Respiratory and Oxygen Delivery

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Created by:

tearebarrett Plus on September 5, 2011

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nursing

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Respiratory and Oxygen Delivery

Anoxia
Condition of being without oxygen
1/82
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Terms

Definitions

Anoxia Condition of being without oxygen
Apnea Absence of breathing
Atelectasis Collapsed area of lung
Cannula Tube for insertion into a cavity
Cyanosis Blue tinge to skin or mucous membrane
Dyspnea Difficulty breathing
Endotracheal Within the trachea
Expectorate Cough up and spit out
Expiration The movement of air out of the lungs
Humidifier Device supplying moisture
Hypercapnia Too much carbon dioxide in the blood
Hypoxemia A decreased amount of oxygen in the bloodstream
Hypoxia A reduced amount of oxygen available to meet cellular needs
Inspiration the movement of air into the lungs
Nebulizer A device that dispenses liquid in a fine spray, used to thin out thick secretions and open the bronchial tree by relaxing spasm
Obturator Curved guide that facilitates placement of the tracheal tube when inserted, removed after placement
Retractions When muscles move inward on inpirations, this is
Stridor High pitched wheezing sound resulting from turbulent air flow in upper airway, partial obstruction
Tachypnea Rapid breathing
Tenacious Adhesive or sticky
Tracheostomy a surgical operation that creates an opening into the trachea with a tube inserted to provide a passage for air
Three The right lung has ___ lobes
Two The left lung has ___ lobes
Forced Out When the diaphragm relaxes, the thoracic cavity space is decreased and air is ___ ___ of the lungs.
Enlargement When the diaphragm pulls, it causes ___ of the thoracic cavity.
Macrophages The aveoli contain ___ that quickly phagocytize inhaled bacteria and other foreign particles
Chemoreceptors ___ send signals to the medulla in response to changes in arterial blood gases
Twenty-One The air we breath has ___ percent oxygen
Vomitus Hypoxia occlusion by foreign body
Asthma, Chemical or Heat Burns ( that result in) Hypoxia caused by inflammation
Thoracic Extreme obesity can restrict ___ movement, causing hypoxia
High Altitude Environmental causes of hypoxia
Emphysema Hypoxia caused by disturbance in the diffusion of gases
Drugs, Coma, and Multiple Sclerosis Hypoxia caused by decreased neuromuscular function
Irritability or Restlessness; Respirations, Blood Pressure, and Pulse Increased One of the first signs of hypoxia
Tense Muscles Anxiety causes ___ ___, which need more oxygen
Suction Chamber There should be continuous bubbling in the ___ ___
Raise Bed, Set Suction Between 80-100 mm Hg, and Moisten the Catheter Nasopharyngeal suctioning requires you
Obstructed Airway The most common cause of respiratory insufficiency is ___ ___
Teach them to cough effectively The most effective way to clear a patient's respiratory tract of secretions after a thoracotomy and lung resection is to
Elasticity of respiratory tissues and efficiency of the immune system Older people are more prone to respiratory problems because they have decreased
PaCO2 In normal individuals, the drive to breathe and the control of the respiratory rate are dependent on
Assist the patient to turn, cough, and deep breathe One nursing intervention that can prevent respiratory insufficiency is to
Acidosis Less oxygen in the bloodstream leads to respiratory ___
Pooling Inadequate inflation of the lungs leads to ___
Medium Pooling of secretions provides a ___ for microorganisms to grow
Pa Stands for the partial pressure of gases in the arterial blood, measured in mmHg
Sa Stands for the arterial saturation of gases, the amount of molecules which are oxygenated in arterial blood, measured in % (arterial blood gas sampling) measured directly
Flowmeter A ___ is used to deliver oxygen
Ineffective Airway Clearance, Risk for Infection, Deficient Knowledge, and Risk for Injury Nursing Diagnoses relevent to the respiratory patient are
Two Hours Every respiratory patient should turn, cough, and deep breathe every ___ ___
3L/min The patient with COPD should not be given oxygen at more than ___, it may depress respiratory drive
Changing the ties and dressings,and Suctioning Trach care includes: cleaning stoma area, inner cannula of the tube, ___, and ___
Sp An indirect measurement of the gas content of blood (ex. oximetry)
90-100 % Normal SpO2 saturation is
80-100 mm Hg Normal PaO2
Four Rotate clip-on oximetry probes every ___ hours
Twenty-four Rotate disposable probes every ___ hours
Cyanosis and Muscle Retractions Late signs of hypoxia
Tongue In the unconscious person, the most common airway obstruction is the ___
Infection Dried tissues may become cracked and provide less resistance to ___
Cotton When using oxygen, patients should wear ___ clothing
Breathing and Lung Sounds Always assess ___, and check the chart for ordered flow rate and oxygen delivery method when administering oxygen
PaO2 Patients with obstructive lung diseases have a ___ breathing incentive; therefore, higher O2 concentrations will reduce the respiratory rate.
Sterile Technique Use ___ for nasopharyngeal and tracheobronchial tree and the intubated patient
Pharyngeal Airways Used for postoperative patients who can breathe on their own
Endotracheal tubes Used to maintain an airway in those patients who are unconscious or unable to ventilate on their own
Constant Bubbling There should be a ___ in suction chamber
Small Pillow Splint the chest incision with a ___
Atelectasis and Pnemonia The incentive spirometer is used to open alveoli and prevent or relieve ___ and ___
Confusion In the elderly, ___ is often present with falling oxygen levels
Relax Nurses can help patients with dyspnea to ___, expand chest fully, and use less of the limited oxygen with good positioning
Carina Junction of main bronchi
Milking Squeezing the tubing between the fingers with milking motion in a direction toward the drainage container and away from the patient
Stripping Pinch tubing close to chest and stabalize, then compress and pull finger down the tube toward the drainage container, use alcohol or petrolatum to lubricate
Water-Chamber This chamber should be filled and refilled to the correct level with sterile water as needed
Sterile NSS and H2O2 Used to clean the tracheostomy
Water Fluctuations and Gentle Continuous Bubbling In the water seal chamber there should be
2 minutes It may take up to ___ for the pulse oximetry probe to stabalize and a reading to appear
Lubricated Dressing for the chest tube sight should be
Postural Drainage Used to promote drainage from the lungs
Non-Rebreather Mask This mask delivers the highest concentration of O2

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