Respiratory Flash Cards

Flash cards of important things from MED/ SURG Respiratory Lectures

137 cards   |   Total Attempts: 188
  

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Cards In This Set

Front Back
Inspiration
Stimulated by Central Nervous System Active (diaphragm contracts and lowers) Lung volume increases, creating negative pressure so air can rush in
Expiration
Passive (Diaphragm relaxes and rises) Lung volume decreases, creating positive pressure pushing air out
Accessory Mucles in Respiration
Sternocleidomastoid Pectoralis Major Serratus Anterior Subclavian Abdominal muscles
SaO2 (Pulse Ox)
The amount of oxygen bound to hemoglobin Normal 95-100% Below 88% requires oxygen therapy
Partial Presssure of oxygen in plasma PaO2
Amount of dissolved oxygen in plasma Measured by Arterial Blood Gas Normal values: 80-100 mmHg
Site of gas exchange
Capillary beds Inhaled O2 moves from alveoli to capillaries
Respiratory Control
Chemoreceptors control the drive to breathe and respond to changes in pH and CO2
CO2 Narcosis
Increases in CO2 depress the entire central nervous system, inluding the respiratory center Chronically high CO2 levels seen in COPD have lost their normal stimulation Decreases in CO2 reflect CNS stimulation (Low CO2 levls can be seen in patients with pain)
Lung Compliance
Ability of the lung to distend during inspiration and recoil during expiration
Respiratory Positioning
High Fowlers helps in breathing With Pnemonia etc position with Good Lung Down
S/S of inadequate oxygenation
Early: unexplained restlessness, confusion, DOE, tachpnea, tachycardia Immediately check VS and spO2 Late: Confusion/ combativeness, pausing for breath, dyspnea at rest, use of accessory muscles, hypotension, cyanosis
Normal Blood pH
PH 7.35- 7.45 Primary regulator of acid-baseResponds immediately
Normal PaCO2
35-45 mmHgresponds within minutes
Normal PaO2
80-100 mmHg
Renal Control of Acid/ Base Normal HCO3
22-26 mEq/LDelayed response- hours to daysMetabolic component