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Ch. 16 Respiratory Emergencies
Paramedic Class
140
Medical
Professional
10/28/2012

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Cards

Term
Dyspnea
Definition
Unable to breathe
Term
Alveoli
Definition
The smallest functional unit of respiration in the lung
Term
Respiratory Distress
Definition
One of the most common EMS dispatches
Term
10%
Definition
_____% of people older than 65 have COPD.
Term
Cigarette smoking
Definition
80% to 90% of cases of COPD is related to ________
Term
Hypoventilation
Definition
Slow Breathing
Term
Hyperventilation
Definition
patients who are _____ usually have respiratory alkalosis.
Term
Hypoventilating
Definition
Patients who are ________ usually have respiratory acidosis.
Term
Pickwickian Syndrome
Definition
is respiratory compromise related to morbid obesity.
Term
C3-C5
Definition
C? through C? keeps the diaphragm alive
Term
Guillain-Barre syndrome
Definition
in which progressive muscle weakness and paralysis that move up the body from the feet, can result in ineffective breathing if the paralysis reaches the diaphragm.
Term
Botulism
Definition
is caused by the bacterium Clostridium botulinum.
Term
Botulism
Definition
can cause muscle paralysis and is usually fatal when it reaches the muscles of respiration.
Term
Heroin
Definition
the most common hypo ventilation crisis paramedics see is acute _____ overdoes.
Term
Hyperventilation
Definition
occurs when people breathe in excess of metabolic need by increasing the rate of depth of respiration or both, releasing more carbon dioxide than normal.
Term
carpopedal spasm
Definition
which the hands and feet are clenched into a claw like position
Term
Hyperventilation
Definition
this does not mean that the patient has too much oxygen but rather he or she is releasing too much carbon dioxide.
Term
Kussmaul respirations
Definition
in a patient with diabetic ketoacidosis, for example, too much acid is produced because of inadequate glucose metabolism, so the body attempts to compensate for the acidosis by hyperventilation.
Term
Inverted tree
Definition
the primary structures of the respiratory system are often compared with an inverted tree
Term
Nares
Definition
Air enters the upper airways primary through the _____ of the nose.
Term
Turbinates
Definition
After passing through the nares, air is pulled across the ________ (sometimes called conchae).
Term
epistaxis
Definition
nose bleed
Term
Hypopharynx
Definition
The oropharynx and the nasopharynx meet in the back of the throat at the ________ (sometimes called the posterior pharynx)
Term
larynx
Definition
the voice box
Term
glottis
Definition
another word for the vocal cords and the opening between them
Term
arytenoid cartilages
Definition
Appear as two pearly white lumps at the distal end of each vocal cord.
Term
Piriform Fossae
Definition
On either side of the glottis are pockets of tissue call the ____ _______.
Term
Cricoid cartilage
Definition
can be palpated just blow the thyroid cartilage in the neck, it forms a complete ring and help hold the trachea in an open position.
Term
Cricothyroid Membrane
Definition
The small space between the thyroid and cricoid cartilages is the _______
Term
Cricothyrotomy
Definition
an incision through the skin and cricothyroid membrane to relieve difficulty breathing caused by an airway obstruction.
Term
Cricothyrotomy
Definition
an incision through the skin and cricothyroid membrane to relieve difficulty breathing caused by an airway obstruction.
Term
tracheostomy
Definition
a surgical opening into the trachea
Term
10 to 13cm
Definition
The trachea extends about ___ to ___ centimeters from the larynx to the left and right main stem bronchi.
Term
Cilia
Definition
are small hairlike structures that rhythmically wave in a pattern that helps move particulate matter up and out of the airways.
Term
Parenchyma
Definition
parts of the lung collectively known as the lung
Term
Goblet Cells
Definition
these cells produce mucus that blankets the entire lining of the conducting airways.
Term
bronchoconstriction
Definition
this occurs when the smooth muscles narrows these larger airways.
Term
terminal bronchioles
Definition
16 through 24 of the tracheobronchial tree
Term
Bronchoconstriction
Definition
occurs when the smooth muscle narrows these larger airways.
Term
Gas Exchange
Definition
is the process by which de-oxygenated blood from the pulmonary circulation releases carbon dioxide and is resupplied with oxygen before it enters the cardiac circulation.
Term
surfactant
Definition
Helps reduce surface tension and helps keep the alveoli expanded.
Term
Inflated
Definition
alveoli function best when they are kept partially _____
Term
shunting
Definition
in which blood from the right side of the heart bypasses the alveoli and returns to the left side of the heart in an unoxygenated state.
Term
Pulmonary artery
Definition
the only artery that carries deoxygenated blood
Term
Polycythemia
Definition
thick blood due to chronic lung disease and chronic hypoxia
Term
Cor Pulmonale
Definition
right sided heart failure because of chronic lung disease
Term
interstitial spaces
Definition
the network of gaps between the air filled alveoli and the capillaries that supply deoxygenated blood.
Term
dead space
Definition
it does not participate in ventilation, this wasted ventilation is called ____
Term
p
Definition
Term
Parietal pleura
Definition
Line the inside of the thorax
Term
Visceral pleural
Definition
Line the outside of the lungs
Term
the pleural space
Definition
This is the space between the inside and the outside of the visceral and parietal pleura.
Term
Mediastinum
Definition
The heart and large blood vessels take up space in the middle of the chest between the lungs in a space called the ...
Term
Respiration
Definition
this is the process by which oxygen is taken into the body, distributed to the cells, and used by the cells to make energy.
Term
Carbon Dioxide
Definition
The primary by product of cellular metabolism or cellular respiration.
Term
Ventilation
Definition
is the movement of air into and out of the lungs.
Term
Carbon dioxide levels
Definition
the best measurement of ventilation is
Term
Medulla
Definition
The neurologic control of respiration is centered in the ______
Term
Hering-Breuer reflex
Definition
helps regulate the depth of respiration and keeps the lungs from overinflating.
Term
Phernic nerve
Definition
this nerve innervates the diaphragm
Term
flail chest
Definition
when multiple ribs are broken in more than one place
Term
Highly Efficiency particulate air
Definition
HEPA
Term
Paroxysmal Nocturnal Dyspnea
Definition
is dyspnea that comes on suddenly in the middle of the night and may be an ominous sign as it may signal left sided heart failure.
Term
barrel chest
Definition
a chest that is larger in the front to back dimension than in the side to side dimension from years of having air trapped in the thorax
Term
Hypercapnic
Definition
too much carbon dioxide in the blood
Term
acidotic
Definition
pH of arterial blood is too low
Term
pulsus paradoxus
Definition
when the pulses weaken or disappear during inspiration
Term
bony retractions
Definition
during inhalation, the sternum or ribs pull back or recede into the chest.
Term
soft tissure retractions
Definition
soft tissue is drawn around the bones during inhalation.
Term
nasal flaring
Definition
the nostrils are pulled wide open during inhalation.
Term
Tracheal tugging
Definition
during inhalation, the thyroid cartilage is pulled upward and the area just above the sternal notch is drawn in.
Term
pulsus paradoxus
Definition
the weak or absent pulse on inhalation
Term
grunting
Definition
caused by the glottis closing at the end of exhaalation
Term
Abscess
Definition
A collection of pus in a sac, formed by necrotic tissues and an accumulation of white blood cells.
Term
Adventitious
Definition
A type of breath sounds that occurs in addition to the normal breath sounds; examples are crackles and wheezes.
Term
Alveoli
Definition
The sac like units at the end of the bronchioles where has exchanges takes place
Term
angioedema
Definition
A vascular reaction that may have an allergic cause and may result in profound swelling of the tongue and lips.
Term
arytenoid cartilages
Definition
one of the paired, pitcher shaped cartilages at the back of the larynx, at the upper border of the cricoid cartilage.
Term
atelectasis
Definition
the collapse of the alveolar air spaces of the lungs.
Term
botulism
Definition
poisoning from eating food containing botulinum toxin.
Term
Bronchospasm
Definition
severe constriction of the bronchial tree.
Term
cape cyanosis
Definition
deep cyanosis of the face and neck and across the chest and back associated with little or no blood flow
Term
carina
Definition
a ridgelike projection of the tracheal cartilage located where the trachea bifurcates into the right and left main stem bronchi
Term
carpopedal spasm
Definition
contorted position of the hand or foot in which the fingers or toes flex in a clawlike manner may result from hyperventilation
Term
cilia
Definition
the hairlike micro tubule projections on the surface of a cell that can move materials over the cell surface.
Term
cor pulmonale
Definition
heart disease that develops because of chronic lung disease, affecting primarily the right side of the heart.
Term
crackles
Definition
the abnormal breath sounds that have a fine, crackling quality' previously called rales
Term
cricoid cartilage
Definition
the ringlike cartilage forming the lower and back part of the larynx
Term
cricothyroid membrane
Definition
the membrane between the cricoid and thyroid cartilages of the larynx.
Term
croup
Definition
a common disease of childhood due to upper airway obstruction and characterized by stridor, hoarseness, and a barking cough.
Term
dead space
Definition
the portion of the tidal volume that does not reach the alveoli and thus does not participate in gas exchange
Term
diuresis
Definition
the production of large amounts of urine by the kidneys
Term
emphysema
Definition
the infiltration of any tissue by air or gas a chronic obstructive pulmonary disease characterized by distention of the alveoli and destructive changes in the lung parenchyma.
Term
epistaxis
Definition
nosebleed
Term
gas exchange
Definition
the process by which oxygen depleted blood from the pulmonary circulation releases carbon dioxide and is enriched with oxygen occurs by diffusion at the interface of the alveoli and the pulmonary capillary bed newly oxygen rich blood enters the cardiac circulation for distribution to the body's systems
Term
glottis
Definition
the vocal cords and the opening between them
Term
goblet cells
Definition
the mucus producing cells found mainly in the respiratory and intestinal tracts
Term
greenfield filter
Definition
a mesh filter placed in the inferior vena cava to catch blood clots in patients who are at high risk of pulmonary embolus.
Term
guillain barre syndrome
Definition
a disease of unknown cause that involves progressive paralysis that moves from the feet to the head (ascending paralysis) if paralysis reaches the diaphragm the patient may require respiratory support.
Term
coughing up blood
Definition
hemoptysis
Term
hering breuer reflex
Definition
the nervous system mechanism that terminates inhalation and prevents lung overexpansion
Term
hypoxic drive
Definition
a situation in which a persons stimulus to breathe come from a decrease in pao2 rather than the normal stimulus an increase in paco2
Term
jugular venous distention
Definition
the visible bulging of the jugular veins when a patient is in semi folwers or full fowlers position indicates inadequate blood movement through the heart and or lungs
Term
kussmaul respirations
Definition
a respiratory pattern characteristic of diabetic ketoacidosis with marked hyperpnea and tachypnea
Term
laryngotracheobronchitis
Definition
inflammation of the larynx trachea and bronchi
Term
metastasis
Definition
the transfer of a disease from one organ or part of the body to another that is not directly connected to the original site often used to describe a caner that has spread to other parts of the body.
Term
monophonic
Definition
the sound of one note during wheezing, caused by the vibration of a single bronchus
Term
orthopnea
Definition
sever dyspnea experienced when recumbent and relieved by sitting or standing up
Term
palatine tonsils
Definition
one of three sets of lymphatic organs that constitute the tonsils located in the back of throat on each side of the posterior opening of the oral cavity help protect the body from bacteria introduced into the mouth and nose
Term
parenchyma
Definition
the functional portions of a gland or solid organ
Term
paroxysmal nocturnal dyspnea
Definition
severe shortness of breath occurring at night after several hours of recumbency during which fluid pools in the lungs
Term
piriform fossae
Definition
hollow pockets on the lateral portions of the glottic opening
Term
pleural effusion
Definition
excessive accumulation of fluid in the pleural space
Term
pneumonia
Definition
inflammation of the lung caused by an infectious agent.
Term
pneumonitis
Definition
inflammation of the lung implies luch inflammation from an irritant such as chemical dust or radiation or from aspiration
Term
polycythemia
Definition
the production of more red blood cells over time making the blood thick a characteristic of people who have chronic lung disease and chronic hypoxia
Term
polyphonic
Definition
the sound of multiple notes during wheezing caused by the vibrations of many bronchi
Term
pseudomembrane
Definition
a false membrane formed by a dead tissue layer seen in the posterior parynx of patients with diphtheria
Term
pulsus paradoxus
Definition
weakening or loss of palpable pulse during inhalation characteristic of cardiac tamponade and sever asthma
Term
purulent
Definition
full of pus having the character or pus
Term
rales
Definition
old term for abnormal breath sounds that have a find crackling quality now called crackles
Term
reactive airway disease
Definition
a term used to describe any condition that causes hyperreactive bronchioles and bronchospasm
Term
restrictive lung diseases
Definition
diseases that limit the ability of the lungs to expand appropriately.skeletal abnormalities (kyposis and scoliosis) are a common example of restrictive lung disease.
Term
retractions
Definition
the drawing in of the intercostal muscles and the muscles about the clavicles in respiratory distress
Term
rhonchi
Definition
coarse, low pitched breath sounds hear in patients who chronically have mucus in the airways
Term
rhonchi
Definition
coarse, low pitched breath sounds hear in patients who chronically have mucus in the airways
Term
smooth muscle
Definition
nonstriated involuntary muscle found in vessel walls glands and the gastrointestinal tract
Term
snoring
Definition
a noise made during inhalation when the upper airway is partially obstructed by the tongue
Term
spacers
Definition
the devices that collect medication as it is released from the canister of a metered does inhaler allowing more medicaiton to be delivered to the lungs and less to be lost to the environment.
Term
snoring
Definition
a noise made during inhalation when the upper airway is partially obstructed by the toungue
Term
spacers
Definition
the devices that collect medication as it is released from the canister of a metered does inhaler allowing more medication to be delivered to the lungs and less to be lost to the environment
Term
status asthmaticus
Definition
a severe prolonged asthma attack that cannot be stopped with conventional treatment such as the administration of epinephrine.
Term
stridor
Definition
the harsh high pitched sound associated with severe upper airway obstruction, such as the caused by laryngeal
Term
surfactant
Definition
a liquid protein substance that coats the alveoli in the lungs it reduces the surface tension and helps keep the alveoli expanded
Term
tactile fremitus
Definition
vibrations in the chest that can be felt with a hand on the chest as the patient breathes
Term
tidal volume
Definition
the amount of air indaled or exhaled during one breath
Term
tracheostomy
Definition
the opening created during a tracheotomy procedure
Term
tracheotomy
Definition
surgically opening the trachea to create an airway
Term
turbinates
Definition
a set of bony convolutions in the nasoparynx that help to maintain smooth airflow and warm humidify and filter the air as it is inhaled
Term
ventilation
Definition
the process of exchanging air between the lungs and the environment includes inhalation and exhalation
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