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14 Cards in this Set

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  • Back
Emphysema
decreased surface area because of destruction of alveolar sacs
Emphysema :

PLE - (Pink Puffer)
PLE-(Pink Puffer)

Air sacs balloon towards periphery
Less surface area fro air exchange, permanent destruction
Genetic predisposition- deficiency in α-1-antitripsin (protects air sacs from elastases)
Compensate by hyperventilation and barrel chest (use accessory muscles)
Emphysema :

CLE – (Blue Bloater)
Ballooning out centrally
No elastic recoil, permanent destruction
Smoker
Lots of sputum
Marked V/Q imbalance
Respiratory depression ( PaCO2)
Hypoventilation, cyanosis
****Cor pulmonale- respiratory cause for RHF
****Pulmonary HTN- hypoxic vasoconstriction
Bronchitis
Irritants or infection in bronchioles

Hypertrophy of sub mucosal glands

Increase in goblet cells (produce mucus) increase in obstruction

Barrel chest, dyspnea,
Chronic Bronchitis
persistent cough with sputum for minimum of 3 months during last 2 years
Hypoxic vasoconstriction --> ?

BRONCHITIS
Hypoxic vasoconstriction --> pulmonary vasoconstriction --> RHF
Bronchiectasis
Abnormal dilation of bronchi/bronchioles with chronic necrotizing (killing cells) infection

Bronchial obstruction --> Atelectasis (collapsed air sac)

Cystic fibrosis- genetic abnormality in exocrine gland secretion --> too much mucus

Loss of cilia
Bronchial obstruction --> ?

-Bronchiectasis
Bronchial obstruction --> Atelectasis (collapsed air sac)
Cystic fibrosis

-Bronchiectasis
genetic abnormality in exocrine gland secretion --> too much mucus
Restrictive lung disease
Lung fibrosis (scar), lung is stiff, non-compliant

Small frequent breaths

Pleural effusion-

Hemothorax/pneumothorax-
Restrictive lung disease:

PLEURAL EFFUSION
Pleural effusion- exudates in lung cavity, restricts lung b/c exudate takes up space

Trachea deviated away from side of effusion as a result
Restrictive lung disease:

Hemothorax/Pneumothorax
Hemothorax/pneumothorax- blood or air in lung cavity --> lung collapses

Trachea deviated away from side of Hemothorax/ pneumothorax
Pneumonia
inflammation of lung structure

Infectious or non-infectious agent(ex. Gastric juices aspirated)
ARDS- Adult Restrictive Distress Syndrome
ARDS- Adult Restrictive Distress Syndrome

Acute onset, respiratory insufficiency, cyanosis, tachycardia and hypoxia

DOES NOT RESPOND TO OXYGEN THERAPY- why?

Damage to alveolar membrane( fluid and cells into alveoli), immune response to massive infection, vascular and endothelial damage

Non-compliant lung secondary to pulmonary edema, Atelectasis