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Chapter 16
Paramedic: Respiratory Emergencies
234
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10/26/2012

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Cards

Term
What is one of the most common pathologic conditions?
Definition
Respiratory Disease 852
Term
How many people over the age of 65 have COPD?
Definition
10% 852
Term
How many American have asthma?
Definition
15 Million 852
Term
How many deaths does asthma cause anually?
Definition
5000 852
Term
Pneumonia accounts for how many in-hospital deaths in the United States?
Definition
6% 852
Term
What is the process of exchanging air between the lungs and the environment?
Definition
Ventilation 852
Term
What is respiratory compromise related to morbid obesity?
Definition
Obesity Hypoventilation Syndrome or Pickwickian Syndrome 853
Term
A disease of unknown cause that involves progressive paralysis that moves from the feet to the head (ascending paralysis).
Definition
Guillain-Barre Syndrome 853
Term
Fatal disease, with death uaually attributable to respiratory failure as the muscles of respiration become unable maintain adequate ventilations.
Definition
Amyotrophic Lateral Sclerosis or Lou Gehrig Disease 853
Term
Poisoning from eating food containing botuinum toxin.
Definition
Botulism 853
Term
What is probably the most common hypoventilation crisis paramedics will see?
Definition
Acute Heroin Overdose 853
Term
What is the hands and feet clenched into a clawlike position?
Definition
Carpopedal Spasms 853
Term
A respiratory pattern characteristic of diabetic ketoacidosis, with marked hyperpnea and tachypnea.
Definition
Kussmaul Respirations 853
Term
A set o bony convolutions in the nasopharynx that help to maintain smooth airflow and warm, humidify, and filter the air as it is inhaled.
Definition
Turbinates 854
Term
What is a vascular reaction characterized by severe swelling, often around the eyes and lips?
Definition
Angioedema 854
Term
What is a nosebleed?
Definition
Epistaxis 854
Term
What is the voice box?
Definition
Larynx 854
Term
What is the vocal cords and the opening between them, at the top of the trachea?
Definition
Glottis 854
Term
What is the most obvious external landmark of the larynx?
Definition
Thyroid Cartilage 854
Term
What appear as two pearly white lumps at the distal end of each vocal cord?
Definition
Arytenoid Cartilages 855
Term
What are individual names of the arytenoid cartilage lumps?
Definition
Cuneiform and Corniculate Cartilages 855
Term
Hollow pockets on the lateral portions of the glottic opening.
Definition
Piriform Fossae 855
Term
The ringlike cartilage forming the lower and back part of the larynx.
Definition
Cricoid Cartilage 855
Term
The membrane between the cricoid and thyroid cartilages of the larynx.
Definition
Cricothyroid Membrane 855
Term
What are the connective tissue, small airways, and alveoli collectively referred to as?
Definition
Lung Parenchyma 856
Term
What is the trunk of the tracheobronchial tree?
Definition
The Trachea 856
Term
How far does the trachea extend from the larynx to the left and right mainstem bronchi?
Definition
About 10-13 cm 856
Term
What are small hairlike structures that rhythmically wave in a pattern that helps move particulate matter up and out of the airway?
Definition
Cilia 856
Term
Gas transfer is most efficient in the alveoli, but a significant amount of gas is also exchanged across the ____ ____.
Definition
Respiratory Bronchioles 856
Term
The functional portions of a gland or solid organ.
Definition
Parenchyma 856
Term
The mucus-producing cells found mainly in the repiratory and intestinal tracts.
Definition
Goblet Cells 857
Term
The nonstriated involuntary muscle found in vessel walls, glands, and the GI tract.
Definition
Smooth Muscles 858
Term
What is the process by which deoxygenated blood from the pulmonary circulation releases carbon dioxide and is resupplied with oxygen before it enters the cardiac circulation?
Definition
Gas Exchange 858
Term
When do alveoli function best?
Definition
Partially Inflated 859
Term
A situation in which a portion of the output of the right side of the heart reaches the left side of the heart without being oxygenated in the lungs.
Definition
Shunt 859
Term
The production of more red blood cells over time, making the blood "thick".
Definition
Polycythemia 859
Term
What is right-sided heart failure because of chronic lung disease?
Definition
Cor Pumonale 859
Term
What can put significant strain on the right side of the heart when pushed through the tiny pulmonary capillaries?
Definition
Viscous Blood 859
Term
What is the network of gaps between the air-filled alveoli and the capilaries, which supply deoxygented blood?
Definition
Interstitial Space 859
Term
The portion of the tidal volume that does not reach the alveoli and, thus, does not participate in gas exchange.
Definition
Dead Space 860
Term
Typically, anatomic dead space is about ____ per pound of ideal body weight.
Definition
1 mL 860
Term
What is the primary muscle of respiration?
Definition
Diaphragm 860
Term
The chest wall and associated muscles form a ____ ____ that must function correctly for ventilation to occur.
Definition
Bellow System 860
Term
What forms the basic structures of the bellows?
Definition
Spine, Sternum, and Ribs 860
Term
What is the shiny, slippery pleural membrane that lines the inside of the thorax?
Definition
Parietal Pleura 860
Term
What is the shiny, slippery pleural membrane that lines the outside of the lungs?
Definition
Visceral Pleura 860
Term
How many cases of COPD can be related to cigarette smoking?
Definition
80-90% 852
Term
In 5% of COPD cases can be attributed to the genetic absence of a critical enzyme ______.
Definition
Alpha-1 Antitrypsin 852
Term
What is the two-layered blanket mucus that is thick on the surface?
Definition
Gel Layer 857
Term
What is the two-layered blanket mucus that is thin and watery next to the cilia?
Definition
Sol Layer 857
Term
What are the 2 type of alveoli cells?
Definition
Type I and Type II Pneumocytes 858
Term
What reduces surface tension and helps keep the alveoli expanded?
Definition
Surfactant 859
Term
The amount of air inhaled or exhaled during one breath.
Definition
Tidal Volume 860
Term
Diseases that limit the ability of the lungs to expand appropriately.
Definition
Restrictive Lung Diseases 860
Term
What is it call when air is trapped in the mediastinum?
Definition
Pneumomediastinum 860
Term
What is the mediatinum referred to?
Definition
The Middle Ground 860
Term
What is the process by which oxygen is taken into the body, distributed to the cells, and used by the cells to make energy?
Definition
Respirations 861
Term
What is the primary by-product of respirations?
Definition
Carbon Dioxide 861
Term
What is the best measurement of ventilation?
Definition
The Carbon Dioxide Level 861
Term
Effective diffsion is driven by having a higher concetration of ____ in the alveoli than there is in the bloodstream.
Definition
Oxygen 861
Term
Patients who are ____ or ____ also have an impaired ability to transport oxygen and carbon dioxide.
Definition
Anemic or Hypovolemic 861
Term
What is anemic?
Definition
Low Hemoglobin Level 861
Term
What is hypovolemic?
Definition
Low Blood Volume 861
Term
The oxygen-carrying pigment of red blood cells.
Definition
Hemoglobin 861
Term
Where is the neurologic control of respirations?
Definition
The Medulla 861
Term
How many parts of the brainstem are responsible the smooth, rhythmic breathing that occurs without conscious effort?
Definition
4 Parts 861
Term
What helps regulate the depth of respiration and keeps the lungs from overinflating?
Definition
Hering-Breuer Reflex 861
Term
What nerve innervates the diaphragm?
Definition
Phrenic Nerve 861
Term
What nerve innervates the intercostal muscles?
Definition
Thoracic Spinal Nerves 861
Term
What refers to the circulatory component of the respiratory system?
Definition
Perfusion 861
Term
What is the body's immediate response to mild hypoxemia?
Definition
Increased Heart Rate 862
Term
What is the body's response to severe hypoxia?
Definition
Bradycardia 862
Term
Where do the phrenic nerves arise from?
Definition
C3-C5 862
Term
Fluid balance, acid-base balance, and blood pressure are controlled, in part, by the ____.
Definition
Kidneys 862
Term
The production of large amounts of urine by the kidneys.
Definition
Diuresis 863
Term
What is the minimum personal protective equipment when treating a patient with respiratory distress?
Definition
Gloves, Eye Protection, and a Hepa Respirator 863
Term
What is dyspne that comes on suddenly in the middle of the night and may be an ominous sign as it may signal left-sided heart failure?
Definition
Paroxysmal Nocturnal Dyspnea 863
Term
Tall, thin young adults are predisposed to ____ ____.
Definition
Spontaneous Pneumothorax 863
Term
Women who smoke and take birth-control pills are predisposed to ____ ____.
Definition
Pulmonary Embolus 863
Term
What is the classic presentation of a patient with emphysema?
Definition
Barrel Chest, Muscle Wasting, and Pursed-lip breathing 863
Term
During inhalation, the sternum or ribs pull back or recede (retract) into the chest, creating a visible deformity with each breath.
Definition
Bony Retractions 865
Term
Soft tissue is drawn in around the bones during inhalation. Dramatic retractions can be seen in the supraclavicular, intercostal, and subxiphoid areas.
Definition
Soft-tissue Retractions 865
Term
The nostrils are pulled wide opening during inhalatio.
Definition
Nasal Flaring 865
Term
During inhalation, the thyroid cartilage is pulled upward and the area just above the sternal notch is drawn in.
Definition
Tracheal Tugging 865
Term
During inhalation, the epigastrium is pulled in as the abdomen is pushed out, creating a seesaw effect as the two move in opposite directions.
Definition
Paradoxical Respiratory Movement 865
Term
The weak or absent peripheral pulses on inhalation are caused by extreme pressure changes in the thorax.
Definition
Pulsus Paradoxus 865
Term
Patients with obstructive diseases have trouble pushing air out. It is more effective to exhale slowly over a long period than to try to push the air out forcefully.
Definition
Pursed-Lip Breathing 865
Term
In infants and young children with lower airway illness, the glottis closes at the end of exhalation, so there is a grunting at the end of each breath.
Definition
Grunting 865
Term
What is a classic sign of respiratory distress in infants?
Definition
Grunting 865
Term
What is heard by listening on the anterior part of the chest?
Definition
The Upper Lobes 865
Term
What can be heard by listening just beneath or lateral tothe right breast?
Definition
The Middle Lobe 866
Term
What are made by turbulent flow in the large airways as they are transmitted through the chest to te stethoscope?
Definition
Breath Sounds 866
Term
Inspiratory and expiratory sounds are both loud.
Definition
Tracheal Breath Sounds 866
Term
Inspiratory sounds are shorter than expiratory sounds, and both are loud.
Definition
Bronchial Breath Sounds 866
Term
Inspiratory and expiratory sounds are about the same and of medium intensity.
Definition
Bronchovesicular Breath Sounds 866
Term
Inspiratory sounds last longer then expiratory sounds, and both are faint.
Definition
Vesicular Breath Sound 866
Term
What are abnormal breath sounds that are extra noises that can be heard on top of the normal breath sounds?
Definition
Adventitious 866
Term
Discontinuous sounds are the instantaneous pops, snaps, and clicks known as _____.
Definition
Crackles 866
Term
What are high-pitched, whistling sounds made by air being forced through narrowed airways, which makes them vibrate, much like the reed in a musical instrument.
Definition
Wheezes 866
Term
When a patient says "99" repeatedly, it sounds like a hum through a normal lung. Through a consolidated lung, you can understand the words "99".
Definition
Bronchophony 866
Term
The patient says "eeeeee" while you are auscultating, and you hear "aaaaaa." The sound may be heard particularly well over pleural effusion.
Definition
Egophony 866
Term
The patient whispers while you are auscultaing, and you can understand what is said.
Definition
Whispered Pectoriloquy 866
Term
The sound of one note during wheezing, caused by the vibration of a single bronchus.
Definition
Monoponic 867
Term
The sound of multiple notes during wheezing, caused by the vibration of many bronchus.
Definition
Polyponic 867
Term
What are the discontinuous noises heard during auscultation of the lungs?
Definition
Crackles 867
Term
What are caused by the popping open of air spaces?
Definition
Fine Crackles 867
Term
What is the movement of fluid or secretions in the larger airways?
Definition
Coarse Crackles 867
Term
What usually refers to the high-pitched crackles heard in the lung bases at the end of inspiration and are consistent with pulmonary edema?
Definition
Rales 867
Term
What is a nonspecific term that usually refers to low-pitched crackles caused by secretions in the larger airways?
Definition
Rhonchi 867
Term
What sounds like two pieces of wet rubber being drawn over each other and is heard when the patient has pleurisy?
Definition
A Pleural Friction Rub 867
Term
What is an infection or edema of the pleural membranes?
Definition
Pleurisy 867
Term
What is an audible sound from an upper airway obstruction?
Definition
Stridor 867
Term
What is an audible sound from a lower airway obstruction?
Definition
Grunting 867
Term
What is a low-pitched gurgling sound that is sometimes heard as patients become unable to clear their own secretions?
Definition
Death Rattle 867
Term
What indicates partial obstruction of the upper airway by the tongue?
Definition
Snoring 868
Term
What is a harsh, high-pitched sound heard during inhalation, indicates narrowing, usually as a result of swelling (laryngeal edema)?
Definition
Stridor 868
Term
What sound signals the presence of fluid in the upper airway?
Definition
Gurgling 868
Term
Full of pus or having the character of pus.
Definition
Puruent 868
Term
A chronic bacterial disease caused by Mycobacterium tuberculosis that usually affects the lungs but can also affect other organs such as the brain and kidneys.
Definition
Tuberculosis 868
Term
What may blood-tinged sputum indicate?
Definition
Tuberculosis 868
Term
What might frothy, sometimes with a pink tinge sputum indicate?
Definition
CHF 868
Term
What might thick sputum indicate?
Definition
Dehydration or Antihitamine Use 868
Term
What might purulent sputum indicate?
Definition
Infectious Process 868
Term
What might yellow, green, or brown sputum indicate?
Definition
Older secretions in various stages of decompression 868
Term
What might clear or white sputum indicate?
Definition
Bronchitis 868
Term
What might blood-streaked sputum indicate?
Definition
Tumor, Tuberculosis, Pulmonay Edema, or Trauma from Coughing 868
Term
Irregular gasps that are widely spaced; usually represent stray neurologic impulses in a dying patient; not actually considered a form of breathing.
Definition
Agonal 868
Term
Characterized by a prolonged inspiratory hold (fish breathing); follows damage to the pneumotaxic center in the brain; an ominous sign of severe brain injury.
Definition
Apneustic 868
Term
Chaotically irregular respirations that indicate severe brain injury or brainstem herniation.
Definition
Ataxic 868
Term
Irregular pattern, rate, and depth of respirations, characterized by intermittent patterns of apnea; indicates severe brain injury or brainstem herniation.
Definition
Biot Respirations 868
Term
Unusally slow respiration.
Definition
Bradypnea 868
Term
Tachypneic hyperpnea; rapid and deep respirations caused by increased intracranial pressure or direct brain injury; drives carbon dioxide level down and pH up, resulting in respiratory alkalosis.
Definition
Central Neurogenic Hyper-Ventilation 868
Term
Crescendo-decrescendo breathing with a period of apnea between cycles; not considered ominous unless grossly exaggerated or occurs in a patient with brain trauma.
Definition
Cheyne-Stokes Respirations 868
Term
Forced exhalation against a closed glottis; an airway-clearing maneuver; also seen when foreign substances irritate the airways; controlled by the cough center in the brain.
Definition
Cough 868
Term
Normal breathing.
Definition
Eupnea 869
Term
Spasmodic contraction of the diaphragm, causing short exhalations with a characteristic sound; sometimes seen in cases of diaphragmatic (or phrenic) nerve irritation from acute myocardial infarction, ulcer disease, or endotracheal intubation.
Definition
Hiccup 869
Term
Abnormally increased rate and depth of breathing; seen in various nerologic and chemical disorders, including overdose with certain drugs.
Definition
Hyperpnea 869
Term
Abnormally decreased rate and depth of breathing.
Definition
Hypopnea 869
Term
The same pattern as in central neurogenic hyperventilation but caused by the body's response to metabolic acidosis, attempting to rid itself of blood acetone via the lungs; seen in diabetic ketoacidosis; accompanied by a fruity (acetone) breath odor and, usually, cracked and dry mouth and lips.
Definition
Kussmaul Respirations 869
Term
Periodically taking a deep breath of about twice the normal volume; forces open alveoli that routinely close from time to time.
Definition
Sighing 869
Term
Unusually rapid breathing; does not reflect depth of respiration and does not mean a patient is hyperventilating; often involves moving only small volumes of air, or hypoventilation.
Definition
Tachypnea 869
Term
Seems beneficial in the same manner as sighing.
Definition
Yawning 869
Term
What is it when the depth of breathing or volume of snoring gradually increases and then decreases and is followed by an apnea period?
Definition
Crescendo-decrescndo Breathing 869
Term
How long will the apneic period last in Cheyne-Stokes respirations in a patient with a severe brain injury?
Definition
30-60 Seconds 869
Term
What is a fast way to begin forming an early impression of the patient's circulation?
Definition
Asscessing Skin Color 869
Term
What is the hemoglobin level of a healthy adult?
Definition
12-14 g/dL 869
Term
With normal hemoglobin levels, when will a person begin to exhibit the blue discoloration of cyanosis?
Definition
About 5 g/dL is Desaturated 869
Term
High levels of methemoglobin derived from nitrates and some toxic exposures may turn the mucous membranes ____.
Definition
Brown 869
Term
What helps paramedics systematically obtain information about the history of present illness and the medical history?
Definition
SAMPLE History 871
Term
What medication dry secretions and should not be taken by people who have asthma and are a common ingredient in many over-the-counter cough and cold medications?
Definition
Antihistamines 872
Term
What medications are used to suppress coughs?
Definition
Antitussives 872
Term
What medications can be found in diet pills and caffeine containing products?
Definition
Diuretics 872
Term
What medication thins pulmonary secretions so that they can be coughed up?
Definition
Expectorants 872
Term
Any ____ in Pao2 will manifest initially as restlessness, confusion, and, in worst-case scenarios, as combative behavior.
Definition
Decline 873
Term
An ____ in Pao2 usually has sedative effects, making the patient sleepy and difficult to rouse.
Definition
Increase 873
Term
What is an early sign of hypoxia?
Definition
Anxiety 873
Term
What are late signs of hypoxia?
Definition
Confusion, Lethargy, and Coma 873
Term
The visible bulging of the jugular veins when a patient is in semi-Fowler's or Fowler's position; indicates inadequate blood movement through the heart and/or lungs.
Definition
JVD 873
Term
What is a distended liver?
Definition
Hepatomegaly 873
Term
What can the combination of jugular venous distention and hepatomegaly (distended liver) cause?
Definition
Right-sided Heart Failure 873
Term
Pressing gently on the liver will further engorge the juglar veins.
Definition
Hepatojugular Reflux 873
Term
Vibrations in the chest that can be felt with a hand on the chest as the patient breathes.
Definition
Tactile Fremitus 873
Term
Weakening or loss of a palpable pulse during inhalation; characteristic of cardiac tamponade and severe asthma.
Definition
Pulsus Paradoxus 874
Term
What are signs of impending arrest in patients with respiratory diseases?
Definition
Bradycardia, Hypotension, and Falling Respiratory Rates 874
Term
Practically speaking, the ____ is the single most important investment a paramedic will make.
Definition
Stethoscope 874
Term
What part of the stethoscope is for high-pitched sounds?
Definition
The Diaphragm 875
Term
What part of the stethoscope is for low-pitched sounds?
Definition
The Bell 875
Term
What is excess red blood cell production?
Definition
Polycythemia 875
Term
What is the term that refers to the detection of ETCO2 to confirm the placement of the ET tube?
Definition
Capnometry 876
Term
What is a colormetric detector?
Definition
Capnometer 876
Term
What is ETCO2 monitoring by mean o a device that measures the actual amount of carbon dioxide during a time and plots the resulting values graphically as a waveform?
Definition
Wave Capnography 876
Term
The carbon dioxide contained in the last few milliliters of exhaled air; the unit of measurement is a percentage.
Definition
End-Tidal Carbon Dioxide 876
Term
What is the percentage of carbon dioxide exhaled through a properly placed ET tube in a normal perfusing patient?
Definition
4-5% 876
Term
If the tube has been mistakenly place in the esophagus, what is the percentage of carbon dioxide in the exhaled gas?
Definition
Less then 0.5% 876
Term
A monitoring method that measures the exhaled carbon dioxide level and displays the value numerically and as a waveform tracing.
Definition
Waveform Capnography 877
Term
What is the maximum flow rate at which a patient can expel air from the lungs?
Definition
The Peak Flow 877
Term
What is the percentage of oxygen that is received durin an aerosol treatment?
Definition
35-40% Oxygen 878
Term
What is a device that collects the medication as it is released from the canister, allowing more to be delivered to the lungs and less to be lost to the environment?
Definition
Spacers 879
Term
What is shortness of breath induced by laying flat?
Definition
Orthopnea 881
Term
It is safe to administer oxygen in concentrations less than ___ to almost anyone, and it is appropriate to do so when there is a reasonable chance the patient would benefit from it.
Definition
50% 881
Term
Oxygen concentrations higher than ___ should be reserved for patients who have hypoxia that does not respond to lower concentrations.
Definition
50% 881
Term
___ oxygen should be limited to the shortest period necessary.
Definition
100% 881
Term
How much of the oxygen in the body is bound to hemoglobin?
Definition
97% 881
Term
How much of the oxygen in the body is dissolved in plasma?
Definition
3% 881
Term
What conditions are bronchodilators ineffective?
Definition
Pneumonia, Pulmonary Edema, and Heart Disease 882
Term
What are popular long-acting bronchodilators?
Definition
salmeterol (Serevent) and cromolyn (Intal, NasalCrom) 882
Term
What are bronchoconstricting chemicals released during an allergic response?
Definition
Leukotrienes 882
Term
What is a leukotriene blocker?
Definition
montelukast (Singulair) 882
Term
What are aminophylline and theophyline?
Definition
Methylxanthines 882
Term
What is giving by some physicians in devastating asthma attacks as a last ditch effort before intubating?
Definition
0.5-2 g of magnesium sulfate 882
Term
What are used to reduce bronchial swelling (edema)?
Definition
Corticosteroids 882
Term
What can be caused by long term corticosteroid use?
Definition
Cushing syndrome 882
Term
What is characterized by the classic moon face and generalized edeam?
Definition
Cushing syndrome 882
Term
_____ and _____ are IV corticosteroid preparations given as an IV bolus, usually fo acute exacerbations of COPD or acute asthma attacks.
Definition
Methylprednisolone and hydrocortisone 883
Term
What should you always do before and after giving a fluid bolus to be certain a patient does not become overhydrated?
Definition
Assess Breath Sounds 883
Term
____ are used to help reduce blood pressure and to maintain fluid balance in patients who have heart failure.
Definition
Diuretics 883
Term
What is one of the most difficult interventions for a paramedic?
Definition
Assist breathing for a patient who is already breathing on his own 883
Term
What are the two different ways that continuous positive airway pressure can be used?
Definition
Treat ostructive sleep apnea and respiratory failure 883
Term
What is inflammation of the larynx, trachea, and bronchi?
Definition
Laryngotracheobronchitis 886
Term
___ ___ holds that as the diameter of tube decreases, resistance to flow increases exponentially.
Definition
Poiseuille's Law 886
Term
A false membrane formed by a dead tissue layer; seen in the posterior pharynx of patients with diphtheria.
Definition
Pseudomembrane 887
Term
What is the inhalation of anything other than breathable gases?
Definition
Aspiration 887
Term
Inflammation of the lungs from an irritant such as chemical, dust, or radiation, or from aspiration.
Definition
Pneumonitis 887
Term
___ of stomach contents into the lungs has a significantly high mortality rate.
Definition
Aspiration 887
Term
What is a common cause of aspirated food in older patients?
Definition
Pneumonia 888
Term
Inflammation of the lung caused by an infectious agent.
Definition
Pneumonia 888
Term
What are the most common obstructive airway diseases?
Definition
Emphysema, Chronic Bronchitis, and Asthma 888
Term
How many people do emphysema, chronic bronchitis, and asthma affect in the United States?
Definition
10-20% 888
Term
What could be a physical finding of an obstructive airway disease?
Definition
Pursed-lip Breathing, Increased I/E ratio, Abdominal Muscle Use, and JVD 888
Term
Who was the Greek physician the gave the name to the disease asthma?
Definition
Areatus 888
Term
What is characterized by an increased reactivity of the trachea and bronchi to a variety of stimuli?
Definition
Bronchial Asthma 888
Term
How many people in the United States in the year 2009 reported to have asthma?
Definition
24 Million 889
Term
What is a severe, prolonged astmatic attack that cannot be stopped with conventional treatments?
Definition
Status Asthmaticus 889
Term
Who has the fastest-growing asthma rates?
Definition
Children under 5 years 889
Term
How many people will die from asthma annually?
Definition
5000 People 889
Term
What is the overall mortality rate for asthma?
Definition
5% 889
Term
A term used to describe any condition that causes hyperreactive bronchioles and bronchospasm.
Definition
Reactive Airway Disease 889
Term
What is caused by the constriction of smooth muscle that surrounds the larger bronchi in the lungs?
Definition
Bronchospasms 889
Term
Chronic obstuctive pulmonary disease comprises at least two distinct clinical enities: _____ and _____.
Definition
Emphysema and Chronic Bronchitis 890
Term
What is thought to damage or destroy the fragile structure of the terminal bronchioles?
Definition
Emphysema 890
Term
What is defined as sputum production most days of the month for 3 or more months out of the year for more than 2 years?
Definition
Chronic Bronchitis 890
Term
What is elevated Paco2?
Definition
Hypercapnia 890
Term
What is decreased Pao2?
Definition
Hypoxemia 890
Term
What is acute left-sided heart failure?
Definition
Cardiac Asthma 891
Term
What is a situation in which a person's stimulus to breathe comes from a decrease in Pao2 rather than the normal stimulus, an increase in Paco2?
Definition
Hypoxic Drive 892
Term
The collaspe of the alveolar air spaces in the lungs.
Definition
Atelctasis 893
Term
What is coughing up blood in the sputum?
Definition
Hemoptysis 894
Term
The transfer of a disease from one organ or part of the body to another that is not directly connected to the original site; often used to describe a cancer that has spread to other parts of the body.
Definition
Metastasis 894
Term
Excessive accumulation of fluid in the pleural space.
Definition
Pleural Effusion 894
Term
A device, which opens like a mesh umbrella in the main vein that returns blood to the heart, is intended to catch clots that break loose and travel from the legs.
Definition
Greenfield Filter 897
Term
Deep cyanosis of the face and neck and across the chest and back; associated with little or no blood flow; a particularly ominous sign.
Definition
Cape Cyanosis 897
Term
What is an exceptionally large pulmonary embolus that lodges at the bifurcation of the right and left pulmonary arteries and it may be immediately fatal?
Definition
Saddle Embolus 897
Term
What is an exceptionally large pulmonary embolus that lodges at the bifurcation of the right and left pulmonary arteries and it may be immediately fatal?
Definition
Saddle Embolus 897
Term
What is movement of air in and out of the lungs?
Definition
Ventilation 861
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