RLE 2m Flashcards

(45 cards)

1
Q

It is the medical use of oxygen to help people who cannot get enough oxygen on their own. It is given to increase the amount of oxygen in the blood and improve tissue oxygenation. This therapy is commonly used for patients with breathing problems, low oxygen saturation, or certain heart and lung conditions. Oxygen can be delivered through devices like nasal cannulas, face masks, or ventilators. The goal is to maintain normal oxygen levels and prevent complications caused by hypoxia.

A

Oxygen Therapy

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2
Q

It is the setup used to store, regulate, and deliver oxygen to a patient. The system ensures that oxygen is given at the correct flow rate and concentration.

A

Oxygen System

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3
Q

This is the overall process by which the body takes in oxygen and gets rid of carbon dioxide. It includes breathing, gas exchange in the lungs, and the use of oxygen by body cells. Oxygen enters the blood through the lungs, while carbon dioxide is removed as a waste product.This is essential for producing energy needed by the body to function.

A

Respiration

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4
Q

This is the physical movement of air into and out of the lungs. It involves breathing in oxygen-rich air and breathing out carbon dioxide-rich air.This can occur naturally through normal breathing or with the help of machines like ventilators. Effective ventilation ensures that enough air reaches the lungs for gas exchange

A

Ventilation

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5
Q

This is the process of breathing air into the lungs. the diaphragm contracts and moves downward, allowing the lungs to expand. This creates a pressure change that pulls air into the lungs. Oxygen from the inhaled air then moves into the bloodstream. This is an active process that requires muscle effort.

A

Inspiration

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6
Q

This is the process of breathing air out of the lungs. the diaphragm relaxes and moves upward, causing the lungs to shrink. This pushes carbon dioxide out of the lungs and into the air.

A

Expiration

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7
Q

Trace the physiology of respiration.

A

Structure of the Respiratory System
Upper Respiratory System
Nose
Nasal Cavity
Nasal Conchae
Paranasal Sinuses
Pharynx
A. Nasopharynx
B. Oropharynx
C. Laryngopharynx

Lower Respiratory System
Trachea
Bronchi
Bronchioles
Alveolar Ducts
Alveoli and Alveolar Sacs

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8
Q

What is the process by which oxygen enters the blood and carbon dioxide leaves the blood at the level of the alveoli.

A

Alveolar gas exchange

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9
Q

Alveolar gas exchange is the process by which oxygen enters the blood and carbon dioxide leaves the blood at the level of the alveoli.
It occurs in the respiratory membrane, which is made of:

A

The alveolar wall

The capillary wall

A thin layer of fluid between them

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10
Q

Physiology of Respiration

A

Pulmonary Ventilation

Alveolar Gas Exchange

Transport of Oxygen and Carbon Dioxide

Respiratory Regulation

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11
Q

Respiratory centers in the brain
Breathing is controlled automatically by centers in the brainstem:

  • Generates the basic breathing rhythm
  • Controls inspiration and expiration
A

Medulla oblongata

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11
Q

Respiratory Regulation

Respiratory regulation refers to how the body controls the rate and depth of breathing to maintain normal levels of oxygen, carbon dioxide, and blood pH.
THE REGULATORS OF RESPIRATION

  1. Respiratory centers in the brain
    Breathing is controlled automatically by centers in the brainstem:
A

Medulla oblongata
- Generates the basic breathing rhythm
- Controls inspiration and expiration

Pons
- Modifies and smoothens the breathing pattern
- Prevents irregular or abrupt breathing

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12
Q

Respiratory centers in the brain
Breathing is controlled automatically by centers in the brainstem:

  • Modifies and smoothens the breathing pattern
  • Prevents irregular or abrupt breathing
A

Pons

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13
Q

Chemoreceptors
Breathing is mainly regulated by carbon dioxide (CO₂) levels, not oxygen.
There are two types of chemoreceptors:

A

A. Central chemoreceptors (medulla)
Detect changes in CO₂ and pH in cerebrospinal fluid
Very sensitive to increased CO₂

B. Peripheral chemoreceptors (carotid and aortic bodies)
Detect changes in:
Oxygen (O₂)
Carbon dioxide (CO₂)
pH

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14
Q

Normal Respiratory Rate of

Newborn and Infants (1-12 months)

A

30-60 breaths/min

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15
Q

Normal Respiratory Rate of

Preschool (3-5 years)

A

20-28 breaths/min

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15
Q

Normal Respiratory Rate of

Adolescent (12-17 years)

A

12-20 breaths/min

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15
Q

Normal Respiratory Rate of

Toddler (1-2 years)

A

22-37 breaths/min

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15
Q

Normal Respiratory Rate of

School-age (6-11 years)

A

18-25 breaths/min

16
Q

Normal Respiratory Rate of

Adult (18-64 years)

A

12-20 breaths/min

17
Q

The percentage of hemoglobin in the blood that is carrying oxygen, showing how well oxygen is delivered to the body.

A

Oxygen Saturation

17
Q

Normal Respiratory Rate of

Elderly (>64 years)

A

15-22 breaths/min

18
Q

The pattern and regularity of breathing, indicating whether breaths are evenly spaced or irregular.

A

Respiratory rhythm

19
Q

This is a pathological condition in which there is an insufficient amount of oxygen available to meet the metabolic needs of body tissues, resulting from impaired oxygen intake, transport, or utilization at the cellular level.

20
This refers to normal breathing characterized by a regular rhythm, normal depth, and effortless ventilation that adequately meets the body’s oxygen requirements under resting conditions.
Eupnea
21
This is a respiratory alteration in which the breathing rate is abnormally increased above normal limits, often as a compensatory response to increased oxygen demand or reduced lung function.
Tachypnea
22
This is a condition characterized by an abnormally slow respiratory rate due to reduced stimulation of the respiratory center in the brain or impaired neuromuscular function.
Bradypnea
23
This is a state of excessive ventilation in which the rate and depth of breathing exceed the body’s metabolic needs, resulting in excessive elimination of carbon dioxide.
Hyperventilation
24
This is a distinct abnormal breathing pattern characterized by deep, rapid, and labored respirations as a physiological attempt to compensate for severe metabolic acidosis.
Kussmaul’s breathing
25
This is an abnormal cyclic breathing pattern marked by gradual increases and decreases in the depth and rate of respirations followed by periods of apnea, reflecting impaired respiratory control.
Cheyne–Stokes respiration
26
This is a severely abnormal respiratory pattern characterized by irregular, unpredictable respirations interspersed with periods of apnea due to damage to the respiratory centers of the brain.
Biot’s breathing
27
This is a form of dyspnea in which breathing becomes difficult when a person lies flat due to redistribution of fluid or increased pressure on the lungs and heart.
Orthopnea
28
This is the subjective experience of uncomfortable, difficult, or labored breathing that results from an imbalance between respiratory demand and the body’s ability to meet that demand.
Dyspnea
29
This refers to partial or complete blockage of the respiratory passages that interferes with normal airflow and produces abnormal breath sounds during respiration.
Obstructed airway
30
Sources of Oxygen Oxygen is supplied through a centralized system in hospitals. Oxygen flow is regulated using a flowmeter. It provides a continuous and reliable flow of oxygen. Commonly used in inpatient settings.
Wall Outlet (Central Oxygen Supply)
31
Sources of Oxygen Portable containers that store compressed oxygen. Used during transport or in emergencies. Available in various sizes. Require monitoring of remaining oxygen levels to prevent depletion.
Oxygen Cylinders (Tanks)
32
Sources of Oxygen Mobile stands that hold oxygen cylinders. Allow patients to ambulate while receiving oxygen therapy. Ensure safe handling and secure placement of the tank.
Oxygen Strollers
33
Sources of Oxygen Devices that extract oxygen from room air and concentrate it. It does not require refilling. Commonly used for long-term home oxygen therapy. Require electricity and regular maintenance.
Oxygen Concentrators
34
Sources of Oxygen Delivers 100% oxygen under increased atmospheric pressure. Enhances oxygen delivery to tissues. Used for specific conditions such as carbon monoxide poisoning and non-healing wounds.
Hyperbaric Chamber
35
Methods of Oxygen Delivery and Nursing Considerations Delivers oxygen through two prongs inserted into the nostrils. Delivers low-flow oxygen (1–6 L/min). Suitable for stable patients needing mild oxygen support. Nursing considerations: Assess skin integrity around the ears and nostrils Humidify oxygen at flow rates ≥4 L/min Monitor oxygen saturation Encourage mouth breathing if nasal congestion is present
Nasal Cannula
36
Methods of Oxygen Delivery and Nursing Considerations Delivers oxygen through a mask covering the nose and mouth. Provides moderate oxygen concentration (5–10 L/min). Used for patients requiring short-term oxygen therapy. Nursing considerations: Maintain a minimum flow rate to prevent carbon dioxide rebreathing Remove mask during meals Ensure proper fit to avoid air leaks Monitor for skin irritation
Simple Face Mask
37
Methods of Oxygen Delivery and Nursing Considerations Delivers precise oxygen concentration. Ideal for patients requiring controlled oxygen, such as those with COPD. Nursing considerations: Use the correct color-coded adapter Do not alter prescribed settings Ideal for patients with COPD Monitor arterial oxygen levels
Venturi Mask
38
Methods of Oxygen Delivery and Nursing Considerations Delivers moderate to high concentrations of oxygen Has a reservoir bag that allows the patient to rebreathe the first one-third of exhaled air, which is rich in oxygen Does not have one-way valves between the mask and the reservoir bag Provides an oxygen concentration of approximately 40–70% Requires a flow rate of 6–10 L/min Used when patients need higher oxygen levels than a simple face mask but do not require a non-rebreather mask Commonly indicated for acute respiratory distress, trauma, or hypoxemia Nursing considerations: Ensure the reservoir bag remains partially inflated Monitor respiratory status closely Not suitable for long-term use
Partial Rebreather Mask
39
Methods of Oxygen Delivery and Nursing Considerations Delivers the highest concentration of oxygen among face masks Equipped with a reservoir bag and one-way valves that prevent inhalation of room air and rebreathing of exhaled air Provides an oxygen concentration of approximately 90–100% Requires a high flow rate of 10–15 L/min Used for critical or emergencies such as severe hypoxemia, trauma, shock, or cardiac arrest Intended for short-term use only Nursing considerations: Ensure valves are functioning properly Keep the reservoir bag inflated Use for short-term or emergencies Monitor for oxygen toxicity
Non-Rebreather Mask
40
Methods of Oxygen Delivery and Nursing Considerations Provide warmed and humidified oxygen at high flow rates. Used for patients with significant respiratory distress. Nursing considerations: Ensure correct temperature and humidity settings Monitor patient tolerance Observe for respiratory improvement or distress
High-Flow Oxygen Systems