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oxygenation
oxygenations test 1 155
45
Nursing
Undergraduate 1
02/24/2016

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Term
define oxygenation
Definition
the process that maintains oxygen levels necessary for the survival of living cells
Term
health promotion behaviors that affect oxygenation
Definition
Vaccinations
healthy lifestyle
environmental pollutants
Term
factors that affect respiration
Definition
lifestyle
medication
age
body weight
environment
health status
Term
lifestyle risk factors affecting oxygenation
Definition
smoking
substance abuse
stress
Term
factors that affect oxygenation
Definition
physiological factors
conditions affecting chest wall movement
influences of chronic disease
Term
physiological factors affecting oxygenation
Definition
decreased oxygen carrying capacity
hypovolemia
decreased inspired oxygen concentration
increased metabolic rate
Term
define hypovolemia
Definition
decreased level of circulating blood in the body
Term
list conditions affecting chest wall movement
Definition
pregnancy
obesity
neuromuscular disease
musculoskeletal abnormalities
trauma
CNS alterations
Term
causes of decreases oxygen concentrations
Definition
lung cancer
pulmonary edema
asthma
Atelecstasis
Term
environmental factors influencing oxygenations
Definition
living in smoggy urban areas
exposure to workplace hazards
(cocccidiodiomycosis)
(asbestosis)
Term
list 4 alterations in respiratory functions
Definition
HYPERVENTOLATION
HYPOVENTOLATION
HYPOXIA
CYANOSIS
Term
define: hyperventilation
Definition
ventilation in excess of that required to rid the body of co2 by cellular metabolism
Term
define: hypoventilation
Definition
alveolar ventilation inadequate to meet the body's oxygen needs or to eliminate co2
Term
define: hypoxia
Definition
inadequate tissue oxygenation at the cellular level
Term
define: cyanosis
Definition
blue discoloration of the skin and mucous membranes due to lack of O2
Term
what are some possible symptoms related to impaired oxygenation
Definition
life threatening
STRESS OR AGITATION
cyanosis-late sign of hypoxia
dizziness
Term
3 steps in oxygenation
Definition
ventilation
perfusion
diffusion
Term
define ventilation
Definition
process of moving gasses in and out of the lungs
Term
define perfusion
Definition
the ability of the cardiovascular system to pump oxygenated blood to the tissues and return deoxygenated blood to the lungs
Term
define diffusion
Definition
exchange of respiratory gasses in the alveoli and capillaries
Term
average respiratory rate for an infant
Definition
30 breaths per minute
Term
average respiratory rate for a preschooler
Definition
25 breaths per minute
Term
average respiratory rate for an adult
Definition
12-20 breaths per minute
Term
define: hypoxemia
Definition
decreased level of oxygen
Term
define hypoxia
Definition
not enough oxygen reaching the cells
Term
first signs of hypoxia
Definition
anxiety
restlessness
confusion
Term
cyanosis is a late sign of?
Definition
hypoxemia
Term
define patent airway
Definition
airway that is clean and free of obstruction
Term
what is a nursing priority in oxygenation?
Definition
PATENT AIRWAY
Term
questions to ask about oxygenation when taking a health history
Definition
are you having difficulty breathing?
do you have a cough?
is it productive?
do you have hemoptysis? coughing up blood?
smoking?
do you have dyspnea on exertion?
Term
how do we observe nose and upper airway?
Definition
make sure airway is patent
palpate sinuses
mouth breather?
deviated septum?
trauma or surgery to nose?
Term
what stimulates breathing
Definition
CO2
Term
what are some oxygenations labs and diagnostics?
Definition
ABGs
bronchoscopy
chest x rays
ct scans and mri
pulmonary angiography
pulse oximetry
sputum
thoracentesis
Term
define thoracentesis
Definition
removal of fluid from the chest for testing
Term
what causes clubbing
Definition
oxygen deficiency over long periods of time
Term
assessment for oxygenation
Definition
assess for: thoracic symmetry
barrel chest
use of intercostal muscles
positioning such as leaning forward
Term
when assessing respiration check what do we check?
Definition
RATE 12-20
DEAPTH
RHYTHEM
WHAT ARE INTERCAUSTAL MUSCLES DOING!!!
Term
WORK OF BREATHING IS DONE BY THE?

_____________________ MUSCLES
Definition
intercoastal
Term
name the abnormal rhythms of breathing
Definition
tachypnea
bradypnea
apnea
kussmauls breaths
cheyne-stokes
Term
define kussmauls breaths
Definition
usually greater than 35 may be slow or normal- very deep
Term
define cheyne-stoke breathing
Definition
breathing with a variable pattern
Term
NORMAL BREATH SOUNDS
Definition
BRONCHIAL- tracheal
BRONCHIALVESICULAR
VESICULAR
Term
DESCRIBE BRONCHIAL BREATH SOUNDS
Definition
LOUD, HARSH, TUBULAR, HIGH PITCHED
INSPIRATION IS SHORTER THAN EXPIRATION
Term
DESCRIBE BRONCOVESICULAR BREATH SOUNDS
Definition
OVER LARGE BRONCHI
BLOWING SOUND, MEDIUM PITCHED
INSPIRATION AND EXPIRATION ARE =
Term
DESCRIBE VESICULAR BREATH SOUNDS
Definition
PERIFERAL LUNG FIELDS
SOFT BREEZY, LOW PITCHED
INSPIRATION LONGER THAN EXPIRATION
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