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vocabulary
Stack #122003
Question | Answer |
---|---|
bronchoscopy | endoscope |
crackles | soft, high pitched, popping sounds during inspiration |
diffusion | gas from high concentration to areas of low |
dyspnea | labored breathing, SOAB |
hemoptysis | blood from resp tract |
hypoxemia | decrease in arterial oxygen tension in blood |
hypoxia | decrease in oxygen supply to tissues and cells |
orthopnea | upright position ot breathe |
physiologic dead space | no gas exchange |
pulmonary perfusion | blood flow thru pulmonary vasculature |
respiration | gas exchange - between air and blood and between blood and cells |
ventilation | movement of air in and out of airways |
wheezes | continuous musical sounds assoc. w/ airway narrowing or partial obstruction |
aphonia | can't speak due to disease or larynx injury |
epistaxis | nosebleed |
pharyngitis | inflammation of throat |
laryngitis | inflammation of voice box |
xerostomia | dry mouth |
acute lung injury | hypoxemic, respiratory failure, ARDS |
acute respiratory distress syndrome | interstitial infiltrates, alveolar hemorrhage, atelectasis, decreased compliance, refractory hypoxemia |
atelectasis | collapse of alveoli from hypoventilation, obstruction to airways, compression |
central cyanosis | blue skin from hemoglobin carrying low oxygen |
consolidation | solid lung tissue from collapse of alvoli or pneumonia |
cor pulmonale | heart of the lungs, enlargment of the right ventricle from hypertrophy or dilation |
empyema | purulent material in pleural space |
hemoptysis | cough up blood from lower resp tract |
hemothorax | collapse of lung from blood in pleural space |
induration | hard lesion or reaction eg tb test |
nosocomial | from hospitalization |
open lung biopsy | during thoracotomy incision |
fine needle aspiration | under fluroscopy or chest CT guidance to get cells of a mass or tumor |
orthopnea | SOB when in supine position |
pleural effusion | fluid in pleural space |
pleural friction rub | grating or creaking from rubbing of inflamed parietal and visceral pleurae |
pleural space | area between parietal and visceral pleurae |
pneumothorax | collapse of lung from positive pressure in pleural space |
pulmonary edema | increase in amount of fluid in lung |
pulmonary embolism | obstruction of pulmonary vasculature by embolus from blood clot, air bubble, fat droplets |
purulent | pus |
restrictuve lung disease | desease that causes a decrease in lung volumes |
tension pneumothorax | increaseing positive pressure in pleural space w/ each breath; emergency; must decompress or release positive pressure immeidately |
thoracentesis | needle in pleural space to remove fluid and decrease pressure on lung tissue; diagnosis to id pleural effusion causes |
transbronchial | thru the bronchial wall |
ventilation-perfusion ratio | ration between ventilation and perfusion in the lung; matching of ventilation to perfusion optimizes gas exchange |
air trapping | incomplete emptying of alveoli during expiration from loss of lung tissue elasticity (emkphysema), bronchospasm (asthma), airway obstruction |
asthma | reversible airflow obstruction, not a COPD |
bronchiectasis | chronc dilation of bronchi, potential for infection; not a COPD |
bronchitis | cough, sputum for at least 3 mths in 2 yrs. Is COPD |
chronic obstructive pulmonary disease | not fully reversible airflow limitation |
emphysema | destruction of walls of overdistended alveoli Is COPD |
metered dose inhaler | aerosolized meds |
polycythemia | increase in RBC concentration in blood; in COPD, body tries to improve O carrying capacity by producing RBC's |
spirometery | measures FEV1, FVC, FEF before or after bronchodilator administration |
airway pressure release ventilation | mechanical vent allows spontaneous breaths |
assist control ventilation | mechanical vent for spontaneous breathing or absence thereof |
chest drainage system | chest tube, closed drainage reexpands lungs and removes air, fluid, blood |
chest percussion | manually cupping over the chest wall to mobilize secretions in lungs |
chest physiotherapy CPT | removes bronchial secretions, improves ventilation, , increases efficiency of respiratory muscles eg postural drainage, percussion, vibration |
continuous positive airway pressure CPAP | positive pressure applied throughout respiratory cycle to a spontaneously breathing patient to promote alveolar and airway stability; admin w/ endotracheal or tracheostomy tube or mask |
controlled ventilation | mech vent completely controls vent for paralyzed or anesthetized pt |
endotracheal intubation | thru nose or mouth into trachea |
fraction of inspired oxygen FiO2 | concentration of oxygen delivered 1.0= 100% |
hypoxemia | decrease in arterial oxygen tension in blood |
hypoxia | decrease in oxygen to tissues and cells |
intermittent mandatory ventilation IMV | mech vent both mech assisted and spontaneous breaths |
mech vent | positive or negative pressure breathing device that supports ventilation and oxygenation |
pneumothorax | collapse of lung from positive pressure in pleural space |
positive end expiratory pressure PEEP | positive pressure maintained by vent at end of exhalation (instead of normal zero pressure) to increase functional residual capacity and open collapsed alveoli; improves oxygenation w/ lower FiO2 |
postural drainage | positioning patient to allow drainage from all lobes of lungs and airways |
pressure support ventilation PSV | mech vent positive pressure is delivered w/ spontaneous breaths to decrease work of breathing |
proportional assist ventilation PAV | mech vent partial vent support in proportion to patient to decrease work of breathing |
respiratory weaning | withdrawal from vent, breathing tube, oxygen |
synchronized intermittent mandatory ventilation SIMV | mech vent ventilated breaths are synchronized w/ spntaneous breathing |
thoracotomy | surgical opening into chest cavity |
tracheotomy | surgical opening into the trachea |
tracheostomy tube | indwelling tube inserted directly into the trachea to assist w/ ventilation |
vibration | massage, quickly tap chest w/ fingertips or mechanical device to mobilize lung secretions |