Respiratory and Oxygen Delivery
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Created by:
tearebarrett Plus on September 5, 2011
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82 terms
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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