What is the function of the upper resp tract
warms and filters the air
What is the function of the lower resp tract
The lungs, it accomplishes gas exchange
What is the nose
passageway for air to pass to and from the lungs
Which lung has three lobes
right lobe
Which lung has two lobes
left lobe
What are some functions of the respiratory system
- Oxygen transport
- Respiration
- Ventilation
- diffusion and perfusion
- Gas exchange
How to do a comprehensive resp assessment
- Health Hx
- Old cart
How do you do a physical assessment
- General appearance (clubbing, cyanosis)
- Routine exam of upper structures (penlight)
- Assessment of lower resp structures
- Listen to the thorax for advantageous sounds
What are some common resp symptoms
dyspnea
cough
sputum production
chest pain
wheezing
hemoptysis
What does coughing at night indicate
indicates the onset of left sided heart failure or bronchial asthma
What does coughing with sputum in the morning indicate
bronchitis
What does it indicate when the cough worsens when supine
suggests postnasal drip
What does it indicate when they cough after food intake
indicates aspiration in the tracheobronchial tree or reflux
What is hemoptysis
expectoration of blood from the respiratory tract
What are some common causes of hemoptysis
- Pulmonary infection
- Carcinoma of the lung
- Abnormalities of the heart or blood vessels
- Pulmonary artery or vein abnormalities
- PE or infection
What are some diagnostic evaluations for respiratory issues
- Pulmonary function tests
- ABGs/VBGs
- Pulse ox
- Sputum studies
- Imaging studies
- Fluoroscopic studies
- Lung scans
- Thoracentesis
- Biopsies
What is a bronchoscopy
- Tube is inserted to see
- Direct inspection and examine the larynx, trachea and bronchi
What are some nursing interventions of a bronchoscopy
- Fluids and food withheld 4-8 hrs prior
- Ensure informed consent is obtained
- Pt must be NPO till cough reflex returns, then have them start with ice chips
- Observe resp status and observe for any issues
What is a thoracoscopy
- Examination of the pleural cavity, tissues and fluids can be obtained for analysis
Where do you do a thoracoscopy
in the OR under anesthesia
What are the indications for a thoracoscopy
evaluation and treatment of pleural effusions, diseases and tumor staging
What are some nursing interventions for a thoracoscopy
- Get informed consent
- Pt must remain NPO prior to procedure
- Monitor for bleeding, infection and resp status
- SOB can indicate pneumothorax, report immediately
What is a thoracentesis
- Procedure that aspirates fluid or air from the pleural space
What can you test pleural fluid for
pH, glucose, cancer markers and infection
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Week 1 Module 1 Chapter 213
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Week 1 Module 1 Chapter 919
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Week 1 Module 1 Chapter 711
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Week 2 Module 2 Chapter 6020
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Week 2 Module 2 Chapter 817
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Week 2 Module 2 Chapter 5928
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Week 3 Module 3 Chapter 5725
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Week 3 Module 3 Chapter 5610
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Week 3 Module 3 Chapter 1029
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Module 4- Ch. 1724
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Module 4- Ch. 1829
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Module 5 Ch. 1952
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Module 5 Ch 2021
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Module 5 Ch 2131
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Module 6 Ch 2232
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Module 6 Ch 2414
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Module 6 Ch 2339
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Module 7 Ch. 2630
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Module 7 Ch. 2751
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Module 7 Ch. 2824
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Module 8 Ch. 32- Assessment of Immune Function35
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Module 8 Ch. 34 Assessment with Allergic Disorders49
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Module 8 Ch. 61- Assessment of Neurological Function20
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Module 8 Ch. 62 Management of Pts with Neurologic Dysfunction56
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Module 8 Ch. 63 Management of Pts with Cerebrovascular Disorders32
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Module 9 Ch. 36 Assessment of Musculoskeletal function30
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Module 9 Ch. 38 Mgm of patients with Msk Trauma59
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Module 9 Ch. 37 Management of Pts with MSK Disorders73
