Shared Flashcard Set

Details

EMT Basic - Airway
Airways
128
Medical
Undergraduate 1
02/02/2013

Additional Medical Flashcards

 


 

Cards

Term
Nasopharynx
Definition
Above the roof of the mouth or soft pallet
Term
Oropharynx
Definition
Inside the mouth and near uvula
Term
Trachea
Definition
Wind Pipe, in front of the esophagus. Lined with rings of cartilage to prevent collapse when air moves into the lungs
Term
Epiglottis
Definition
Allows air to pass into the Trachea but prevents food and liquid from entering the airway. Where the upper airway ends.
Term
Thyroid Cartilage
Definition
Adams Apple, Anterior part of the Larynx
Term
Larynx
Definition
Voice box. Where the lower airway begins
Term
Cricoid Cartilage
Definition
Immediately below the Thyroid cartilage. Here is where you would use the Sellick maneuver to help in maintaining a proper airway.
Term
Nasal air passage
Definition
Passage way where air inters the nose
Term
Pharynx
Definition
Opening in the back of the airway behind the nasopharynx and the oropharynx
Term
Apex of the lung
Definition
Top of the lung
Term
Carina
Definition
Where the trachea splits in the bronchioles
Term
Diaphragm
Definition
Muscle that contract to let air into the lungs
Term
Alveoli
Definition
Tiny air sacs in the lungs. Location of gas exchange.
Term
Main Bronchi
Definition
are the two tubes that separate from the trachea at the carina
Term
Bronchioles
Definition
Final division of the bronchi
Term
Cricothyroid Membrane
Definition
Between the Thyroid and the cricoid cartilage.
Term
Each Bronchus
Definition
Supplies air to a lobe of the lung.
Term
Lung lobe
Definition
There are 5 in the lungs. 3 on the right and two on the left
Term
Pleura
Definition
Is the membrane that covers the lung and chest cavity
Term
Parietal pleura
Definition
Lines the inside of the chest cavity
Term
Visceral Pleura
Definition
Lines the Lungs
Term
Signs of breathing problems
Definition
increased respiration, irregular breathing pattern, unequal breath sounds and unequal chest expansion.
Term
Infant respirations
Definition
25-50 Breaths /Min
Term
Child respiration
Definition
15-30 Breaths /Min
Term
Adult respiration
Definition
12-20 Breaths / Min
Term
Signs of breathing problems in infants and children
Definition
Muscle retractions, in which the muscles of the chest and neck are working extra hard in breathing, Nasal flaring, in which the nostrils flare out as the child breaths, seesaw respiration's in infants, in which the chest adnominal muscles alternately contract.
Term
Signs of breathing problems
Definition
Muscles retractions above the clavicles, between the ribs and below the rib cage, Pale or cyanotic (blue) skin, Cool, Damp, Clammy Skin. Tripod Position
Term
Labored breathing
Definition
Requires effort and my involve the accessory muscles
Term
Beta 2
Definition
Bronchi and in the lungs dilate
Term
Beta 1
Definition
Increase heart rate, Increase force on heart contractions.
Term
Alpha 1
Definition
Blood Vessels Constrict, skin becomes pale cool and clammy
Term
Red Blood Cells
Definition
Transport 4 oxygen (O2) molecules per cell
Term
Plasma
Definition
Transports (CO2)
Term
Epinephrine & Norepinephrine
Definition
Stimulate the heart and blood vessels
Term
Hypoxic Drive
Definition
When the oxygen levels fall this system will stimulate breathing
Term
Ventilation
Definition
is the simple movement of air between the lungs and the environment
Term
Respiration
Definition
is the process of gas exchange
Term
Diffusion
Definition
is a passive process in which molecules move from areas of higher concentration to lower concentration
Term
Components of Exhaled air
Definition
79% Nitrogen, 16% Oxygen 3-5% Carbon Dioxide
Term
Dorsal respiratory group
Definition
Located in the Medulla, Causes inspiration when stimulated
Term
Ventral Respiratory group
Definition
Located in the Medulla, causes forced expiration or inspiration, (Speech, Emotional, Physical Stress.
Term
Pneumotaxic (pontine) Center
Definition
Located in the Pons, Inhibits the DRG, increases speed and depth of respiration. Emotional or Physical Stress.
Term
Apneustic center
Definition
Located in the Pons, Excites the DRG, Prolongs inspiration, decreases rate, Emotional or Physical Stress.
Term
Hering-breuer inflation reflex (Stretch Reflex)
Definition
Located in the chest, Detects lung expansion to a point and tells the VRG and Pneumotaxic and apneustic centers to stop.
Term
Hering-breuer deflation reflex
Definition
Located in the chest, Detects potential lung collapse and then tells VRG Pneumotaxic and apneustic centers to stop.
Term
Tidal volume
Definition
the amount of air that moves into your lungs in a single breath
Term
Inspiratory Reserve Volume
Definition
is the deepest breath you can take after a normal breath.
Term
Expiratory reserve volume
Definition
is the maximum amount of air you can forcibly breathe out after a normal breath.
Term
agonal respirations
Definition
Respirations after the heart has stopped.
Term
Purpose of upper airway
Definition
Cleans, warms and humidifies incoming air.
Term
aerobic metabolism
Definition
Metabolism that can proceed only in the presence of oxygen
Term
agonal respirations
Definition
occasional, gasping breaths that occur after the heart has stopped
Term
Airway
Definition
the upper airway tract or passage above the larynx, which includes the nose, mouth and throat
Term
Alveolar ventilation
Definition
The System of air that reaches the alveoli. It is determined by subtracting the amount of dead space air from the tidal volume
Term
American standard system
Definition
a safety system for large oxygen cylinders, designed to prevent the accidental attachment of a regulator to a cylinder contain the wrong type of gas
Term
Anaerobic Metabolism
Definition
The metabolism that take place in the absence of oxygen, the principle product is lactic acid
Term
apnea
Definition
Absence of spontaneous breathing
Term
Aspiration
Definition
In the context of airway, the introduction of vomitus or other foreign material into the lungs
Term
Ataxic Respirations
Definition
Irregular, ineffective respirations that may or may not have an identifiable pattern
Term
Automatic Transport Ventilator(ATV)
Definition
A ventilation device attached to a control box that allows the variables of ventilation to be set. It frees the EMT to perform other tasks while the patient is being ventilated.
Term
Bag-Mask Device
Definition
A device with a one-way valve and a face mask attached to a ventilation bag; when attached to a reservoir and connected to oxygen, delivers more than 90% supplemental oxygen.
Term
Barrier Device
Definition
A protective item, such as a pocket mask with a valve, that limits exposure to a patient's body fluids
Term
Bilateral
Definition
A body part condition that appears on both sides of the midline
Term
Bronchioles
Definition
Subdivision of the smaller bronchi in the lungs, made of smooth muscle and dilate or constrict in response to various stimuli.
Term
Carina
Definition
Point at which the trachea bifurcates (divides) into the left and right main stem bronchi
Term
Chemoreceptors
Definition
Monitor the levels of O2, CO2 and the pH of the cerebrospinal fluid and then provide feedback to the respiratory centers to modify the rate and depth of breathing based on the body's needs at any given time.
Term
Compliance
Definition
The ability of the alveoli to expand when air is drawn in during inhalation
Term
Continuous Positive Airway Pressure CPAP
Definition
A Method of ventilation used primarily in the treatment of critically ill patients with respiratory distress; can prevent the need for endotracheal intubation.
Term
Cricoid Pressure
Definition
Pressure on the cricoid cartilage applied to occlude the esophagus to inhibit gastric distention and regurgitation of vomitus in the unconscious patient.
Term
Dead Space
Definition
The portion of the tidal volume that does no reach the alveoli and thus does not participate in gas exchange.
Term
Diffusion
Definition
A process in which molecules move from an area of higher concentration to an area of lower concentration
Term
Dyspnea
Definition
Shortness of breath.
Term
Exhalation
Definition
The passive part of the breathing process in which the diaphragm and the intercostal muscles relax, forcing air out of the lungs
Term
External/Pulmonary Respiration
Definition
The exchange of gases between the lungs and the blood cells in the pulmonary capillaries.
Term
Gag Reflex
Definition
A normal reflex mechanism that causes retching; activated by touching the soft palate or the back of the throat.
Term
Gastric Distention
Definition
A condition in which air fills the stomach, often as a result of high volume and pressure during artificial ventilation
Term
Glottis/Glottic Opening
Definition
The space in between the vocal cords that is the narrowest portion of the adults airway.
Term
Good air exchange
Definition
A term used to distinguish the degree of distress in a patient with a mild airway obstruction, A patient is still conscious and able to cough forcefully although wheezing may be heard.
Term
Head tilt-chin lift maneuver
Definition
A combination of two movements to open the airway by tilting the forehead back and lifting the chin; not used for trauma patients.
Term
Hypercardia
Definition
Increased carbon dioxide level in the blood stream.
Term
Hypoxia
Definition
A dangerous condition in which the body tissues and cells do not have enough oxygen.
Term
Hypoxic Drive
Definition
A condition in which chronically low levels of oxygen in the blood stimulate the respiratory drive; seen in patients with chronic lung disease.
Term
Inhalation
Definition
The active, muscular part of breathing that draws are into the airway and lungs.
Term
Internal Respiration
Definition
The exchange of gases between the blood cells and the tissues.
Term
Intrapulmonary shunting
Definition
Bypassing of oxygen-poor blood past nonfunctional alveoli to the left side of the heart
Term
Jaw-Thrust Maneuver
Definition
Technique to open the airway by placing the fingers behind the angle of the jaw and bringing the jaw forward; used for patients who may have a cervical spine injury
Term
Labored Breathing
Definition
Breathing that requires greater that normal effort; may be slower or faster than normal and usually requires the use of accessory muscles.
Term
Larynx
Definition
A complex structure formed by many independent cartilaginous structures that all work together; where the upper airway ends and the lower airway begins; also called the voice box.
Term
Manually Trigger Ventilation Device
Definition
A fixed flow/rate ventilation device that delivers a breath every time its button is pushed; also referred to as a flow-restricted, oxygen-powered ventilation device.
Term
Mediastinum
Definition
Space within the chest that contains the heart major blood vessels, vagus nerve, trachea, major bronchi, and esophagus; located between the two lungs.
Term
Metabolism (Cellular Respiration)
Definition
The biochemical processes that result in production of energy from nutrients within the cell.
Term
Mild Airway Obstruction
Definition
Occurs when a foreign body partially obstructs the patient's airway. The patient is able to move adequate amounts of air, but also experiences some degree of respiratory distress.
Term
Minute Ventilation/Volume
Definition
The volume of air moves through the lungs in 1 minute minus the dead space; calculated by multiplying tidal volume (minus dead space) and respiratory rate.
Term
Nasal Cannula
Definition
An oxygen-delivery device in which oxygen flows through two small, tube-like prongs that fit into the patients nostrils; delivers 24% to 44% supplemental oxygen, depending on the flow rate.
Term
Nasopharyngeal (Nasal) airway
Definition
Airway adjunct inserted into the nostril of an unresponsive patient, or a patient with an altered level of consciousness who is unable to maintain airway patency independently.
Term
Nasopharynx
Definition
The nasal cavity; formed by the union of facial bones and protects the respiratory tract from contaminates
Term
Non Rebreathing Mask
Definition
A combination mask and reservoir bag system that is the preferred way to give oxygen in the prehospital setting; delivers up to 90% inspired oxygen and prevents inhaling the exhaled gas CO2
Term
Oropharyngeal (oral) Airway
Definition
Airway adjunct inserted into the mouth of an unresponsive patient to keep the tongue from blocking the upper airway and to facilitate suctioning the airway, if necessary.
Term
Oropharynx
Definition
Forms the posterior portion of the oral cavity, which is bordered superiorly by the hard and soft palates laterally by the cheeks and inferiorly by the tongue.
Term
Oxygenation
Definition
The process of delivering oxygen to the blood by diffusion from the alveoli following inhalation into the lungs.
Term
Parietal Pleura
Definition
Thin membrane that lines the chest cavity.
Term
Partial Pressure
Definition
The term used to describe the amount of gas in air or dissolved in fluid, such as blood.
Term
Patent
Definition
Open, clear of obstruction
Term
Phrenic Nerve
Definition
Nerve that innervates the diaphragm; necessary for adequate breathing to occur.
Term
Pin-Indexing System
Definition
A system established for portable cylinders to ensure that a regulator is not connected to a cylinder with the wrong type of gas.
Term
Pneumothorax
Definition
A partial or complete accumulation of air in the pleural space.
Term
Poor Air Exchange
Definition
A term used to describe the degree of distress in a patient with a mild airway obstruction. With poor air exchange, the patient often has a weak, ineffective cough, increased difficulty breathing, or possible cyanosis and my produce a high-pitched noise during inhalation (stridor)
Term
Positive End-Expiratory Pressure (PEEP)
Definition
Mechanical maintenance of pressure in the airway at the end of expiration to increase the volume of gas remaining in the lungs.
Term
Pulse Oximetry
Definition
An assessment tool that measures oxygen saturation of hemoglobin in the capillary beds.
Term
Recovery Position
Definition
A side-lying position used to maintain a clear airway in the unconscious patients without injuries who are breathing adequately.
Term
Residual Volume
Definition
The air that remains in the lungs after maximal expiration
Term
Respiration
Definition
The process of exchanging oxygen and carbon dioxide.
Term
Retractions
Definition
Movements in which the skin pulls in around the ribs during expiration.
Term
Sellick Maneuver/ Cricoid Pressure
Definition
A technique that is used to prevent gastric distention in which pressure is applied to the cricoid cartilage;
Term
Severe Airway Obstruction
Definition
Occurs when a foreign body completely obstructs the patients airway. Patient cannot breathe, talk or cough.
Term
Stoma
Definition
An opening through the skin and into an organ or other structure. The opening in the neck connects the trachea directly to the skin
Term
Stridor
Definition
A high-pitched noise heard primarily on inspiration.
Term
Suction Catheter
Definition
A hollow, cylindrical device used to remove fluid from the patient's airway.
Term
Surfactant
Definition
A liquid protein substance that coats the lungs, decreases alveolar surface tension, and keeps the alveoli expanded; a low level in a premature infant contributes to respiratory distress syndrome.
Term
Tension Pneumothorax
Definition
A life-threatening collection of air within the pleural space; the volume and pressure have both collapsed the involved lung and caused a shift of the mediastinal structures to the opposite side.
Term
Tidal Volume
Definition
The amount of air (in mL) that is moved in or out of the lungs during one breath.
Term
Tonsil Tips or Yankauer Tips
Definition
Large, semi rigid suction tips recommended for suctioning the pharynx.
Term
Tracheostomy
Definition
Surgical opening into the trachea.
Term
Ventilation
Definition
Exchange of air between the lungs and the environment, spontaneously by the patient or with assistance from anther person.
Term
Visceral Pleura
Definition
Thin membrane that covers the lungs.
Term
Vital Capacity
Definition
The amount of air that can be forcibly expelled from the lungs after breathing in as deeply as possible.
Term
Vocal Cords
Definition
Thin white bands of tough muscular tissue that are lateral borders of the glottis and serve as the primary center for speech production.
Term
Wheezing
Definition
The production of whistling sounds during expiration such as occurs in asthma and bronchiolitis.
Supporting users have an ad free experience!