| Term | Definition |
|
dyspnea |
the subjective sensation of uncomfortable breathing, the feeling of being unable to get enough air |
|
signs of dyspnea |
flating of nostrils, reaction (pulling back) of intercostal spaces, retractions of tissue between the ribs |
|
orthopnea |
dyspnea when the individual is lying down |
|
resting ventilatory rate |
8-16 breathes/min and 400-800 mL |
|
cheyne-stokes respirations |
tidal volume gradually increases followed by gradual decrease and a period of apnea before returning to a normal respiratory pattern; from conditions that slow blood flow to the brainstem |
|
kussmaulrespiration (hyperpnea) |
deep, rapid respiration commonly seen in conditions causing acidosis |
|
hypoventilation |
inadequate alveolar ventilation inelation to metabolic demands; CO2 removal does not keep up with production and level increases in arterial blood causing hypercapnia |
|
hyperventilation |
alveolar ventilation exceeding metabolic demands; lungs remove CO2 faster than it is produced by cellular metabolism |
|
hypocapnia |
decreased amount of CO2 in the blood resulting from respiratory alkalosis |
|
cyanosis |
bluish discoloration of skin and mucous membranes; reduced hemoglobin in blood |
|
clubbing |
selective bulbous enlargement of the end of a finger or toe |
|
cough |
protective reflex that cleanses the lower air-ways explosive expiration |
|
hemoptysis |
coughing up of blood or bloody secretions |
|
hypercapnia |
increased amount of CO2 in the blood: depression of respiratory center by drugs; diseases of the medulla; |
|
hypoxemia |
reduced oxygenation of arterial blood; results from: oxygen delivery to the alveoli, diffusion of oxygen fromt eh alveoli into the blood, perfusion of pulmonary capillaries |
|
respiratory failure |
inadequate gas exchange where either oxygen is too low or carbon dioxide is too high |
|
pulmonary edema |
excess water in the lung, HD, diminishes gas exchange |
|
aspiration |
fluid of solids that have gotten into the lungs |
|
atelectasis |
lung tissue collapses due to external pressure or due to removal of air due to absorption or hypoventilation |
|
bronchiectasis |
abnormal dilation of the bronchi often associated with obstruction and plugs, loss of elasticity |
|
bronchiolitis |
inflammatory obstruction |
|
pneumothorax |
gas or air enterspleural space separating lung from rib cage and destroying the negative pressure gradient |
|
pleural effusion |
presence of fluid in the pleural space; results from fluid coming through capillaries |
|
empyema |
pleural effusion where the fluid is pus |
|
flail chest |
fractures causing instability of chest wall, paradoxic movent, impairs gas exchange |
|
pulmonary fibrosis |
excessive fibrous or connective tissue i lung |
|
asthma |
inflammatory response results in bronchial smooth musc spasm, vascular congestion, edema, production of thick mucous, impaired mucociliary function, thickening of airway walls and hyperresponsiveness; toxic neuropeptides cause acetylcholine-mediated bronchospasm |
|
emphysema |
permanent enlargement of gas exchange airways with destruction of alveolar walls |
|
tuberculosis |
infection caused by myobacterium; MDR strains; phagocytes engulf bacilli; form granulomatous tubercle, changing to cheeselike caseation necrosis and scar tissue |
|
acute bronchitis |
infection of airway usually caused by virus; manifests like pneumonia with fever, chills, cough |
|
pulmonary embolism |
occlusion of the pulmonary vascular ed by emboli, can cause lung infarction |
|
croup |
usually viral laryngealtracheobronchitis, edema and mucous cause airway to narrow, barking cough |
|
bronchopulmonary dysplasia |
neonatal lung injury usually a result of premature birth or respiratory support during perinatal period; poor formation of alveoli; hypoxema and hypercapnea; pulmonary hypertension |
|
cystic fibrosis |
autosomal recessive inherited disease on chromosome 7; causes abnormal expression of a protein affecting airway, bile duts, pancreas, sweat ducts and vas deferens |