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respiratory system
the respiratory system
70
Nursing
Undergraduate 2
09/19/2010

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Cards

Term
How many ribs are there?
Definition
12
Term
What are the number of ribs that connect to the sternum?
Definition
the first 7 pairs
Term
what level is the lower tip of the scapula at when a patient is sitting arms at their sides?
Definition
the 7th or 8th rib
Term
How many lobes does each lung have?
Definition
The right lung is made up of 3 lobed whereas the left lung only contains 2 lobes. 
Term
in a healthy adult upon inspiration, how far will the lungs go?
Definition
the lungs will extend down to the 8th intercoastal space anteriorly and to the 12th intercostal space
Term
Parietal pleura
Definition
A thin double layered serious membrane. It lines the chest cavity
Term
Visceral pleura
Definition
A serious double layer membrane that covers the external surfaces of the lung
Term
What prevents the trachea from collapsing?
Definition
hyaline cartilage maintains the shape and prevents the collapse of the trachea
Term
Why is the right bronchus a danger to the body?
Definition
It's shorter than the left main bronchus which makes aspiration of objects more likely to enter the right lung than the left lung
Term
What muscles help us breath?
Definition
The diaphram helps with vertical expansion and the intecostals muscles help lift the sternum and ribs for horizonal expansion
Term
what charge do the lungs have when we breath in?
Definition
A negative
Term
what controls breathing in the brain?
Definition
the medulla and pons in the brain stem
Term
hypercapnia
Definition
an increase in carbon dioxide in the blood which makes the body want to breathe
Term
hypoexemia
Definition
A decrease of oxygen in the blood that can give an impulse to breathe
Term
Dyspnea
Definition
difficulty breathing. Gradual onset of dspnea is a sign of lung changes such as emphysemia whereas sudden onset is a sign of viral or bascterial infections
Term
edema or agina that occurs WITH dyspnea is a sign of?
Definition
a cardiovascular problem
Term
As you age what occurs to the lungs and may happen as a result?
Definition
The lungs lose their elasticity, have fewer working capillaries, and a loss of lung resiliency. As a result an older adult can have dyspnea with certain activities. 
Term
Orthopnea
Definition
difficulty breathing while lying supine
Term
what is orthopnea a sign of?
Definition
heart failure
Term
Paroxysmal nocturnal dyspnea
Definition
VEry bad dyspnea that awakens the person from sleeping
Term
Sleep apnea
Definition
periods of breathing cessation while sleeping
Term
Where are pain sensitive nerve endings NOT located? What could the meaning of pain in thh chest be a sign of?
Definition
In the lungs. Chest pain that has a pulomonary origin may be a sign of pulmonary disease
Term
Why is pain from pleuritis absent in elderly individuals?
Definition
It could be absent due to alterations in pain perception
Term
Continous coughing is often asociated with?
Definition
acute infections
Term
Coughing only in the early morning is associated with?
Definition
chronic bronchial inflammation or smoking
Term
coughing only in the late evening can be a sign of?
Definition
Can be the result of exposure to irritants or could be a sign of post nasal drip or sinitus
Term
Non productive coughs are a sign of??
Definition
upper respiratory irritants and congestive heart failure
Term
white or mucoid sputnum is a sign of?
Definition
common colds, viral infections, or bronchitis
Term
Yellow or green sputnum is a sign of?
Definition
bacterial infections
Term
hemoptysis
Definition
blood in the sputnum
Term
Hemoptysis is a sign of?
Definition
A serious respiratory condition
Term
Rust colored sputnum is a sign of?
Definition
tubberculosis or pneumococcal pneumonia
Term
What is a sign of pink frothy sputnum?
Definition
Indicative of pulomonary edema
Term
What is weezing?
Definition
narrowing of the airways is due to spasm of obstruction
Term
Weezing is associated with?
Definition
congestive heart failure, asthma, or excessive secretions
Term
Where are common areas where patients can be exposed to SARS?
Definition
China, vietnam, singapore, or canada. 
Term
Nasal flarring is a sign of?
Definition
labored respirations-esp in small children- and is a sign of hypoxia
Term
pursed lips may be seen in?
Definition
asthma, emphsema, or CHF as a physiological response to slow breathing down and to keep the alveoli open
Term
Cyanosis can be seen in patients with?
Definition
patients who are cold or hypoxic
Term
Spinous processes that deviate laterally in the thoracic area may indicate?
Definition
Scoliosis
Term
Kyphosis
Definition
An increased curve in the thoracic spine can be common in the older adult
Term
Tripod position
Definition
When the patient leans forward and uses their arms to support weight and lifts their chest to increase the breathing capacity
Term
Crepitis
Definition
Subcutaneous emphysemia. A crackling sensation  that occurs when air passes through fluid. 
Term
Fremitis
Definition
vibrations of air in the bronchial tubes transmitted to the chest wall
Term
What are normal findings when it comes to fremitis?
Definition
It is symatric nd easily identified n the upper lungs 
Term
Atelectasis
Definition
collapse or incomplete expansion of the lung
Term
pneumothorax
Definition
Air in the pleural space
Term
When is hyperressonance heard?
Definition
Is found in cases of trapped air such as emphysema or pneumothorax.
Term
When is dullness heard while percussion the lungs?
Definition
It is present when fluid of solid tissue replaces air in the lung or occupies the pleural space
Term
What side of the diaphram might be higher in the posterior due to the position of the liver?
Definition
The diaphram may be higher on the RIGHT side
Term
What should happen when you auscultate  patients lungs and they say "99". What shouldn't happen?
Definition
Known as a Bronchophony. You should NOT be able to hear the actual phrase, just muffling. If you CAN hear the phrase then you are looking at an increased density with the lung. This could be pneumonia or atelactisis.
Term
When auscultating a patients lungs and you ask them to say the letter 'E', what should and should not happen?
Definition
Also known as a egophony. E SHOULD be clear and distinct. Over areas of consolidation or compression the sound is louder and sounds like an "A"
Term
When going through a whispered pectoriloquey, what should you hear and not hear?
Definition
The sound should be very faint and muffled--possibly inaudible. An abnormal finding would be being able to hear clearly what the patient says. 
Term
Pectus excavatum
Definition
also known as funnel chest. Characterized by a sunken sternum and adjacent cartilages
Term
Pectus carinatum
Definition
A forward protrusion of the sternum that auses the ribs to slope backwards. 
Term
T OR F sternal contractions are normal with breathing?
Definition
FALSE. You should NOT be able to see any sternal retractions
Term
What is the barrel chest configurations of the ribs?
Definition
the ribs have a more horizontal position of the ribs and the coastal angle is MORE than 90 degrees. 
Term
tachpnea
Definition
More than 24 breathes per minute. Can be a direct result from respiratory insufficiency, alkalosis, pleurisy, or pneumonia
Term
What is concidered the norm for respirations?
Definition
12-20 respirations
Term
Bradypnea
Definition
less than 10 breathes per minute. 
Term
Hyperventilation
Definition
increased breathing rate and increased depth
Term
Kussmal's respirations
Definition
a type of hyperventilation associated with diabetic ketoacidosis
Term
Hypoventilation
Definition
decreased breathing rate with a decreased depth rate with an IRREGULAR pattern. Found with drug overdose and anesthetics
Term
Cheyne-Stokes respirations
Definition
regular pattern of deep breathing followed by periods of apnea. Can be found in older adults not related to a disease process. May be a direct result from from severe congestive heart failure, drug overdose, or renal failure.
Term
biots respirations
Definition
irregular patterns of of breathing chracterizzed by varying depth and rate follwed by periods of apnea. Seen in meningitis or with severe brain damage
Term
Clients with emphysemia may have a conciderably decreased fremitus as a result of...?
Definition
air trapping
Term
Tympany percussion is detected over??
Definition
over the stomach
Term
percussion resulting in a dull noise is found?
Definition
over breast tissue, the heart, and the liver
Term
A flat percussed noise is found...?
Definition
over the muscles and the bones
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