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Respiratory- Overview1

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mattisensept's version from 2017-09-18 22:03

Section 1

Question Answer
RonchiLow pitched wheezes, both ins & exp, low pitched adventitious lung sounds, snoring gurgling or rattle like quality, usually clear after coughing, heard in chest wall where bronchi occur
Vesicular breath soundssoft and low pitched with a rustling quality during inspiration. softer experation
wheezesadventitious lung sounds that are continuous, high or low pitched
crackles (rales)brief popping lung sounds, louder, lower in pitch and last longer "bubbling" *early and late*
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Section 2

Question Answer
Finger clubbingChronic hypemia
StridorPartial obstruction of trachea or larynx
WheezesBronchoconstriction
Pleural friction rubPleurisy
Increased tactile fremitusLunch consolidation w/fluid or exudates
Hyper resonance air trapping
fine cracklesinterstitial filling w/fluid
absent breath soundsatelectasis
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Section 3

Question Answer
VTVolume of air inhaled and exhaled w/each breath
RVAmount of air remaining in lungs after forced expiration
TLCMaximum amount of air lungs can contain
VCMaximum amount of air that can be exhaled after maximum inhalation
FVCAmount of air that can be quickly and forcefully exhaled after max inspiration
PEFRmax rate of airflow during forced expiration
FEVAmount of air exhaled in first second of forced vital capacity
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Section 4

Question Answer
cuffless tracheostomy tube with cuff inflated pt can swallow w/o aspiration but requires suctioning, ot does not require mechanical ventilation and can protect airway
speaking tracheostomy tube pt. can speak w/attached air source, two tubings, one opening just above the cuff
Fenestrated tracheostomy tubecuff pressure monitoring not required, pilot tubing is not capped, cuff fils passively w/air ,
Tracheostomy tube w/ foam-filled cuffpilot tubing is not capped, cuff fills passively w/air, cuff pressure monitoring not requires
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Section 5

Question Answer
Pleural effusionLunch expansion restricted by fluid in pleural space
EmpysemaLunch expansion restricted by pus in intrapleural space
PleurisyInflammation of the pleura restricting lung movement
AtelectasisPresence of collapsed, airless alveoli
Idiopathic pulmonary fibrosisexcessive connective tissue in the lungs
KyphosoliosisSpinal angulation restricting ventilation
Narotic and sedative overdosecentral depression of respiratory rate and depth
Muscular dystrophyParalysis of respiratory muscles
Pickwickian syndromeexcess far restricts chest wall with diaphragmatic excursion
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Section 6

Question Answer
provides highest o2 concentrationsnon-rebreather mask
may cause aspiration of condense fluidtracheostomy collar
safest system to use in pt w/COPDventuri mask
most comfortable and causes least restriction on activitiesnasal canula
provides 40-60% O2 concentrationpartial rebreathing mask
invasive placement of catheter into tracheatranstracheal catheter
used to give 02 quickly for short timesimple face mask
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