Term
| to reach the lungs air must travel through several passages including |
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Definition
| nose, mouth, pharynx, larynx, trachea and bronchi |
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Term
| the external nose is made up of |
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Definition
| bone, cartilage and mucous membranes |
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Term
| spaces in the bones of the skull |
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Definition
|
|
Term
| paranasal sinuses include |
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Definition
| maxillary, frontal, ethmoid, spenoid sinsuses |
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Term
| these tubes serve as vents to prevent excessive pressure from building up in the middle ear |
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Definition
|
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Term
| masses of lymphatic tissue that guard against bacterial invasion of the respiratory and digestive tracts |
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Definition
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Term
| how many mLs are inhaled/exhaled during quiet breathing |
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Definition
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Term
| resp center is located in the |
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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
| what monitors the pH and amount of CO2 and O2 in the bloodstream |
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Definition
| chemoreceptors in the aorta |
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Term
| to describe a cough include |
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Definition
| onset, duration, frequency, type, severity, related symptoms |
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Term
| when assessing dyspnea determine |
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Definition
| onset, duration, severity and precipitating events |
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Term
| when assessing pain determin |
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Definition
| location, severity, onset, duration and precipitating events |
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Term
| what is monitored when pt is taking heparin |
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Definition
|
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Term
| what is monitored when pt is taking warfarin |
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Definition
|
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Term
| conditions that are important to document when a patient has a respiratory disorder |
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Definition
| allergies, colds, pneumonis, tuberculosis, chronic bronchitis, emphysema, asthma, cancer of the resp tract,c ystic fibrosis, sinus infections, streptococcal infections ear |
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Term
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Definition
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Term
| antidote for coumadin/warfarin |
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Definition
|
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Term
|
Definition
| wheezes, rhonchi and crackles |
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Term
| a high pitched sound caused by air passing through narrowed passageways |
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Definition
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Term
| wheezes may be present with |
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Definition
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Term
| abnormal sounds associated with cardiac and pulmonary disorders |
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Definition
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Term
| result of fluid saccumulation in the alveoli and do not clear with coughing |
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Definition
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Term
| caused by secretions accumulating in the larger airways and usually clear with coughing |
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Definition
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Term
| grating scratchy noise similar to a creaking shoe |
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Definition
|
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Term
| throat should not be swabbed if _____ is suspected because the swab could trigger ___ |
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Definition
| acute epiglottitis, bronchospasms |
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Term
| the inspection of the larynx to aid diagnosis of of abnormalities or to remove foreign substances |
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Definition
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Term
| examination is performed by a flexible fiveroptic scope through the nose or mouth into the bronchial tree after local anestheis of the pt throat |
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Definition
|
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Term
| fiberopti bronchoscopy allows for direct visualization of the |
|
Definition
| bronchial tree structures, diangosis or remova of foreign bodies or mucus plug |
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Term
| for fiberoptic bronchoscopy, the patient is ____ until gag reflex returns |
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Definition
|
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Term
| complications of bronchoscopy |
|
Definition
| bronchospam, bacteremia, bronchial perforation, pneumonia, laryngospasm, hemorrhage and pneumothorax |
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Term
| radiograph of the chest taken to observe deep structures in motion |
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Definition
|
|
Term
| fluroscopic exam can give info about the speed and degree of lung |
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Definition
| expansion and structural deficits |
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Term
| material that originates in the bronchi |
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Definition
|
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Term
| classes of drugs used to treat conditions of the resp system include |
|
Definition
| adrneergic agents, anticolinergics, antihistamines, corticosteroids, antipyretics, analgesics, anesthetics, antiinfectives |
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Term
| insertion of a large bore needle through the chest wall into the pleural space |
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Definition
|
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Term
|
Definition
| remove pleural fluid, blood or air to instill medication |
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Term
| complications of thoracentesis |
|
Definition
| air embolism, hemotorax, pneumothorax, pulmonary edema |
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Term
| r/t thoracentesis these symptoms should be fimmediately reported |
|
Definition
| uneven chest movements, respiratory distres, hemorrhage |
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Term
| deep breathing and cough exercises are performed to aid in |
|
Definition
| lung expansion and expectoration of resp secretions |
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Term
| used to inhibit airway collapse and to decrease dyspnea in patients with chronic lung disease |
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Definition
|
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Term
| used to ensure Deep inspiration For maximal expansion. And aeration of the lungs. |
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Definition
| Sustained maximal inspiration. |
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Term
| Consist of percussion vibration Of postural drainage. |
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Definition
|
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Term
| performed to facilitate the movement of respiratory secretions so that sputum can be expectorated |
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Definition
| chest percussion and vibration |
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Term
| percussing is confined to areas |
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Definition
| protected by the rib cage q |
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Term
| percussion is never done over the |
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Definition
| sternum, kidney liver, spleen, stomach or spine |
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Term
| contraindications to percussion and vibration |
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Definition
| Lung cancer Broncos spasm Pain in the area being treated hemorrhage. Hemoptysis increase into cranial pressure, chest drama, PE pulmonary edema, gastric reflux, pneumonic with open pericardium, extreme agitation or anxiety and high risk for rib fractures |
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Term
| technique of positioning patient to facilitate gravitational movement of resp secretions toward the bronchi and tracea for expectoration |
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Definition
|
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Term
| maintain each postural drainage position for |
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Definition
|
|
Term
| perform postural drainage before |
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Definition
|
|
Term
| discontinue postural drainage if patent experiences |
|
Definition
| hr over 120, dysrhthmias, hypertension, hypotension, dizziness or signs of hypoxia |
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Term
| thickened and dried secretions |
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Definition
|
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Term
| steril distilled water should be used with |
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Definition
|
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Term
| used to liquefy and mobilize respiratory secretions and to deliver meds |
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Definition
|
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Term
| _____ may be ordered before some types of aersol therapy |
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Definition
|
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Term
| most commonly used o2 device |
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Definition
|
|
Term
| 4 types of o2 masks available |
|
Definition
| simple oxygen mask, partial rebrething mask, nonrebreathing mask, air entrainment mask (venturi) |
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|
Term
| the simple mask is designed to deliver an fio2 ranging from |
|
Definition
|
|
Term
| flow rate for simple mask |
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Definition
|
|
Term
| the fi02 range for partial rebreating mask |
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Definition
|
|
Term
| flow rate for partial rebreather |
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Definition
|
|
Term
| complications of o2 therapy |
|
Definition
| hypoventilation, atelectasis, ocular damage |
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Term
| can result from the replacement of nitrogen normally in teh alveoli with 02 |
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Definition
|
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Term
| exposure to 100% o2 can cause |
|
Definition
| retinal injury and visual impairment |
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Term
| used to achieve max lng expansion |
|
Definition
| intermmittent positive pressure breathing |
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Term
|
Definition
| tension pneumothorax or resp alkalosis |
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Term
|
Definition
| oral airway, nasal airway, endotrachial tube, tracheostomy tube |
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|
Term
| nasal airway should be changed from one naris to the other every |
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Definition
|
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Term
| most commonly used for pt with acute resp failure |
|
Definition
| volume limited ventilator |
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|
Term
| three types of positive pressure ventilators |
|
Definition
| volum, pressure, time cycled |
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Term
| delivers a constant preset amount of oxygenated air to the pt |
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Definition
|
|
Term
| pushes air into the lungs until a preset pressur is reached |
|
Definition
|
|
Term
| deliver oxygenated air during a prest length of time |
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Definition
|
|
Term
| time cycled ventilators are used most commonly in |
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Definition
|
|
Term
| most frequently used ventilator modes, |
|
Definition
| intermittent and sychronized intermittent mandatory ventilation |
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Term
| inserted to drain air or fluid from the pleural space of the lungs |
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Definition
|
|
Term
| other mechanical ventilation modalities |
|
Definition
| pressure support ventilation, flow by ventilation, continuous positive airway pressure ventilation, high frequency ventilations |
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Term
| chest tube is inserted in the second to fourth intercostal space to remove |
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Definition
|
|
Term
| a tube placed in the eighth or ninth intercostal space is for |
|
Definition
|
|
Term
| three parts of the chest tube |
|
Definition
| collection chamber, water seal chamber, suction control chamber |
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|
Term
| chest fluid and air drain into the |
|
Definition
|
|
Term
| bubbles are only seen in the water seal chamber when it is |
|
Definition
|
|
Term
| continuous bubbling in water seal chamber suggests |
|
Definition
|
|
Term
| signs that inidcate need for suctioning |
|
Definition
| increased heart and resp rat, reslessness, noisy expiration |
|
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Term
|
Definition
| hypoxia, tissue trauma, infection, vagal stimulation and brochospasm |
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Term
| idications of excessave bleeding r/t nasal surgery |
|
Definition
| steady saturation of dressings, increased puls and resp, restlessness, decreased bp, frequent swallowing, hematemesis, melena |
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Term
| opening of the chest wall |
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Definition
|
|
Term
| surgical procedures on the lung include |
|
Definition
| pneumonectomy, lobectomy, segmental resection, wedge resection |
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|
Term
| the remval of an entire lung |
|
Definition
|
|
Term
| removal of one lobe of the lung |
|
Definition
|
|
Term
| the extensive dissection and removal of a section of the lung |
|
Definition
|
|
Term
| removal of a small triangular section of lung tissue |
|
Definition
|
|
Term
| other procedures that requires a thoracotomy |
|
Definition
| decortication and thoracoplasty |
|
|
Term
| stripping of the membrane that covers the visceral pleura |
|
Definition
|
|
Term
|
Definition
|
|
Term
| potential complications of thoracoscopy |
|
Definition
| atelectasis, pneumonia, air leaks and injury to thoracic organs |
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