Term
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Definition
| clear, oderless gay that constitutes approximately 21% of the air we breathe |
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Term
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Definition
| Oxygen is a _________ with the potential for toxic effects |
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Term
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Definition
| Provide optimal 02 saturation with the lowest, most effective dose |
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Term
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Definition
| If a person's pulse ox is at 85 or less with severe hypoxemia we must give them this to give them oxygen (close to 100%) |
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Term
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Definition
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Term
| structural damage to the lungs |
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Definition
| Some toxic effects of 02: with high concentration is can lead to some |
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Term
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Definition
| With a premature infant who's lungs are underdeveloped, giving them 02 can make them |
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Term
| ventilation, diffusion, and transport of respiratory gases |
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Definition
| 3 Steps in oxygenation/respiration |
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Term
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Definition
| movement of air between the atmosphere and the alveoli of the lungs as we inhale and exhale |
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Term
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Definition
| the musculoskeletal, thoracic ribcage, and nervous system must all be _______ |
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Term
| diaphragm and intercoastals |
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Definition
| main muscles for respiration |
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Term
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Definition
| gas exchange which involves diffusion of oxygen and CO2 between the alveoli and the pulmonary capillaries |
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Term
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Definition
edema, pneumona, and emphysems all have
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Term
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Definition
| this transports from the lungs to the tissue |
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Term
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Definition
| This transports from the tissues to the lungs |
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Term
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Definition
| Most of the time (97%) oxygen combines with |
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Term
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Definition
| Function of the respiratory system is |
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Term
| lungs and cardiovascular system |
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Definition
| 02 transport consists of the |
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Term
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Definition
| Pt with low hemoglobin has |
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Term
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Definition
| an active process stimulated by chemical receptors in the aorta |
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Term
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Definition
| process for expiration is |
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Term
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Definition
| moves blood to and from the alveolar capillary membranes for gas exchange |
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Term
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Definition
| diffuses into red blood cells and is hydrated into carbonic acid |
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Term
| medulla and pons (brainstem) |
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Definition
| Respiratory center is the |
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Term
| neural and chemical regulators |
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Definition
these control the rate and depth of respiration
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Term
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Definition
| strongest stimulus for breathing is |
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Term
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Definition
| If a patient has COPD, they retain CO2, so don't five them high concentrations of |
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Term
| Physiological factos that affect oxygenation |
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Definition
-Decreased oxygen-carrying capacity
-Decreased inspirsed oxygen concentration
-Hypovolemia
-Increased metabolic rate |
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Term
| Conditions that affect chest wall movement |
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Definition
-Pregnancy
-Obesity
-Musculoskeletal abnormalities
-Trauma
-Neuromuscular disease
-CNS alterations |
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Term
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Definition
| Ventilation in excess of that required to eliminate carbon dioxide produce by cellular metabolism |
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Term
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Definition
| alveolar ventilation inadequate to meet the body's oxygen demand or to eliminate sufficient carbon dioxide |
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Term
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Definition
| insurffience 02 available to meet the metabolic needs of tissues and cells |
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Term
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Definition
Blue discoloration of the skin and mucous membranes
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Term
| palate, conjunctive and sclera |
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Definition
| These are the best sites for cyanosis |
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Term
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Definition
| hypoxia results from ___________which is a deficiency of arterial blood oxygen |
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Term
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Definition
These onset of hypoxia for unexplained apprehension and unexplained restlessness or irritability are
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Term
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Definition
| The onset for hypoxia of combativeness and coma are |
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Term
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Definition
| The onset for hypoxia when there's an unexplained confusion, poor occurs |
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Term
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Definition
| the onset for respiratory with tachypnea and dyspnea or exertion are |
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Term
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Definition
| The onset of respiratory with dyspnea at rest, use of accessory muscles, retractions on inspiration, and pause for breath between sentences, words are all |
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Term
| close ended questions, hang symbols |
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Definition
| when a patient paused for breath between sentence or words communications with |
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Term
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Definition
| The onset for cardiovascular with tachycardia and mild elevated blood presure are |
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Term
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Definition
| the onset of cardiovascular with dyshythmias occurs |
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Term
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Definition
| The onset of cardiovascular with cyanosis or cool, clammt skin (diaphoresis) occurs |
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Term
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Definition
| The onset of diaphoresis, decreased urinary output, and unexplained fatique occurs |
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Term
| Hypercarbia (hypercapnia) |
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Definition
Has:
-elevated C02 levels in the blood
-restlessness
-hypertension
-headache
-lethary
-tremor |
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Term
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Definition
| noisy breathing is an _______so we must open airway |
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Term
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Definition
-inspection
-palpation
-percussion
-ausculation |
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Term
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Definition
| provides an indirect and noninvasive measurement of arterial 02 saturation |
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Term
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Definition
this detect the amount of c02 bound to hemoglobin molecules in the pulse ox
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Term
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Definition
| the pulse ox is reliable when saturation is over |
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Term
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Definition
This has greater accuracy at lower saturations
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Term
| factord that can alter the accuracy of pulse ox |
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Definition
-motion
-low
-perfusion
-anemia
-cold extremities
-bright fluroscnet light
-nail polish
-thick acrylic nails
-dark skin tone |
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Term
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Definition
| Red flag of oximetry and notify health care provider when there is a +/- 4% change from baseline or decrease to |
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Term
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Definition
-alteration in oxygenation
-impaired gas exchange
-activity tolerance
-anxiety
-fatique
-ineffective airway clearance
-ineffective breathing pattern
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Term
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Definition
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Term
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Definition
| always do this to the client to allow for maximal chest expansion |
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Term
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Definition
| encourage or assist cleint with frequenct changes in position every |
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Term
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Definition
| encourage deep breathing and |
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Term
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Definition
| Encourage the patient to move around to, |
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Term
| bronchodialators, inhaled steroid, and mucolytics, oxygen therapy, physical therapy, and relaxation techniques |
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Definition
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Term
| adequate hydration, proper cough, suctioning, chest PT (vest), nebulizer treatment |
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Definition
| to maintain airway you want to have |
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Term
| oropharyngeal and nasopharyngeal suctioning |
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Definition
This suctioning is used when the client can cough effectively but is not able to clear secretions by expectorating
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Term
| Orotracheal and nasotracheal |
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Definition
| this suctioning is used when the client is unable to manage secretion by coughing |
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Term
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Definition
| this suctioning is used with an artificial airways, ET tube or tracheostomy |
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Term
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Definition
| suctioning is based on this, not on schedule |
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Term
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Definition
| -dyspnea, bubbling or rattling breath sounds, poor skin color/cyanosis, decrease in 02 saturation |
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Term
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Definition
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Term
| delated to a UAP and is not a sterile procedure |
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Definition
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Term
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Definition
| always moisten the top of the yankauer device with |
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Term
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Definition
| Do not apply yankauer suction during |
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Term
| side of the mouth to prevent gagging |
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Definition
| you want to advance the yankauer device along the |
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Term
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Definition
| you can use the yankaeur device to suction under the |
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Term
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Definition
| removes oxygen from client's airways as well as sectrtions so it can lead, but it can lead to hypoxemia, dysrhytmias, hypotension, larngospasm and bronchospasm |
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Term
| 10 to 15 seconds, intermittently |
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Definition
| Do not suction more than ______ and rest between passes of cath and replace 02 during rest and apply |
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Term
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Definition
| apply suction only when the cathter is being |
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Term
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Definition
| Suctioning tube for adult |
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Term
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Definition
| Suctioning tube for childre |
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Term
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Definition
| suctioning tube for infant |
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Term
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Definition
| usualy pressure setting sfor adult with wall unit is |
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Term
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Definition
artifical airway that is:
-shorter use to ventilate, relieve uppe airway obstruction, protect against aspiration, clear secretions
-Endotracheal Tube (ET) are short term |
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Term
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Definition
artificial airway that is long-term assistance, surgical incision made into trachea and a tracheostomy tube is inserted
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Term
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Definition
| most effective position for maintaining lung expansion, elevating the HOB and support client with pillows can decrease workload and minimize fatique |
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Term
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Definition
| client with a unilateral disease or that has abscess/hemorrhage usually positioned with the good lung |
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Term
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Definition
| effective, noninvasive and inexpensive method of stimulating respiration, need to always assess client's tolerance |
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Term
| sustain maximal inspiration |
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Definition
| exhale normally then slowly voluntary deep breath then hold for 3 second and repeat is 10X...qh while awake |
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Term
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Definition
goals
1. prevent or relieve hypoxia
2. reduce the work of breathing
3. reduce myocardial workload
4. provide optimal O2 saturation wtih lowst, most effective dose |
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Term
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Definition
| Levels above____for 24 hours with o2 or co2 can lead to toxicity |
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Term
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Definition
| Oxygens must be ___________because it is a medication |
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Term
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Definition
| This is necessary for clients receiving O2 therapy and should be |
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Term
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Definition
| If client is transported make sure portable tank has enough |
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Term
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Definition
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Term
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Definition
| oxygen high in concentrations has a great________potential and readily fuels |
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Term
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Definition
| most commonly use oxygen device because of convenience and client comfort |
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Term
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Definition
| with the nasal cannula the delivered oxygen concentration can _________with client's breathing pattern |
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Term
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Definition
| to receive O2 nasal passages must be |
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Term
| 24-48% when operated at 1-6L/min |
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Definition
| oxygen capability for the nascal cannula is |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
|
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Term
|
Definition
| these cover the mouth and nose |
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Term
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Definition
| To avoid rebreathing CO2 while wearing a mask, a minin of _______oxygen flow rate is require |
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Term
| hard to achieve proper fit and poor tolerance |
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Definition
| limitations of the face mask is |
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Term
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Definition
| the common midrange o2 delivery device, varies with breathing pattern, and 40 to 60% when operated at 6-10L |
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Term
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Definition
| simple face mask 5-6L/ min |
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Term
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Definition
| simple face mask 6-7L/min |
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Term
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Definition
| simple face mask 7-8L/min and >8L/min |
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Term
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Definition
| wiht face masks with reservoir bags prover a _______oxygen concentration to the client |
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Term
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Definition
| Portion of the client's expired air is directed to the |
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Term
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Definition
| with face masks with reservoir bags, it's oxygen concentration __________remains the as the inspired air |
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Term
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Definition
| this delivers oxygen concentrations of 60-90% at liter flows of 6-10L/Min |
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Term
| Non-rebreathing face mask with reservoir bag |
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Definition
delivers the highest oxygen concentration possible aat 95-100% at liter flow so 10-15L/min, only )2 in the bag is in inspired, and uses for critically ill clients
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Term
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Definition
| to precent CO2 buildup make sure that the bag does not |
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Term
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Definition
| Provides precise and consistent O2 concentration |
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Term
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Definition
| venturi mask deliveres between |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
|
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Term
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Definition
| this is hot and confining |
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Term
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Definition
| can be used when masks aren't tolerated |
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Term
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Definition
| Face tent provides ______concentrations of O2 at 4-8L/m |
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Term
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Definition
-compressed gas cylinders
-Liquid oxygen systems
-Oxygen concentrators
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Term
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Definition
| Keep O2 delivery systesm __away from flames |
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Term
| upright, chained, or in a holder |
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Definition
| always stored oxygen systems |
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Term
|
Definition
| avoid using and wearing ____and use cotton blankets and clothing |
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Term
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Definition
|
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Term
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Definition
| deep breathing and coughing every 2 hours while away, cascade cough, huff cough, and quad ough |
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Term
| Controlled and Huff coughing |
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Definition
| inahle deeply and hold for a few seconds, then cough twice (fisrt to loosen the mucous, then second to expel the secretion). Lead forward and exhale a sharpy huff. |
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Term
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Definition
| deep inspiration through the nose and prolonged expiration through pursed lips to prevent alveolar collapse....exhalations should be longer than inhalation (inhale 3/exhale7). This minimizes collapse of small airways |
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Term
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Definition
| expanding diaphragm during controlled inspiration, may be used in conjuction with purse lip breathing. this improve efficiency of breathing by decreasing air trapping and reduction work of breathing. |
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Term
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Definition
| cathether place through the thorax to remove air and lfuids from the pleural space or to prevent air from reentering or to reestablsih intrapleural and intrapulmonic pressures |
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Term
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Definition
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Term
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Definition
|
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Term
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Definition
| this should be upright, below the chest, no kinks in tubing, and observe for gentle bubbling in water chamber |
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Term
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Definition
| never clamp tubing, never |
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Term
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Definition
| if the unit breaks immerse end of tube in |
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Term
| sterile dressing and notify MD |
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Definition
| if tube become dislodged cover site with a |
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