55 Questions
What is the active phase of ventilation known as?
Inspiration
Gas exchange in the respiratory system occurs primarily through which process?
Diffusion
What factors influence the diffusion of gases in the lungs?
Thickening of alveolar-capillary membrane
Which diagnostic study involves inserting a tube through the nose or mouth to view the airways and lungs?
Bronchoscopy
What is measured to assess how well your blood is carrying oxygen?
SpO2
Which method provides a precise measurement of oxygen and carbon dioxide levels in the body?
ABGs
Which radiological study is commonly used for assessing lung conditions like pneumonia or lung nodules?
CT scan
Which component is responsible for warming, filtering, and humidifying inspired air?
Nose
What is the main function of the lower airway components?
Conduction of air
How many lobes does the right lung have?
3
Which component is a main organ of respiration?
Trachea
What does the alveolar system consist of?
Alveoli
Which part of the respiratory system is responsible for the production of pulmonary surfactant?
Alveoli
What is the primary function of the upper airway components?
Filtering and warming inspired air
What is the purpose of a Venturi mask?
To administer oxygen with precise oxygen concentrations by controlling the air entrainment system.
Which device is placed directly into the trachea to establish an airway?
Endotracheal tube
What is a major precaution to be followed while using oxygen delivery systems?
Using synthetic materials around oxygen equipment
Which part of the heart forces blood out of the heart through the arteries?
Ventricles
What is the function of an oropharyngeal airway?
To bypass the upper airway obstruction and provide a passage for air
LMA (laryngeal mask airway) is an example of which type of artificial airway?
Endotracheal tube
Partial rebreather mask differs from Nonrebreather mask in that it:
Utilizes a reservoir bag that must be inflated prior to each breath
What is the formula to calculate cardiac output (CO)?
CO = SV x HR
What does systole refer to in the context of the cardiovascular system?
Contraction of heart muscle
Which factor affects cardiac output by representing the volume of blood in ventricles at the end of diastole?
Preload
What is the function of baroreceptors in the cardiovascular system?
Detect changes in blood pressure
Which age-related change contributes to increased systolic blood pressure (SBP)?
Decreased elastin in blood vessels
What diagnostic study is commonly used to assess cardiovascular function by monitoring heart activity over a period of time?
Holter monitor
Which biomarker is commonly associated with heart failure and can assist in diagnosis and management?
Troponin
'Orthostatic hypotension' is a condition associated with:
'Dizziness upon standing' due to sudden drop in blood pressure
Cardiac output is calculated by multiplying stroke volume (SV) by heart rate (HR).
True
Systole refers to the relaxation of the heart muscle.
False
Blood pressure is calculated by multiplying cardiac output (CO) by systemic vascular resistance (SVR).
False
Baroreceptors are part of the autonomic nervous system in the regulation of the cardiovascular system.
True
Orthostatic hypotension is a condition where blood pressure increases when changing positions.
False
A Holter monitor is used for assessing lung conditions like pneumonia.
False
Blood vessels become thicker and more elastic with age.
False
Cardiac catheterization is a diagnostic study that involves inserting a tube through the nose or mouth to view the airways and lungs.
False
Venous valves can become incompetent with age.
True
Decreased number and function of β-adrenergic receptors are age-related changes in the cardiovascular system.
True
What is the normal range for PaO2 in arterial blood?
80-100 mm Hg
Which condition is characterized by the signs and symptoms of inadequate oxygenation not measured by a lab value?
Hypoxia
What are common clinical manifestations of pneumonia?
Confusion and hypothermia in older adults
What risk factors for pneumonia does D.T. have based on the given information?
Age and history of mild heart failure
What type of pneumonia is D.T. likely exhibiting based on the chest x-ray findings?
Lobar pneumonia
What action should be prioritized for D.T. based on the O2 saturation level provided in the scenario?
Providing supplemental oxygen
What is a common risk factor for both Coronary Obstructive Pulmonary Disease (COPD) and Coronary Artery Disease (CAD)?
Smoking tobacco
How does Pursed Lip Breathing (PLB) benefit patients with COPD?
Prevents bronchiolar collapse
What diagnostic test confirms the diagnosis of COPD?
Spirometry
Which modifiable risk factor is NOT associated with Coronary Artery Disease (CAD)?
Age
Gdzie dokładnie odbywa się wymiana gazowa w płucach?
W pęcherzykach płucnych
Jakie funkcje pełni tchawica w układzie oddechowym?
Chroni płuca przed skręcaniem
Które struktury odpowiadają za przenikanie tlenu i dwutlenku węgla między układem oddechowym a krwioobiegiem?
Naczynia włosowate pęcherzyków płucnych
Gdzie znajdują się naczynia włosowate oddzielające ściany pęcherzyków płucnych?
W pęcherzykach płucnych
Co dzieje się z cząstkami dwutlenku węgla podczas wydechu?
Są wypychane z ciała
Jakie struktury transportują tlen i dwutlenek węgla między układem oddechowym a krwią?
Czerwone krwinki
Study Notes
Essential Factors for Normal Respiratory System Functioning
- Integrity of the airway system
- Properly functioning alveolar system
- Properly functioning cardiovascular and hematologic systems
Upper Airway Components
- Nose: warm, filter, and humidify inspired air
- Pharynx: shared passageway for food and air
- Larynx: contains vocal cords
- Epiglottis: separates trachea from esophagus
Lower Airway Components
- Trachea: conduction of air, mucociliary clearance, and production of pulmonary surfactant
- Right and left mainstem bronchi: branch into smaller bronchi
- Segmental bronchi: divide into smaller bronchioles
- Terminal bronchioles: lead to alveoli
Anatomy of the Lungs
- Right lung: 3 lobes, extends from base of diaphragm to apex above the first rib
- Left lung: 2 lobes, extends from base of diaphragm to apex above the first rib
- Lungs composed of elastic tissue (alveoli, surfactant, pleura)
Pulmonary Ventilation
- Inspiration: active phase of ventilation, breathing in
- Expiration: passive phase of ventilation, breathing out
Gas Exchange (Respiration)
- Refers to the intake of O2 and release of CO2
- Made possible by respiration and perfusion
- Occurs via diffusion (movement of O2 and CO2 between air and blood)
Factors Influencing Diffusion of Gases in the Lungs
- Change in surface area available
- Thickening of alveolar-capillary membrane
- Partial pressure
Assessment of Gas Transfer
- ABGs (arterial blood gases): provide info on acid-base status, pH of blood, and oxygen/carbon dioxide levels
- Pulse Oximetry: % Hgb saturated with O2, SpO2 (94-100%)
- Other methods: sputum, thoracentesis, skin tests, PFTs, diagnostic studies
Respiratory Assessment
- Subjective: patient's symptoms and history
- Objective: physical exam, diagnostic tests, and studies
Oxygen Delivery Systems
- Nasal cannula
- Nasopharyngeal catheter
- Transtracheal catheter
- Simple mask
- Partial rebreather mask
- Nonrebreather mask
- Venturi mask
Precautions with O2
- No flames, smoking
- Check electrical equipment
- Avoid synthetics, oils (spontaneous ignition)
Artificial Airways
- Oropharyngeal airway
- Nasopharyngeal airway
- Endotracheal tube
- Tracheostomy tube
- LMA (laryngeal mask airway)
Geriatric Specific Variations
- Structural changes: decreased lung elasticity, stiffening of chest wall
- Defense mechanisms: decreased cough reflex, impaired mucociliary clearance
- Respiratory control: decreased respiratory drive, blunted response to hypoxia
Cardiovascular System
- Vital for exchange of gases
- Cone-shaped, muscular pump, divided into four hollow chambers
- Blood flow: upper chambers (atria) receive blood from veins, lower chambers (ventricles) force blood out of the heart through arteries
Test your knowledge on various oxygen delivery systems like simple mask, nonrebreather mask, and venturi mask, as well as artificial airways such as oropharyngeal airway and endotracheal tube. Also, includes precautions to be taken while using oxygen. Recall and review important information related to oxygen therapy.
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