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Details

Craven Ch. 35
Oxygenation and respiratory function
26
Nursing
Undergraduate 1
10/30/2010

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Cards

Term
What % O2 is in normal room air?
Definition
21
Term
Do you usually hear crackles on inhalation or exhalation?
Definition
Inhalation
Term
When does a wheeze happen, on inspiration or expiration?
Definition
Both
Term
What are the three nursing diagnoses related to respiratory function?
Definition
Ineffective breathing pattern
Ineffective airway clearance
Impaired gas exchange
Term
What is the definition of the "ineffective airway clearance" nursing diagnosis?
Definition
Person is unable to clear secretions or obstructions from respiratory tract.
Term
What is the definition of the "impaired gas exchange" nursing diagnosis?
Definition
O2/CO2 exchange deficit at the alveolar/capillary level
Term
Definition of apnea
Definition
Absence of breath for 20 seconds or more, for any age
Term
How is hydration related to lung function?
Definition
Thins secretions so they are easier to move.
Term
Regular respirations for a newborn?
Definition
30-60
Term
Regular respirations for a toddler?
Definition
20-30
Term
Regular respirations for a school-aged child
Definition
From this age to adult it's 12-20
Term
Atelectasis
Definition
Collapse of all or part of a lung
Term
Orthopnea
Definition
Short of breath while lying down
Term
What effect does malnutrition have on respiratory function? (hint: 4 of them)
Definition
1) Without proper diet, body cannot effectively produce plasma proteins and hemoglobin.
2) Sufficient calories and protein also required for respiratory muscle strength.
3) Adequate nutrition for immune function and avoiding pneumonia
4) Obesity restricts chest movement, esp. in supine position
Term
Fine crackles at the very end of inspiration might signify what? (2)
Definition
Pneumonia or congestive heart failure
Term
Fine crackles early in inspiration might signify what? (3)
Definition
Obstructive diseases like asthma, bronchitis or emphysema
Term
Fine crackles come from what part of the lung anatomy?
Definition
Alveoli
Term
Course crackles come from what part of the lung anatomy?
Definition
Peripheral airways
Term
Course crackles might signify what? (3)
Definition
Pneumonia, pulmonary edema, pulmonary fibrosis
Term
Wheezes occur in what part of the lung's anatomy?
Definition
Large airways if sonorous (rhonchi/gurgles) and large or small airways if sibilant
Term
What conditions might sonorous wheezing indicate? (2)
Definition
Bronchitis or single-bronchi obstruction
Term
What conditions might sibilant wheezes indicate? (2)
Definition
Acute asthma or chronic emphysema
Term
How to differentiate a pleural friction rub from crackles?
Definition
Pleural friction rub happens on both inspiration and expiration, whereas crackles are usually just on inspiration
Term
What condition does a pleural friction rub usually indicate?
Definition
Pleuritis
Term
What fluids can have a negative effect on thickness of respiratory secretions?
Definition
Milk products. Caffeine and alcohol can also have a diuretic effect and dehydrate the client.
Term
If a client has a unilateral lung problem, what position is advantageous?
Definition
Side-lying with good lung downward to match ventilation and perfusion
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