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ATI Oxygenation (Perfusion, Pharm, Misc)
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ATI Oxygenation (Perfusion, Pharm,Misc)
Pleurisy - correct answer-What it is? A condition in which the pleura — a
membrane consisting of a layer of tissue that lines the inner side of the chest
cavity and a layer of tissue that surrounds the lungs — becomes inflamed.
Also called pleuritis, pleurisy causes sharp chest pain (pleuritic pain) that
worsens during breathing.
What it sounds like?
Loud, scratchy, sand-paper like noises
Upon auscultating the lungs, you hear squeaky, musical sounds. This is a
manifestation of what respiratory condition? - correct answer-bronchospasm-
this is caused by air whooshing through narrowed airways, like pipes
Upon auscultating the lungs, you hear popping sounds. This is a manifestation
of what respiratory condition? - correct answer-Popping is caused by air
moving through deflated airways.
Possible conditions:
Atelectasis: a complete or partial collapse of a lung or lobe of a lung- deflated
alveoli. Usually a post-op complication.
OR
Pneumonia: an infection in one or both lungs. It can be caused by bacteria,
viruses, or fungi causing inflammation in the alveoli. The alveoli fill with fluid or
pus, making it difficult to breathe. (ALSO sounds DULL)
Upon auscultating the lungs, you hear tympany. This is a manifestation of
what respiratory condition? - correct answer-Pneumothorax: a collapsed lung.
A pneumothorax occurs when air leaks into the space between your lung and
chest wall. This air pushes on the outside of your lung and makes it collapse.
In most cases, only a portion of the lung collapses.
Upon auscultating the lungs, you hear flatness. This is a manifestation of what
respiratory condition? - correct answer-Flatness or dullness is associated with
, pleural effusion, or a build up of fluid in the space between the lungs and the
chest wall. Pleural effusion is always a secondary condition:
Liver or kidney disease: Diseases such as cirrhosis may cause fluid to build
up in the body and leak into the chest.
Congestive heart failure: Failure of the heart to pump blood properly can
cause a buildup of liquid in the chest.
Autoimmune disorders: Disorders such as lupus or rheumatoid arthritis may
target the lungs and create problems with the pleura.
Infections: Respiratory infections such as tuberculosis and pneumonia could
progress and cause water on the lung.
Pulmonary embolism: A blockage in the arteries of the lung caused by a blood
clot can cause the pleura to create too much liquid.
Cancer: Typically lung cancer, though any cancer which has progressed to the
lungs or pleura can be the cause.
Upon auscultating the lungs, you hear resonance. This is a manifestation of
what respiratory condition? - correct answer-Chronici bronchitis. It is a loud,
low pitched sound of long duration.
Upon auscultating the lungs, you hear snoring sounds. This is a manifestation
of what respiratory condition? - correct answer-Snoring sounds, AKA rhonchi,
are heard when a client has thick, tenacious secretions in the airways.
What is a pulmonary artery catheter?
What would you tell a patient it is for? - correct answer-Pulmonary artery
catheterization is a procedure using a long, thin tube called a catheter inserted
into a pulmonary artery. IT measures pulmonary artery pressures and cardiac
output.
Pulmonary artery catheterization uses a catheter that has an inflatable balloon
at its tip. The healthcare provider puts this tube through a large vein. The tube
is then moved to the right atrium, one of the heart's upper chambers. It is then
moved on through the right ventricle and out through a pulmonary artery. The
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