Soft, high pitch discontinuous popping sounds during inspiration caused by a delayed reopening of the airways.
Crackles
What is the process of gas exchange from high concentration to low concentration?
diffusion.
A person with increased CO2 in the arterial blood is likely to have an increased area of dead space. Poor gas elimination is indicative of ________.
emphysema
The measure of the force needed to expand or inflate the lungs is called________.
Compliance- also considerd the elasticity or expandability
Hemoptysis is coughing up of_______.
Blood
Orthopnea is difficulty breathing while______.
Laying horizontal. (however the medsurg book states any position except sitting upright)
Respiration is the ______ exchange and ________ is the movement of air in and out of the respiratory system.
Gas
Ventilation
A low pitched wheezing or snoring sound associated with partial airway obstruction is called ________.
Rhonchi
In this disease the aveolar macrophages become altered and increase the risk for respiratory infections.
Chronic Bronchitis
In normal breathing the volume of air inspired and expired with each breath is______.
Tidal volume
Wheezing is the contiuous musical sounds associated with airway ________.
narrowing
The normal adult tidal volume is _____mL.
500 or 5-10mL/kg.
Cells that play a key role in the inflammatory response of asthma are:
Neutrophils
Esosinphils
lymphocytes
Residual volume can be increased with obstructive disease. (RV)The normal adult value is _______mL.
1200
Vital capacity is the _______ volume of air exhaled from the point of maximum inspiration.
maximum
A disease that has air flow limitations,is progressive and has an abnormal inflammatory response is called______.
COPD
The presence of cough and sputum production for at least 3 months in two consecutive years is called______ _______.
Chronic Bronchitis
Smoke or environmental pollutants cause ______ cells to hypersecrete and increase in number. (chronic Bronchitis
Goblet
Overdisteded aveoli are responsible for poor O2 and Co2 gas exchange in this disease.
Emphysema
_______ sided heart failure can be a complication of emphysema
Right
S.pneumoniae is most prevalent in the winter and spring and causes pneumonia most often in those younger than _____.
60 y/o w/o comorbidities
60 and older w/ comorbidities
S/S of this disease come on gradual and include: low grade fever, cough, night sweats, fatigue and weight loss.
TB
Name the two types of emphysema.
Panlobular
Centrilobular
Mycoplasma pneumonia is most common in ______ children and ______ adults.
older children
younger adults.
What are the Chronic obsrtuctive pulmonary diseases?
COPD-
Chronic bronchitis
Emphysema
Name the 3 primary symptoms of COPD.
Chronic cough
Sputum production
Dyspnea with exertion
An airborn infectious disease that is the leading cause of death from infectious disease in the world.
Pulmonary Tuberculosis
T or F- TB is on the rise due to poverty, malnutrition, substandard housing, increased HIV + population and inadequate healthcare.
True
Chemical mediators that perpetuate the inflammatory response in asthma are:
histamine
bradykinin
prostaglandins
leukotrienes
The initial TB infection happens ___ to___ weeks after exposure.
2-10
________ is the stongest predisposing factor for asthma.
Allergy
In TB granulomas are surrounded by macrophages that form a protective wall. They are turned into a fibrous tissue mass that becomes ______ forming a _______ mass that becomes calcified forming a scar, then becoming dormant.
necrotic
cheesy
(asthma) An increased cyclic adenosine monophosphate (cAMP) level is caused by ______ stimulation and causes ________.
Beta
Bronchodialation
reactivation of TB occurs when _______ tubercle ulcerates infecting the surrounding bronchi and spreading the disease.
Ghon
A chronic inflammatory disease plagued by hyperresponsiveness, mucosal edema, and mucus productionn is called________.
Asthma
S/S of asthma include:
cough
chest tightness
wheezing
dyspnea
The difference between asthma and COPD is that asthma is largely _____.
reversible
Common triggers for asthma include:
Airway irritants
exercise
stress or emotional upset
sinusitis with postnasal drip
medications
viral respiratory infections
gastroesophageal reflux
Three factors that lead to obstruction in asthma is _______of the membranes, _______spasm, and increased ______production.
swelling
broncho
mucus
(asthma) Bronchoconstriction occurs when (cAMP) cyclic adenosine monophosphate is ________ due to _______ stimulation.
decreased
alpha
T or F
Asthma can be caused by circadian variations that influence airway receptor thresholds.
True
Bacterial(typical), atypical, anaerobic/cavitary and opportunistic are all classifications of ___________.
Pneumonia
What are ther more commonly used classifications of pneumonia?
(CAP) Community aquired pneumonia
Hospital aquired pneumonia (nosocomial)(HAP)
Aspiration pneumonia
Immunocompromised pneumonia
The acute or chronic closure or collapse of aveoli is called?