosis a buildup of plaque made up of cholesterol fat calcium and other structures that stick to the inner lining of the arteries that are taking oxygen rich blood from the heart to the body

Atherosclerosis

Plaque buildup that causes a narrowing in the opening of the blood vessels does reducing the rate of oxygenated blood being delivered.

Treatment for CAD

medication, healthy lifestyle, or surgery

List possible surgical procedures for CAD

Angioplasty, coronary artery bypass grafting, and carotid endarterectomy

Angioplasty

A small mesh tube is inserted into the coronary artery to widen the opening thus increasing blood flow

Coronary artery bypass grafting CABG

Veins are arteries are harvested from other parts of the body often the leg and attached to bypass the blockage near the heart

Carotid endarterectomy

The carotid artery in the neck is opened to remove plaque and allow better blood flow to the brain

Things to consider when working with a cardiopulmonary patient

1)Know your patients precautions 2)access appropriate accurate and up-to-date information about any condition will ensure


3)be comfortable using measurement devices monitoring vitals communicate to medical team any status changes

Pneumonia

is an inflammation of the lung tissue caused by infection usually from bacterial viral or fungal source

Where is the bacteria or virus causing exposure occurring

Community is often called community-acquired pneumonia

Aspiration pneumonia

Caused by a foreign object entering the lungs causing infection

What age group is pneumonia most common in

65. The older the person with pneumonia the greater chance of hospitalization or death

Signs and symptoms of pneumonia

Often confused with flu starting with a cough or fever. additional symptoms include shortness of breath (dyspnea), sweating, chills, chest pain or tightness, headache, and fatigue

Rales

A crackling noise heard by physician when diagnosed with pneumonia. caused by increased mucus

The severity of pneumonia is dependent upon what factors

Infected organism and overall health and age of the patient

Standard treatment plan for pneumonia

Prevention with flu vaccine. Antibiotics, rest and fluid. Allowing for productive cough. temporary oxygen

COPD

Progressive lung condition that makes it increasingly difficult to breath. Lungs are floppy and deflated. Includes the conditions emphysema and chronic bronchitis


Emphysema

Alveolar walls become deflated or damaged reducing the amount of gas exchange that can occur

Chronic bronchitis

Bronchial tubes become inflamed and thickened making it difficult to breathe

What is the usual cause for COPD

Long-term inhalation of irritants. the most common being cigarette smoke. can also include air pollution, dust, or chemicals.

In terms of the leading cause of death COPD is ranked what

4th

At what age are symptoms of COPD usually NOT seen

40 or below

Symptoms of COPD

Persistent cough that produces alarge amount of mucus also called smokers cough, wheezing or whistling while inhaling, chest tightness, and dyspnea with exertion

spirometry

Test for lung function. Measures how much air is forcefully exhaled and how quickly

Course and prognosis for COPD

Non curable and worsens over time. heart may become enlarged . lack of oxygen to body structures leads to cognitive deficits and organ failure which can lead to death

Treatment and prevention for COPD

The rate of decline can be modified by quitting smoking simplifying daily task avoiding irritants getting annual flu shots managing symptoms. use of oxygen inhaled medication in oral medications such as steroids and antibiotics. or lung reduction surgery or transplant

Congestive heart failure

Chronic non curable condition where the heart does not beat strongly enough to maintain blood flow to the system causing organs to be oxygen deprived in the body to retain fluid

The cause of CHF

Infections or conditions such as heart attack damage the heart muscles but most commonly caused by CAD and hypertension

signs and symptoms of congestive heart failure

Shortness of breath, difficulty breathing while lying down, weight gain from fluid retention, swelling of the feet and legs, decreased urine output, general fatigue, decreased ability to focus, and occasional nausea and vomiting

Course and prognosis

Progresses slowly over time depriving the body of needed oxygen and eventually leading to death

What is one of the first signs of congestive heart failure that is mistaken for being a part of the aging process

SOB

What changes can be made to decrease the rate of progression of congestive heart failure

Eating right, avoiding salt, exercises regularly, avoiding smoking, and following a medical management plan

Medications used to treat CHF

ACE inhibitors expand blood vessels and ease the heart's work load, diuretics that help the body rid itself fluid dioxin that helps the heart contract properly

Surgical procedures to treat CHF

Insertion of pacemaker, angioplasty, CABG and heart valve repair or replacement

Myocardial infarction

Occurs when a blood vessel to the heart is blocked causing heart muscle tissue to be without oxygen resulting in damage or death to the tissue

Causes of MI

CAD diabetes, and high blood pressure, also age, smoking and family history

Signs and symptoms of MI

For men chest pain and tightness, feelings of indigestion, dizziness, shortness of breath and excessive sweating for women are less likely to have chest pain, shortness of breath, weakness and fatigue

Testing for MI diagnosis

coronary angiography, CT scan, electrocardiogram, echocardiogram, or MRI

Course and prognosis for MI

Depend on the amount of cardiac tissue that has been damaged and the length of time it takes to receive medical attention. if caught early full recovery and return to all ADLs may be possible

MET- metabolic equivalent

Amount of energy that an activity requires. Sedentary activities require 1.5 to 2 a METs ranging up to competitive sports requiring 11 or more METs. Used to guide treatment

Treatment of MI

Medications and surgeries to reestablish blood flow including one or more CABG procedure or angioplasty, beta blockers, ACE inhibitors, anticoagulants

How are precautions determined for cardio pulmonary disorders

Determine my diagnosis in general client health. Picasa exchange is the health status of the client changes

Hospital acquired pneumonia

Happens following a surgery especially abdominal or chest surgery or if the patient is in an intensive care unit or have a weakened immune system

How is congestive heart failure diagnosed

By observation of neck arteries distended, swollen liver note it during palpation, fluid sounds in lungs, and swelling of the feet and legs. Chest x ray, heart CT scan, echocardiogram, MRI, there is blood in urine analysis