Study sets matching "pulmonary"

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Study sets matching "pulmonary"

Pulmonary
Cyanosis
Anemia
Central Cyanosis
Peripheral cyanosis
bluish color of skin or mucosa due to deoxyhemoglobin (>4gm/d…
hypoxemia without cyanosis
decreased arterial oxygen saturation ... may be caused by hemog…
blusih discoloration in the extremities ... may be caused by re…
Cyanosis
bluish color of skin or mucosa due to deoxyhemoglobin (>4gm/d…
Anemia
hypoxemia without cyanosis
93 terms
Pulmonary
Upper respiratory system include what…
What is the function of upper respirat…
What are parts of the lower respirator…
What are the 2 portions of the respira…
nose, nasal cavity, paranasal sinus and pharynx....all the th…
Filter, warm and humidify incoming air in turn, protecting th…
below the larynx include, larynx, trachea, bronchi, bronchiol…
Conducting portion and Respiratory Portion
Upper respiratory system include what…
nose, nasal cavity, paranasal sinus and pharynx....all the th…
What is the function of upper respirat…
Filter, warm and humidify incoming air in turn, protecting th…
Pulmonary
Pneumonia
Tuberculosis
Pleural Effusion
Asthma
An inflammation of lung tissue, wherer the alveoli in the aff…
An infectious disease that may affect almost all tissues of t…
an abnormal accumulation of fluid in the intrapleural spaces…
A medical condition characterized by airway inflammation and…
Pneumonia
An inflammation of lung tissue, wherer the alveoli in the aff…
Tuberculosis
An infectious disease that may affect almost all tissues of t…
Pulmonary
three sections of the thoracic cavity
Layers of the Pleura
Parietal Pleura
Visceral Pleura... (pulmonary pleura)
- Right pleural cavity... - Mediastinum... - Left pleural cavity
- Parietal Pleura... - Visceral pleura... (its actually one layer f…
- lines the thoracic cavity (attached to it)
- covers the entire surface of the lung
three sections of the thoracic cavity
- Right pleural cavity... - Mediastinum... - Left pleural cavity
Layers of the Pleura
- Parietal Pleura... - Visceral pleura... (its actually one layer f…
191 terms
Pulmonary
Diabetic Ketoacidosis
Uremia (chronic renal disease)
Nasal/sinus disease, lung abscess, bro…
Cyanide poisoning
sweet/fruity breath indicates ______
Ammonia smelling breath indicates _____
foul, putrid breath indicates
bitter almond smelling breath indicates
Diabetic Ketoacidosis
sweet/fruity breath indicates ______
Uremia (chronic renal disease)
Ammonia smelling breath indicates _____
60 terms
Pulmonary
Asthma... Bronchiectasis... Cystic fibrosis/…
asthma
obstructive
asthma
etiologies of obstructive pulmonary disease mnemonic:... ABCT
key fact - ___ should be suspected in children with multiple…
characterized by airway narrowing, ___ lung disease restric…
defined as reversible airway obstruction secondary to:... -bro…
Asthma... Bronchiectasis... Cystic fibrosis/…
etiologies of obstructive pulmonary disease mnemonic:... ABCT
asthma
key fact - ___ should be suspected in children with multiple…
29 terms
Pulmonary
pharynx
nasopharynx
epiglottis
uvula
pharynx
nasopharynx
80 terms
Pulmonary
What does OSA stand for?
Obstructive sleep apnea:
Apnea definition
hypopnea definition
Obstructive sleep apnea
Tongue and soft palate fall backward and create a partial or…
no respirations for more than 10 seconds
shallow respirations
What does OSA stand for?
Obstructive sleep apnea
Obstructive sleep apnea:
Tongue and soft palate fall backward and create a partial or…
97 terms
Pulmonary
80%
decreased
normal or increased
inspiration
FEV1 is usually ______ percent of FEV
In obstructive disease, FEV1/FEV ratio is ________
In restrictive disease, FEV1/FEV ratio is ________
External intercostal muscles can provide additional force for…
80%
FEV1 is usually ______ percent of FEV
decreased
In obstructive disease, FEV1/FEV ratio is ________
97 terms
Pulmonary
What pattern do you see on CXR for idi…
PE findings for pneumonia?
Cells involved in sarcoidosis?
What histological features do you see…
Honeycomb
Dullness to percussion and increased fremitus
CD4 helper T cells (TH2)... Macrophages
Non-caseating granulomas from unknown Ag... -Epithelioid histioc…
What pattern do you see on CXR for idi…
Honeycomb
PE findings for pneumonia?
Dullness to percussion and increased fremitus
255 terms
Pulmonary
1. Chronic Bronchitis ... 2. Emphysema
1. COPD... a. Emphysema ... b. Chronic Bro…
1. CF... 2. Bronchiectasis... 3. @-1-autipsi…
COPD
COPD is made up of what two diseases
Name the different pulmonary obstructive diseases.
Of the different pulmonary obstructive diseases, which ones a…
a state of airflow obstruction due to chronic bronchitis or e…
1. Chronic Bronchitis ... 2. Emphysema
COPD is made up of what two diseases
1. COPD... a. Emphysema ... b. Chronic Bro…
Name the different pulmonary obstructive diseases.
137 terms
Pulmonary
What is the most common cause of Rhini…
What are some atopic hypersensitivities?
What is the cause of Nasopharyngeal ca…
Child comes in frequently over the pas…
Rhinovirus
Allergic rhinitis... Asthma... Eczema
EBV... African children and Chinese adults
Cystic Fibrosis
What is the most common cause of Rhini…
Rhinovirus
What are some atopic hypersensitivities?
Allergic rhinitis... Asthma... Eczema
73 terms
Pulmonary
what are the obstructive lung diseases?
what are the restrictive lung diseases?
classic asthma triad
In asthma, a POSITIVE Methacholine cha…
asthma, COPD, bronchiectasis, CF... FEV1/FVC is decreased, FEV1…
sarcoidosis, pulmonary fibrosis, pneumoconiosis ... FEV1/FVC is…
chronic wheezing... dyspnea... cough
20%
what are the obstructive lung diseases?
asthma, COPD, bronchiectasis, CF... FEV1/FVC is decreased, FEV1…
what are the restrictive lung diseases?
sarcoidosis, pulmonary fibrosis, pneumoconiosis ... FEV1/FVC is…
122 terms
Pulmonary
Asthma ; ... what are the symptoms (DAY/n…
LIst exmples and MoA of ... Betat 2 agoni…
Asthma ; ... 1. main presentation ... 2.find…
Asthma : Diagnoistic testing ... 1. Initi…
1. EXPIRATORY WHEEZING ... 2. · Hyperventilation/increased resp…
1. Pulmonary function test PFT ; before and after INHALED BRO…
Asthma ; ... what are the symptoms (DAY/n…
LIst exmples and MoA of ... Betat 2 agoni…
Pulmonary
Lobar Pneumonia
Pathology
Etiology
Clinical Findings
...
fluid builds up in specific lobe (congestion) may consolidate
streptococcus pneumonia
pleura inflamed, sudden/acute onset with fever/chills... Rales/n…
Lobar Pneumonia
...
Pathology
fluid builds up in specific lobe (congestion) may consolidate
9 terms
pulmonary
findings of alpha-1 antitrypsin defici…
tech DTPA aerosol size for ventilation…
if tech DTPA is used for a VQ, is vent…
size of MAA particles
matched VQ defect in lower lobes including air trapping
0.1 - 0.5 um (NOT 4-6 um, a choice included on 2006 exam)
vent is done first
30-60 µm
findings of alpha-1 antitrypsin defici…
matched VQ defect in lower lobes including air trapping
tech DTPA aerosol size for ventilation…
0.1 - 0.5 um (NOT 4-6 um, a choice included on 2006 exam)
89 terms
Pulmonary
Dorsal respiratory group
ventral respiratory group
Pontine respiratory group
respiratory centers
inspiratory neurons
inspiratory neurons and expiratory neurons, active breathing
tonic input to DRG and VRG to coordinate respiratory rhythm
involuntary group... - dorsal respiratory group... - ventral respir…
Dorsal respiratory group
inspiratory neurons
ventral respiratory group
inspiratory neurons and expiratory neurons, active breathing
173 terms
pulmonary
what is done to differentiate between…
Asthma and COPD are diffrentiated by
what happens with bronchodilator test…
fixed obstruction
PFTs
bronchodilator test
>12% inc in FEV1
laryngeal edema
what is done to differentiate between…
PFTs
Asthma and COPD are diffrentiated by
bronchodilator test
36 terms
Pulmonary
Common cold
Rhinosinusitis
Influenza
Viral croup
-infectious rhinitis, viral upper respiratory infection... -low…
-inflammtion of nasal passages and sinusitis to an inflammati…
-viral infection that affects the upper and lower respiratory…
-inspiratory stridor, hoarseness and BARKING COUGH... -usually o…
Common cold
-infectious rhinitis, viral upper respiratory infection... -low…
Rhinosinusitis
-inflammtion of nasal passages and sinusitis to an inflammati…
24 terms
Pulmonary
Embryology of the heart and lungs
visceral vs. parietal pain
primary inspiratory muscles and expira…
accessory muscles of inspiration and e…
mesoderm
visceral is vague and unlocalized but parietal is very sensit…
intercostals and diaphragm/relaxatio and elastic recoil
pec major, scalenus anterior, SCM, serrates anterior ... abdomi…
Embryology of the heart and lungs
mesoderm
visceral vs. parietal pain
visceral is vague and unlocalized but parietal is very sensit…
pulmonary
age for COPD
clinical manifestations of emphysema v…
physical exam findings for emphysema v…
ABG/lab findings for emphysema vs chro…
55
emphysema- accessory muscle use, tachypnea, prolonged expirat…
emphysema- hyperresonance to percussion, decreased or absent…
emphysema- respiratory alkalosis ... chronic bronchitis- respira…
age for COPD
55
clinical manifestations of emphysema v…
emphysema- accessory muscle use, tachypnea, prolonged expirat…
210 terms
Pulmonary
Conducting Airways
Conducting Airways
Conducting Airways
Upper airway
Passageways between ambient environment and the alveoli. Uppe…
Passageways between ambient environment and the alveoli. Uppe…
Passageways between ambient environment and the alveoli. Uppe…
Nose, oral cavity, pharynx, larynx
Conducting Airways
Passageways between ambient environment and the alveoli. Uppe…
Conducting Airways
Passageways between ambient environment and the alveoli. Uppe…
35 terms
Pulmonary
Endotraceal Suctioning
Crackles plus low pulse oximetry
Bronchopulmonary Hygiene
Pursed lip-breathing
Used only when alternative airway clearance techniques do not…
Poor ventilation clearance --> Bromchopulmonary hygiene
Beneficial to prevent post-op atelectasis... - postural drainage…
- slows air flow, creates back pressure... -->Prevents the colla…
Endotraceal Suctioning
Used only when alternative airway clearance techniques do not…
Crackles plus low pulse oximetry
Poor ventilation clearance --> Bromchopulmonary hygiene
102 terms
Pulmonary
Atelectasis
Neonatal respiratory Distress syndrome
Acute Respiratory Distress Syndrome
Diffuse alveolar damage in acute lung…
Atelectasis
Neonatal respiratory Distress syndrome
Pulmonary
Upper Respiratory system
lower respiratory system
Right lung
Left Lung
nose, pharynx, larynx
trachea/epiglottis, main carina, bronchi, bronchioles, alveol…
3 lobes, shorter and more broad
2 lobes, longer and narrower
Upper Respiratory system
nose, pharynx, larynx
lower respiratory system
trachea/epiglottis, main carina, bronchi, bronchioles, alveol…
8 terms
Pulmonary
Peripheral pruning
Silicosis characteristics on CXR
PE findings of Pnemonia
Emperical Drug of choice for pneumococ…
of the large pulmonary arteries is characteristic of pulmonar…
eggshell calcification of hilar or mediastinal lymph nodes; m…
inspiratory crackles, bronchial breath sounds, increased tact…
Macrolides ( clarithromycin, azithromycin)
Peripheral pruning
of the large pulmonary arteries is characteristic of pulmonar…
Silicosis characteristics on CXR
eggshell calcification of hilar or mediastinal lymph nodes; m…
147 terms
Pulmonary
Asthma - Essentials
Asthma - S/S
Exercise-Induced asthma
Asthma - DX
- Male children <14yrs or F adults: 50% onset before 10 yrs,…
episodic wheezing (not included on forced expiration)... dyspnea…
during exercise or within 3 minutes after its end; peaks with…
PFT: spirometry before and after adminstration of SABA... - + if…
Asthma - Essentials
- Male children <14yrs or F adults: 50% onset before 10 yrs,…
Asthma - S/S
episodic wheezing (not included on forced expiration)... dyspnea…
104 terms
Pulmonary
Symptoms of pulm dysfunction
Cough
dyspnea
chest pain
cough, dyspnea, abnormal sputum, chest pain, hemoptysis, cyan…
persistent, productive with purulent sputum (infection, or no…
indicates hypoxia... diffuse not focal disease ( except PE)
-pulmonary chest pain patterns, usually substernal or chest r…
Symptoms of pulm dysfunction
cough, dyspnea, abnormal sputum, chest pain, hemoptysis, cyan…
Cough
persistent, productive with purulent sputum (infection, or no…
30 terms
Pulmonary
Common cold
Influenza
Viral croup
Epiglottitis
-infectious rhinitis, viral upper respiratory infection... -low…
-viral infection that affects the upper and lower respiratory…
-inspiratory stridor, hoarseness and BARKING COUGH... -usually o…
-inflammatory edema of the supraglottic area, including the e…
Common cold
-infectious rhinitis, viral upper respiratory infection... -low…
Influenza
-viral infection that affects the upper and lower respiratory…
142 terms
pulmonary
Young patient with history of cough, c…
Best thing to reduce mortality rate in…
Patient with TB, had ocular toxicity s…
Patient treated for TB started to deve…
Amoxicillin
Stop smoking
Ethambutol
Pyridoxine
Young patient with history of cough, c…
Amoxicillin
Best thing to reduce mortality rate in…
Stop smoking
pulmonary
albuterol
azelastine
benzonatate
budesonide
proair HFA, proventil HFA, ventolin HFA
astelin, astepro
tessalon perles
pulmicort respules, pulmicort flexhaler
albuterol
proair HFA, proventil HFA, ventolin HFA
azelastine
astelin, astepro
5 terms
Pulmonary
Epiglotitits
Croup
URI
Forieng Body
Thumb print caused by Hflu
steeple sign seal bark caused by URI
tg
gt
Epiglotitits
Thumb print caused by Hflu
Croup
steeple sign seal bark caused by URI
19 terms
Pulmonary
Intrapulmonary pressure
intrapletural pressure
external respiration
internal respiration
Pressure which you have between lungs and thoracic wall... Lowe…
Pressure between the lungs and chest wall—the pressure when t…
Exchange of O2 and CO2 in the lungs
O2 utilization and CO2 production by the tissues
Intrapulmonary pressure
Pressure which you have between lungs and thoracic wall... Lowe…
intrapletural pressure
Pressure between the lungs and chest wall—the pressure when t…
109 terms
Pulmonary
The chest and lungs allow for ________…
Purpose of respiration:
Respiration Involves:
Physical Exam:... Inspect the chest; fron…
respiration
to keep the body adequately supplied with oxygen and protecte…
Movement of air back and forth from the alveoli to the outsid…
Size and shape ... - Anteroposterior diameter compared with the…
The chest and lungs allow for ________…
respiration
Purpose of respiration:
to keep the body adequately supplied with oxygen and protecte…
104 terms
Pulmonary
Components of respiratory anatomy
Upper Airways
Lower Airways
Alveolar-capillary unites
1. Chest wall... 2. Airways... 3. Alveolar-capillary units... 4. Pulmo…
Nasal turbinates, pharynx, hypopharynx ... Job: Filter and humi…
everything distal to the epiglottis --> alveoli
Interface for gas exchange
Components of respiratory anatomy
1. Chest wall... 2. Airways... 3. Alveolar-capillary units... 4. Pulmo…
Upper Airways
Nasal turbinates, pharynx, hypopharynx ... Job: Filter and humi…
PULMONARY
describe/draw the anatomy of the pulmo…
compliance
Elastic
Surfactant
UPPER: nasopharynx, oropharyns... larync (connect upper to lower…
distensibiity of the lunchs (DISTENDED)... --increases (easier t…
ability to return to its resting size
composed of lipids... decreases surface tension of water
describe/draw the anatomy of the pulmo…
UPPER: nasopharynx, oropharyns... larync (connect upper to lower…
compliance
distensibiity of the lunchs (DISTENDED)... --increases (easier t…
165 terms
Pulmonary
Maximal resistance?
Cartilage and goblet cells?
Clear debris in conducting zone? Respi…
Cell type in conducting zone? Respirat…
2nd to 5th generation airways
Extend to the end of the bronchi
cilia... macrophages
pseudo stratified ciliated columnar, cuboidal ... cuboidal then…
Maximal resistance?
2nd to 5th generation airways
Cartilage and goblet cells?
Extend to the end of the bronchi
33 terms
pulmonary
bulk flow
bulk flow
inspiration
yes
movement of air occurs via
movement of molecules due to pressure difference
diaphragm pushes downward, ribs lift outward... volume of lungs…
is inspiration active?
bulk flow
movement of air occurs via
bulk flow
movement of molecules due to pressure difference
57 terms
Pulmonary
Bifurcation of trachea (anteriorly)
Bifurcation of trachea (posteriorly)
Obstructive lung diseases
Restrictive lung disease
Sternomanubrial joint
Upper T4
Decreased expiration flow, increases airway resistance: ... Emp…
Decreased inspiration flow, decreased lung compliance :... Pulm…
Bifurcation of trachea (anteriorly)
Sternomanubrial joint
Bifurcation of trachea (posteriorly)
Upper T4
pulmonary
blood
plasma
RBC
platelets
connective tissue made up of plasma, red blood cells, platele…
mixture of water, minerals, nutrients, and proteins
red blood cells which take oxygen to cells
pieces of larger cells that help stop bleeding and last for 5…
blood
connective tissue made up of plasma, red blood cells, platele…
plasma
mixture of water, minerals, nutrients, and proteins
116 terms
Pulmonary
start pp clues
What is the difference between a carot…
What color is air on an x -ray?
What color is fluid/ solid on x - ray?
...
Carotid body: chemoreceptor... Carotid sinus: baroreceptor
Black "radio lucent"
White "radio opaque "
start pp clues
...
What is the difference between a carot…
Carotid body: chemoreceptor... Carotid sinus: baroreceptor
72 terms
Pulmonary
upper lobe cavitation, consolidation w…
cavity with air fluid levels
cardiomegaly, Kerley B lines
hyperlucent lung fields, flat diaphragm
TB
abscess
CHF
COPD
upper lobe cavitation, consolidation w…
TB
cavity with air fluid levels
abscess
PULMONARY
ABCT - Etiologies of obstructive pulmo…
What should be suspected in children w…
obstructive lung disease
What is the definition of asthma?
Asthma... Bronchiectasis... Cystic fibrosis & COPD... Tracheal or bron…
asthma
restict air movement... air trapping
reversible airway obstruction secondary to bronchial hyperrea…
ABCT - Etiologies of obstructive pulmo…
Asthma... Bronchiectasis... Cystic fibrosis & COPD... Tracheal or bron…
What should be suspected in children w…
asthma
Pulmonary
asthma symptoms are worse when?
best initial test: acute asthma exacer…
If patient is asymptomatic but you are…
most accurate diagnostic test: asthma
at night
1. peak expiratory flow... 2. arterial blood gas
administer methacholine and see if there is more than a 20% d…
pulmonary function testing + methacholine challenge if patien…
asthma symptoms are worse when?
at night
best initial test: acute asthma exacer…
1. peak expiratory flow... 2. arterial blood gas
12 terms
Pulmonary
aerobic examples and vo2 max
glycolysis examples and vo2 max
Stored ATP/PCR system examples and vo2…
Metabolic profile type 1 muscle fiber
40 to 50% vo2max, marathon, fitness running, jgging
50 to 70% vo2max, 200 m run, 100 m swim, 50 m swim 400 m run
70% < olympic weight lifitng high jump, discus, ect
has more mitochondria, low amounts of force for long duration…
aerobic examples and vo2 max
40 to 50% vo2max, marathon, fitness running, jgging
glycolysis examples and vo2 max
50 to 70% vo2max, 200 m run, 100 m swim, 50 m swim 400 m run
24 terms
Pulmonary
Anterior chest landmarks
Anterior chest contains mostly...
Posterior chest contains mostly...
Resonance
upper and middle lobe
lower lobe
air within tissue, low pitch
Anterior chest landmarks
Anterior chest contains mostly...
upper and middle lobe
Pulmonary
arm circumference daily
Document the condition of the site in…
>10 ml
Bronchial
How to measure for subclavian vein thrombosis
When applying a new dressing to the patient's central venous…
What size syringe should you be doing PICC line flushes with?
Heard over the large airways-this is tubular
arm circumference daily
How to measure for subclavian vein thrombosis
Document the condition of the site in…
When applying a new dressing to the patient's central venous…
17 terms
Pulmonary
Acute/Chronic Bronchitis,
Asthma,
Pneumonia,
Community acquired pneumonia,
Steroids, bronchodilators and antibiotics
Inflammation airways. B2 agonists. Inhaled steroids
...
Rocephin and Zithromax
Acute/Chronic Bronchitis,
Steroids, bronchodilators and antibiotics
Asthma,
Inflammation airways. B2 agonists. Inhaled steroids
133 terms
Pulmonary
Pulmonary Function Tests
Indications of PFTS?
What are common signs and symptoms tha…
What drug exposures would warrant PFT…
Series of tests that provide objective, quantifiable and repr…
1. Diagnostics... 2. Measure of treatment effect and/or disease…
SOB, exertion dyspenia, cough
Bleomycin, Amiodarone can caused lung disease
Pulmonary Function Tests
Series of tests that provide objective, quantifiable and repr…
Indications of PFTS?
1. Diagnostics... 2. Measure of treatment effect and/or disease…
Pulmonary
Accessory Muscle Use
Asthma
Atelectasis
Bradypnea
Struggling for breath using extra muscles in addition to the…
Constriction of the airway due to muscular contraction of the…
Collapse of the alveoli in the lungs due to disease or poor i…
Decreased respiratory rate
Accessory Muscle Use
Struggling for breath using extra muscles in addition to the…
Asthma
Constriction of the airway due to muscular contraction of the…
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