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16 Cards in this Set

  • Front
  • Back

Atelectasis

- refers to closure or collapse of alveoli


- may be acute or chronic


Prevention: frequent turning, early mobilizations, deep breathing and coughing, incentive spirometer, administer opioids

Pneumonia- S&S

- upper resp. tract infections


- headache, low grade fever, pleuritic chest pain, myalgia, rash and pharyngitis


- orthopnea, poor appetite, diaphoretic and tires easily


- sputum may be purulent or rust coloured

Asthma

- three most common symptoms are cough, dyspnea and wheezing


- attacks often occur at night or early in the morning


- may begin abruptly but most often symptoms increase over a few days


-cough without mucus production

COPD- Pathophysiology

- airflow limitation is both progressive and associated with abnormal inflammatory response of the lungs to noxious particles or gas


- due to inflammation- narrowing occurs in the small peripheral airways


- overtime there is scar tissue formation and narrowing of the airway lumen

COPD- Risk Factors

- cigarette smoking


- passive smoking


- prolonged and intense exposure to occupational dusts and chemicals


- indoor and outdoor air pollution


COPD- S&S

- cough


- sputum production


- dyspnea on exertion


- symptoms worsens over time


- weight loss in common


- chronic hyperinflation leads to barrel chest

COPD- Chronic Bronchitis

- defined as presence of cough and sputum production for at least 3 months in each of 2 consecutive


- results in hyper secretion of mucus and inflammation, thickened bronchial walls and narrow bronchial lumen


- mucus may plug the airways

COPD- Emphysema

- impaired gas exchange results from destruction of the walls of over distended alveoli


- emphysema is a pathologic term that describes an abnormal distention of the air spaces beyond the terminal bronchioles, with destruction of the walls of the alveoli


- progresses slowly over many years

Emphysema- S&S

- chronic cough


- difficulty breathing


- barrel chest due to air trapping, muscle wasting and pursed lip breathing


- decreased vesicular breath sounds, adventitious lung sounds (wheeze)


- hyperresonance during percussion

Dyspnea

- difficult or painful breathing


Orthopnea

- difficulty breathing unless in an upright position


- associated with heart disease, sometimes seen in patients with COPD

Anemia

- deficiency in the amount of RBC or hemoglobin in the blood

Cyanosis

- a very late indicator of hypoxia


- the presence or absence of cyanosis is determined by the amount of unoxgenated hemoglobin in the blood


- when you are blue

Hemoptysis

- the coughing up of blood

Pursed lip breathing

- a technique in which air is inhaled slowly through the nose and mouth and exhaled slowly through pursed lips

Arterial blood gases

is a collective term applied to three separate measurements—pH, PCO2, and PO2—generally made together to evaluate acid–base status, ventilation, and arterial oxygenation.