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respiratory chapter1
Respiratory A & P chapter 1 flashcards
Question | Answer |
---|---|
4 ways to know that the ET Tube is in the proper position | Bilateral Chest Movement, Bilateral Breathing sounds, CO2 detector, X Ray |
5 conditions that may slow the function of the epiglottis | Drugs and Alcohol, stroke, glossopharyngeal nerve damage, CNS damage, ET Tube, Head injury, Depression |
List 5 conditions that may slow the function of the mucousciliary escalator | cigarette smoke, dehydration, positive-pressure ventilation, endotracheal suctioning, high inspired oxygen concentrations, hypoxia, atmospheric pollutants, general anesthetics |
What nerve innervates the submucousal gland | Parasympathetic Nerve |
Function of the sol and Jel layers | cilia move in the sol layer and propel mucous toward the oropharynx sol layer watery jel layer sticky |
5 chemical mediators of the airways | Histamine, heparine, SRS-A Slow reacting substance of anaphylaxis, PAF Platelet activating factor, ECF-A Eosinophilic chemotactic factor of anaphylaxis, Leukotrienes |
List 5 effects of the release of those chemical mediators | Increased vascular permeability, smooth muscle contraction, increase mucous secretion, vasodilation with edema, Inflamation |
What is Lung Parenchyma? | Functional units of the lung. All gas exchange ares. |
Failure to heat and humidify gasses inspired in the patient with an ET Tube will lead to what 3 problems | Drying of the sol, mucous ciliator to become slow, dehydration |
List 5 anatomic landmarks for intibation | vocal cords, epiglottis, glottis, esophagus, trachea |
4 characteristics of a strong caugh | Deep breath, strong valsalva maneuver, strong abdominal muscle contractions, forceful exhalation |
describe valsalva maneuver | forceful exhalation against a closed glottis |
2 structures in the airway that secretes mucous | submucosal gland, goblet cells |
list the structures of the lungs in decending order | Trachea, main stem bronchi, lobar bronchi, segmental bronchi, subsegmental bronchi, bronchioles, terminal bronchioles, respiratory bronchioles, aveolar ducts, aveolar sacs |
Name the structures of the lungs that are considered Conducting zone | Trachea, mainstem bronchi, lobar bronchi, segmental bronchi, subsegmental bronchi, bronchioles, terminal bronchioles, |
Name the structures of the lungs that carry on gas exchange | Respiratory bronchioles, aveolar ducts, aveolar sacs |
What gasses are exchanged in the lungs | Oxygen in, Carbon Dioxide out |
Between what two structures are gases exchanged? | lungs and bloodstream |
the pores of kohn connect what two structures? | Adjacent avioli |
What are two compartments of the interstitium. | Tight space, Loose space |
What is the function of pulmonary capillary? | gas exchange |
what is the function of the lymphatic system | removes excess fluid and protein molecules that leak into the pulmonary capillaries |
where is the hilum or hilar region located? | Where mainstem bronchi, vessels, and nerves enter the lung |
what is the primary neurotransmitter of the sympathetic nervous system? | epinephrine, norepinephrine |
what is the primary neurotransmitter of the parasympathetic nervous system | acetylcholine |
what is atropines effect on the heart and why | increases the heart rate because it blocks the parasympathetic nervous system |
name two tissues that make up the alveoli | Type I (squamous pneumocyte,alviolar epithelium, Type II (granular pneumocytes, atelectasis) |
What is between the alveolar epithelium and capillary endothelium? | Interstitial space. |
What is the tight space made up of? | collegin fibers |
Which nervous system does albuterol effect? | sympathetic nervous system |
Which nervous system does propranorol effect? | Parasympathetic |
what does colateral ventilation allow for | Air to move up and down, and side to side. |
what does beta I effect | Heart rate |
What does beta II effect | Lungs |
cross sectional area does what as air passes into the lungs? | Increases |
Name the sites for gas exchange | Respiratory bronchioles, aveolar ducts, aveolar sacs |
3 primary functions of the nose | heats, humidifies, filters air |
3 cartilages of the larynx | epiglottis, cricoid cartilage (Signet ring), Thyroid cartilage (Adams apple) |
What is the larynx refered as | voice box |
what is the space between the thyroid and cricoid cartilage | cricothyroid membrane |
the upper airway extends from where to where? | nares to the glottis |
what nerve supplies the epiglottis | glossopharyngeal nerve |
what is aspiration | sucking something other than air into the trachea |
What is nasal septum | dividing walls between the nares |
what lines the trachea and lower airways? | pseudostratified columnar ciliated epithelium |
where should the tip of th eeno tracheal tube be located? | Middle 1/3rd of the trachea |
what is below the left hemi diaphragm | Stomach |
What is below the right hemi diaphragm | liver |
how many C shaped cartilages make up the trachea | 16 to 20 |
how long is the trachea in cm's? | 11 to 13 |
what is a hole between the trachea and esphagus | tracheal esophigeal fistula |
what is the point where the main stem bronchi meet? | corina |
anatomically where is the corina located? | at the level of the 4th or 5th thorasic vertibrae |
What is loose space | area that surrounds the bronchioles, respiratory bronchioles, aveolar ducts, aveolar sacs, and lymphatic vessels. neuro fibers are found in this area |
name the non cartilaginous airways | bronchioles, terminal bronchioles |
Name the cartilaginous airways | trachea, main stem bronchi, lobar bronchi, segmental bronchi, subsegmental bronchi |
collectively the sites for gas exchange are named | lung parenchyma, primary lobule, functional units, terminal respiratory unit, acinus |
what is the nasopharynx | posterior portion of nasal cavity |
pharynx means? | throat |
oropharynx located where | posterior portion of oral cavity |
laryngopharynx located where | base of tongue, to entrance into the espohagus |
upper airway includes | nose, mouth, pharynx |
What covers epithelial lining | mucous blanket |
What are the canals of lambert | connect terminal bronchioles and alveoli, provide for collateral ventilation |
Where is surfactant situated | between the air and liquid of the alveoli |
What does surfactant play a major role in | decreasing surface tension of the alveoli |
What are type III cells | Alveolar macrophage |
What do Type III cells play a major role in | removing bacteria |
Alveolar-capillary clusters are surrounded, supported and shaped by what | interstitium |
Interstitium is a weblike network of what | collagen fibers |
Where is the tight space located | between alveolar epithelium and capillary endothelium |
pulmonary capillaries | surround the alveoli where gas exchange occurs |
what are pulmonary capillaries composed of | capillary endothelium |
alveolar capillary membrane = | gas exchange sites |
Where do lymphatic vessels end | lymph nodes |
where are lymph nodes located | just inside/outside lung parenchyma |
lymph nodes produce | lymphocytes, monocytes |
lymph nodes do what? | keep bacteria from gaining entrace into bloodstream |
What are the 2 divisions of the autonomic nervous system | sympathetic, parasympathetic |
the canals of lambert are found in the | terminal bronchioles |
what lines the anterior one-third of the nasal cavity | stratified squamous epithelium |
forms the nasal septum | ethmoid bone, vomer |
prevents the aspiration of foods and liquids | epiglottis |
eustachian tubes are found in the | nasopharynx |
the inferior portion of the larynx is composed of | cricoid cartilage |
has the greatest combined cross-sectional area | terminal bronchioles |
the left main stem bronchus angles off from the carina at about | 40 to 60 degrees |
ninety-five percent of the alveolar surface is composed of | type I cells (squamous pneumocytes) |
released when the parasympathetic nerve fibers are stimulated | acetylcholine |
released when the sympathetic nerve fibers are stimulated | epinephrine, norepinephrine |
pseudostratified ciliated columnar epithelium lines the | trachea, nasopharynx |
What are the accessory muscles of inspiration | scalenus muscles, sternocleidomastoid muscles, pectoralis major muscles, trapezius muscle, external intercostal muscle |
What are the accessory muscles of expiration | rectus abdominus muscle, external abdominis obliquus muscle, internal abdominis obliquus muscle, transversus abdominis muscle, internal intercostal muscle |
Supply the motor innervation of each hemidiaphragm | Phrenic nerve, lower thoratic nerves |
Located in the thoracic cage between the right and left lung | mediastinum |
The bronchial arteries nourish the tracheobronchial tree down to, and including | terminal bronchioles |
What are the 3 layers of the tissue in the airway | Epithelium, Lamina propria, cartilaginous layer |
called resistance vessels | arterioles |
what type of tissue make up the tracheobronchial tree | pseudostratified epithelium |
gas exchanges between the alveoli and the capillary by way of a process called | defusion |
list the effects of the sympathetic nervous system | increase Heart rate, relax bronchial smooth muscles, decrease bronchial secretion |
List the effects of the parasympathetic nervous system | decrease heart rate, constrict bronchial smooth muscles, increase bronchial secretion |
What effect will a parasympatholytic like atrophine have on bronchial secretion | decrease secretion |
vegas nerve is deeply routed in | parasympathetic nervous system |
What nerve innervates the vocal cords | recurrant laryngeal nerve |
Block Beta 1 = | heart rate goes down |
block beta 2 = | bronchoconstriction |
beta blocker drug | propranolol |
stimulation of beta 1 | heart rate goes up tachycardia |
stimulate beta 2 | bronchial smooth muscle relaxation, bronchodilation |
stimulate alpha | vasoconstriction of blood vessels, drying of mucosa, increase BP |
left lung is divided into upper and lower lobes by | oblique fissure |
visceral pleura is what | Lining of the surface of the lung |
parietal pleura is what | lines the interior portion of the thoratic cavity. |
what is pneumothorax | air or gas is introduced into the pleural cavity the intrapleural pressure rises to atmospheric pressure and causes the pleural membranes to seperate |
What are true ribs | first 7 ribs because they are attached directly to the sternum |
What are false ribs | 8th, 9th, and 10th ribs because the cartilage attaches to the cartilage of the ribs above |
What are floating ribs | ribs 11 and 12 float freely anteriorly |
what is intercostal spaces | 22 intercostal spaces between ribs that contain blood vessels, intercostal nerves, and the external and intercostal muscle |
what is the diaphragm | major muscle of ventilation. |
where ist he diaphragm located | between the thoratic cavity and the abdominal cavity |
the administration of a beta blocker like propranolol to an asthmatic will likely result in... | bronchoconstriction |
What are the three categories for chemical release causes? | Inflamation, Smooth muscle contraction, Increase mucous production |
what are the categories of inflamation | vascular permability, bronchialademia, vasodialation with ademia |
What drug is used for inflamation | cortical steroids (Anti inflamatory) |
What drug is used to dialate the airway | albuterol (Epinephrine/adrenaline) |
In the presence of lung infection what cell will migrate to the aveoli from the bloodstream | alveolar macrophages Type III |