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egans Fundamentals of Respiratory Care
Chapter 15
59
Medical
Professional
01/19/2013

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Term
abdominal compartment syndrome
Definition
the abdomen has become a fix compartment with increased pressure resulting in ischemia and organ dysfunction
Term
abdominal paradox
Definition
abnormal breathing pattern seen as a sinking inward motion of the abdomen with each inpiratory effort; a sign of diaphragm fatigue
Term
adbentitious lung sounds
Definition
abnormal lund sound supermposed on the basic underlying breath sounds
Term
angina
Definition
spasmodic, cramp like choking feeling
Term
barrel chest
Definition
abnormal increase in the anteroposterior diameter of the chest caused by hyperinflation of the lungs
Term
bradycardia
Definition
abnormally decreased heart rate
Term
bradypnea
Definition
abnormal decrease in breathing rate
Term
breathlessness
Definition
distressful sensation of uncomfortable breathing that may be caused by certain heart conditions, strenuous exercise or anxiety
Term
cachexia
Definition
general ill health and malnutrition characterized by weekness and emanciation
Term
clubbing
Definition
bulbous swelling of the terminal phalanges of the fingers and toes, often associated with certain chronic lung diseases
Term
cough
Definition
forceful expiratory effort designed to expel mucus and other foreign material from the upper airway
Term
crackles
Definition
discontinuous type of adventitious lung sounds
Term
cyanosis
Definition
abnormal bluish discoloratoin of the skin or mucous membranes
Term
diaphoresis
Definition
secretions of sweat, a=especially profuse secretion associated with an elevated bogy temperature, physical exertion,  ecposure to heat, and mental or emotional stress
Term
dyspnea
Definition
difficult or labored breathing as percieved by the pt
Term
fever
Definition
abnormal elevation of body temperature owing to disease
Term
gallop rhythm
Definition
abnormal heart sound that resembles the gallop of a hourse, most often indicates heart failur
Term
hematemesis
Definition
vomiting blood
Term
hemolysis
Definition
rupture of red blood cells
Term
hepatomegaly
Definition
abnormal enlargedment of the liver; usuallly a sign of desease
Term
hoover sign
Definition
inward movement of the lower lateral morgins of the chest wall with each inspiratory effort owing to a low, flat diaphram as seen in empysema
Term
hypercalcemia
Definition
greather that normal amounts of calcium in the blood,most often resulting from excessive bone resorption and relese of calcium, as occurs in hyperparathyroidsm, metastatic tumors of bone, paget disease and osteoporosis 
Term
hypertention
Definition
persistently high blood pressure
Term
hypotention
Definition
abnormal condition in which the blood pressure is inadequate for  normal perfusion and oxygenation of the tissues
Term
hypothermia
Definition
abnormal and dangerous condition in which the tmperature of the body is less than 32 degrees C, usually caused by prolonged exposure to cold
Term
jugular venous destention
Definition
abnormal distention of the jugular veins, most often caused by heart failure
Term
Kussmaul repirations
Definition
hypernea associated with diabetic keoacidosis
Term
Loud P2
Definition
abnormally loud closure of the pulmonic valve as part of S2; usuallly caused by pulmonary hypertention
Term
Lymphadenopathy
Definition
of or pertaining to a disease of the lymph nodes; refers also to the visulization of enlarged lymph nodes on radiographs
Term
mucoid
Definition
resembling mucus
Term
murmur
Definition
abnormal heart sound created by turnulent blood flow, through a narrowed or incompetent heart valve
Term
orthodeoxia
Definition
decrease in PaO2, owing to changes in position
Term
orthopenia
Definition
labored breathing in the reclining position
Term
pack-years
Definition
a method of determing the quality of cigaretts a pt smoke over time.  the number of packs of cigarettes a pt smoked divide by the number of years they smoked
Term
pedal edema
Definition
swelling of the ankles usually secondary to heart failure
Term
phlegm
Definition
mucus from the tracheobronchial tree
Term
platypnea
Definition
opposite of orthopnea; an abnormal condition charaterized by difficult breathing in the standing position, which is relieved in the lying or recumbent position
Term
postural hypotention
Definition
sudden decrease in arterial blood peresusure caused by a change in postion; most often occurs when a hypovolemic pt moves from the reclining position to the upright position
Term
pneumothorax
Definition
presence of air or gas in the pleural space of the thorax; if this air or gas is trapped under pressure, tention pneumorthorax exists
Term
pulse deficit
Definition
descrepancy between the ventricular rate auscultated at the apex of the heart and the arterial rate of the radial pulse
Term
pulsus alternans
Definition
alterating between stron and weak heartbeats
Term
pulsus paradoxus
Definition
abnormal decrease in pulse pressure with each inpiratory effort
Term
purulent
Definition
consisting of or containing pus
Term
respiratory alternans
Definition
alternating between use of the diaphragm for shor periods and use of the accessory muscles to breathe; indicative of end-stage respiratory muscle fatigue
Term
retractions
Definition
sinking inward of the skin around the chest cage with each inspiratory effort
Term
sensorium
Definition
general term referring to the relative state of a patient's consciousness or alertness
Term
shock
Definition
condition in which perfusion to vital organs is inadequate to meet metabolic needs; includes hypovolemic, cardiogenic, septic, anaphylactic, and neurogenic forms
Term
sputum
Definition
mucus from the respiratory tract that has passed though the mouth
Term
strider
Definition
high pitched, continuous type of adventitious lung sound heard from the upper airway
Term
subcutaneous emphysema
Definition
accumulation of air in the subcutanous tissues owing to leakage from the lung
Term
syncope
Definition

temporary unconscienceness; fainting

 

Term
systolic blood pressure
Definition
peak blood pressure occuring in the arteries during ventricular contraction
Term
tachycardia
Definition
abnormally elevated hear rate
Term
tachypnea
Definition
abnormal elevation of breathing rate
Term
thrill
Definition
fine palpable vibration felt accompanying a cardiac or vascular murmur
Term
tracheal tugging 
Definition
effect of an aortic aneurysm in which the trachea is pulled downward with each heart contration
Term
tripodding
Definition
breathing technique most often used by pt with COPD in which they lean forward and place their elbows on a table or arms of a chair to support breathing with the accessory muscles
Term
wheezing
Definition
high-pitched continusoud type of adventitious lung sound
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