hypoxemia Decreased breath sounds in left lower lobe may indicate atelectasis and coarse crackles in the left upper lobe may indicate fluid accumulation. Dusky nail beds indicate lack of O2 and tissue perfusion Rust-colored sputum indicates respiratory infection. Pain upon coughing presents inflammation or infection. Allergy to antibiotics (need to identify the allergic response to antibiotic in detail because he will be starting antibiotic) Medical history of CAD‚ MI and DM increases his presence
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The Respiratory System At the end of this topic students will be able to: • Compare the respiratory systems • Describe the mechanic of respiration - Air passage principals - Ventilation - Lung volume and respiration cycle - Respiration rate • Explain gas exchange - Partial pressure - Oxygen separation curve • Discriminate gas transportation - Oxygen and carbon dioxide Respiration : - all processes that accomplish movement of O2 from the environment to the tissues - has 2 components : a)
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The human respiratory system is one of the chief and most important which is very instrumental for survival. Prime function of the respiratory system is breathing. Inhaling oxygen and exhaling carbon dioxide is all that takes plays by function of the respiratory organs. Breathing is a process by which oxygen in the air is brought in to the lungs and further in to close contact with blood. The blood absorbs the oxygen and carries to all parts of the body. Simultaneously blood gives up waste matter
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This particular job did not require us to attend under emergency response‚ this immediately made me feel relaxed and able to focus on my existing knowledge of respiratory pathophysiology. I foolishly had not anticipated any real worries or concerns‚ as it appeared to be a straightforward transportation from GP surgery to hospital. On arrival I was surprised to find the patient unattended and untreated in a room with no HCP present. I felt extremely concerned there had been no monitoring performed
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Respiratory system Asthma A chronic (long term) lung disease that inflames and narrows the airways‚ asthma causes recurring periods of wheezing ( a sound when you breathe)‚ chest tightness‚ shortness of breath‚ and coughing. The coughing often occurs at night or early in the morning. Asthma is characterized by inflammation of the bronchial tubes with increased production of sticky secretions inside the tubes. People with asthma experience symptoms when that airways tighten‚ inflame or fill with mucus
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22 Respiratory System The Respiratory System Respiratory System Consists of the respiratory and conducting zones Respiratory zone: Site of gas exchange Consists of bronchioles‚ alveolar ducts‚ and alveoli Respiratory System Conducting zone: Conduits for air to reach the sites of gas exchange Includes all other respiratory structures (e.g.‚ nose‚ nasal cavity‚ pharynx‚ trachea) Respiratory muscles – diaphragm and other muscles that promote ventilation Major Functions of the Respiratory
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1. LOCATION: Inpatient‚ Hospital PATIENT: Margaret Hill ATTENDING PHYSICIAN: Ronald Green‚ MD SURGEON: Gary Sanchez‚ MD PREOPERATIVE DIAGNOSIS: Chronic cholecystitis and cholelithiasis POSTOPERATIVE DIAGNOSIS: Chronic cholecystitis and cholelithiasis PROCEDURE PERFORMED: Laparoscopic cholecystectomy INDICATION: Mrs. Hill has been having RUQ pain with nausea and vomiting and diarrhea. The patient was found to have chronic cholecystitis with cholelithiasis and she was taken to the operating room. PROCEDURE:
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Pediatric Respiratory Assessment General History General History Questions to Ask -Ask about gestational age -Any past medical history‚ including onset of current s/s. ****recurrent sore throats‚ eczema‚ resp problems at birth -Detailed family hx****chronic resp conditions-asthma -Exposures to enviormental irritants ****pets‚ smoke -Feeding and sleeping patterns -Growth -Milestones for age -International travel Things to Remember Before Assessment of Child -Childs airway is shorter
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Alterations in Respiratory Function 1. Define and use the key terms as listed in the assigned readings 2. Using the four adaptive modes of Roy’s Adaptation Model (RAM)‚ recognize human adaptive responses to behavior or stimuli that affect respiratory function. 3. Identify differences‚ which affect the respiratory system in young‚ middle‚ and older adults. 4. Identify signs and symptoms of acute respiratory distress from impaired gas exchange. 5. Incorporate assessment of respiratory risk factors
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Answers 1a) On graph paper 1b) At molecular level‚ Haemoglobin is a protein made of four subunits bound together. Each of the subunits consists of a molecular group known as ‘heme’ and a polypeptide attached to the ‘heme’. The ‘heme’ group contains one atom of iron (Fe²+) and it is this iron that the oxygen molecule combines itself to. As there are four of the iron molecules in the haemoglobin this shows that a maximum of four oxygen molecules can be carried by the haemoglobin at anytime. For simplicity
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