CASAL 2 - Unit 4, CASAL II UNIT 4 COMBINED RESP – Q’s
And A’s
Function of respiratory sytem Right Ans - - give oxygen to and remove CO2
from body
Perfusion Right Ans - movement of oxygenated blood into tissues
Respiratory system also responsible for? Right Ans - - Acid-base balance:
The exchange of carbon dioxide for oxygen in the lungs and the renal
secretion of bicarbonate maintain the body's pH between 7.35 and 7.45.
- CO2 up = pH down = acidosis
- CO2 down = up pH = alkalosis
- Speech: The movement of air through the vocal cords allows vocalization of
words
- Sense of smell - The movement of air through the nose allows an individual
to smell odors in the environment.
- Fluid balance: Water is excreted as water vapor through the exhalation
process. This helps to maintain the body's fluid balance.
Upper vs Lower respiratory system Right Ans - UPPER
- mouth
- nose
- sinus
- pharynx
- larynx
LOWER
- trachea
- lungs
Turbinates Right Ans - - bone that prtorude in the nose
- 3 of them
- filter air and warm the air breathed through nose
,Larynx has 2 types of cartilage Right Ans - - thyroid and cricoid cartilage
- thyroid cartilage protrudes from the neck and forms the "Adam's apple."
- cricoid cartilage is just below the thyroid cartilage and wraps around neck
3 Sounds/locations for lung sounds Right Ans - 1. Bronchial
- heard over trachea
-hollow / tubular
- loud
-harsh
- longer during expiration
2. Bronchovesicular
- heard over 1st and 2nd intercostal space
- moderate intensity
- heard equally during inspiration and expiration
3. Vesicular:
- heard over lungs
- soft, low pitch
- breezy
- longer during inspiration
Percussion sounds and corresponding respiratory conditions
Flat
Dull
Tympany
Hyperresonance Right Ans - Flat - pleural effusion (water in lungs)
Dull - pneumonia, atelectasis, mass
Tympany - large pneumothorax
Hyperresonance - Emphysema, chronic asthma, pneumothorax
Crackles/Rales Right Ans - - sounds like you are rubbing hair together
- Cause: inflation of previously deflated lung tissue
- Present during inspiration (early or late)
Rhonci Right Ans - - rattling, snoring, low pitched
,- Cause: obstruction, sputum, or secretions typically in upper airways
- Present during inspiration and expiration
- May clear with coughing/suctioning
Wheezing Right Ans - - song-like, high pitche
- Cause: bronchoconstriction and inflammation
- Present during inspiration, expiration, or both (PRIMARY EXPIRATION)
Stridor Right Ans - - strained, high-pitched
- Cause: airway obstruction
- heard during INSPIRATION
Friction Rub Right Ans - - grating or squeaking
- Cause: inflammation of pleural space
- present during inspiration and expiration
Signs of hypoxia Right Ans - - fast HR
- clubbing of nails
- bluish color of lips
- SOB
Arterial blood gases Right Ans - ph 7.35 v- 7.45
CO2 35-45
HCO3 22-26
O2 80-100
Respiratory acidosis/alkalosis and Metabolic Right Ans - ROME
Respiratory
O - opposite
- ph down, CO2 up and vis versa
Metabolic
E - equal
- ph down, HCO3 down
Capnography Right Ans - - continuously records CO2 levels
Bronchoscopy Right Ans - - visual examination of the bronchi
, - patient is sedated
- pt should be NPO 6 hrs prior
- remove dentures, inspect mouth
- assess for gag reflex
Tracheal shift Right Ans - - shifted to unaffected (healthy side) with thyroid
enlargement, tumor, aortic aneurysm and pneumothorax
- pulled toward affected side with atelectasis, pleural adhesions or fibrosis
Cystic Fibrosis Right Ans - - hereditary disease
- secretion of thick mucus that blocks internal passages, including those of the
lungs, causing respiratory infections
Tonsils Right Ans - - palatine, pharyngeal, lingual
Mucociliary escalator Right Ans - Term for the apparatus of mucus and
cilia; responsible for movement of mucus up and out of the respiratory tract;
mucus traps particles and cilia propel mucus up and out of the lungs
Influenza risk factors Right Ans - - age (young kids and above 65)
- occupation
- pregnancy
- environment
- immune system
- chronic illnesses
RIDTs Right Ans - Rapid Influenza Diagnostic Tests
- swab that checks for the flu
- done in 30 mins
- sensitivity and specificity of RIDT's process depends on the variables,
including the manufacturer's test used and the type of influenza virus
circulating.
Flu S/Sx Right Ans - - cough
- runny nose
- sore throat
- fever
- achy body (myalgia)
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