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77 Cards in this Set
- Front
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pulmonary function studies
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measure the functional ability of the lungs, measured through a spirometer
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tidal volume
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volume of air inhaled/exhaled with a normal breath
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inspiratory reserve volume
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maxium vol of air that normally can be expired
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expiratory reserve volume
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max vol of air that can be exhaled
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residual volume
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vol or air left in the lungs after max expiration
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vital capacity
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max amt of air that can be expired after max inspiration
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foreced vital capacity
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amt of air exhaled forcefully and rapidly after max inspiration
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inspiratory capacity
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max amt of air that can be inhaled after normal expiration
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functional residual capacity
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amount of air left in the lungs after normal expiration
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total lung capacity
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total vol of air in the lungs when maximally inflated
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pulmonary function results vary according to:
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age, sex, weight and height, best achieved while sitting or standing, do not perform until 2 hours after a meal
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fluroscopy
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view thoracic cavity with all its contents in motion, dx location of tumor or lesion
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xray
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most common, size, shape and position of lungs and other structures of the thorax, screens for asymptomatic dz and to diagnose tumors, foreign bodies, abnormal conditions
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pulmonary angiography
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radioisotope, assess arterial circulation of the lungs, pulmary emboli, cath in arm vein thru the right atrium and ventricle int eh pulmonary artery, dye in femoral artery, during the nurse assess the pt's level of anxiety and knowledge of procedure, will feel pressure on cath insertion, warm, flushed feeling, urge to cough
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sputum
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early morning or after an aersol tx, 3 days, return to lab asap in bio bag with order
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lung scan
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vq scan, gallium scan, pet scan
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vq---less radiation than an xray
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scan for pulmonary embolism, dye, patterns of blood flow thru the lungs and patterns of air and distrubution in the lungs, also for lung cancer, copd, pulmonary edema.
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gallium scan
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determine inflammatory conditions exist within the lungs or if abscesses, adhesions or tumors are present. iv inj of gallium, dye, scans taken at various intervals up to 48 hrs after inj, scan shows dye uptake by the lung tissues
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pet scan
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dyw with advanced technology that show the differnt normal and abnomal tissue and view metabolic changes withing hte lung tissue, malignancies by showing blood flow and functioning of the organs and tissue
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bronchoscopy--do not eat or drink 6 hours before**atropine to dry secretions and a sedative to depress vagus nerve
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direct visual of the larynx, trachea, bronchi flexible fiberoptic bronchoscope, thru the nose or mouth or through a trach, used to diagnose, treat, eval lung dz, obtain a biopsy, sputum, pulmonary cleansing, remove a foreign body
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thoracentesis
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local, pleural fluid or a biopsy, c and s, blood fluid--trauma, purulent...infection, serous ...cancer, cancer,
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pharyngitis
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strept a
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acute bronchitis--usually begins in the upper respiratory system
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inflamm of the mucous membranes that line the major bronchi and their branches
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asbestosis
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fibrous inflamm or chronic induration of the lungs r/t inhal of asbestos
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asthma
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reversible obstructive dz of the lower airway e/b inflamm of the airway and a hyper responsiveness of the of the airway to internal or external stimuli
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atelectasis
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disorder in which the alveoli collapse
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bronchiectasis
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copd e/b chronic infection and irreversible dilation of the bronchi and bronchioles
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chronic bronchitis
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prolonged or extended inflamm of the bronchi, e/b a chronic cough and excessive production of mucus for at least 3 months each year for two consecutive years
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copd
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broad, nonspecific term that describes a group of pulmonary disorders with s/s of chronic cough and expectoration, dyspnea, impaired expiratory airflow
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cystic fibrosis
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multi system disorder affecting infants, children and young adults that results from a defective autosomal recessive gene; the genetic mutation causes dysfunction of the exocrine glands, involving hte mucus-secreting and eccrine sweat glands,
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emphysema
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copd e/b abnormal distention of the alveoli
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empyema
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collection of pus in the pleural cavity
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flail chest
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disorder occurs when there is two or more adjacement ribs fracture in multiple places and the fragments are free-floating; affects the stability of the chest wall and impairment of chest wall movement
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hemoptysis
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e/b blood or bloody sputum
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influenza
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acute viral respiratory dz of relatively short duration
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lobectomy
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surgical removal of a lobe of a lung
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lung abscess
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localized area of pus formation within the lung parenchyma
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orthopnea
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breathing that is eased by sitting upright
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pleural effusion
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collection of fluid between the visceral and parietal pleurae
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pleurisy
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infammation of the pleura
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pnuemoconiosis
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fibrous inflammation or chronic induration of the lungs after prolonged exposure to dust or gases
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pneumonectomy
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surgical removal of the entire lung
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pneumonia
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inflamm process affecting the bronchioles and the alveoli
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pneumothorax
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air that enters the pleural space causing a lung to collapse
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pulmonary contusion
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crushing bruise of the lung
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pulmonary edema
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fluid accumulation in the interstinium and alveoli of the lungs which interferes with gas exchange in the alveoli
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pulmonary embolism
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thrombus that migrates to the pulmonary circulation
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pulmonary hyptertension
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high pressure within pulmonary circulation
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restrictive lung dz
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decreased volume of the lungs with an inability to expand completely
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segmental resection
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surgical removal of a segment of a lung
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septicemia
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conditions resulting from microorganisms escaping the lumph nodes and reaching the bloodstream, which may lead to sepsis
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silicosis
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fibrous inflamm or chronic induration of the lungs caused by the inhalation of silica
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subq emphysema
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presence of air in the subq tissues
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thoracotomy
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surgical opening of the thorax
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tracheitis
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inflamm of the trachea
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tracheobronchitis
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inflamm of the mucous membrane that lines the trachea
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tuberculosis
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bacterial infectious disease that is caused by M. tuberculosis
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wedge resection
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surgical removal of a pie shaped portion of diseased tissue from a lung
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class 0
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no exp, no inf
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clas 1
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exp, no evidence of inf
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class 2
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latent inf, no dz (+ ppd reaction but no clinical evidence of active tb
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class 3
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dz, clinically active
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class 4
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dz, not clincally active
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class 5
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suspected dz, dx pending
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lobectomy
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single lobe of lung removed
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bilobectomy
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two lobes removed
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sleeve resection
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cancerous lobes removed and a segment of the main brochus resected
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pneumonectomy
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removal of the entire lung
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segmentectomy
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seg of lung removed
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wedge resection
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removal of small, pie shaped area of the segment
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chest wall resection with removal of cancerous lung tissue
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for cancers that have invaded the chest wall
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pnumononia
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inflamm process w/bronchioles and alveioli, can result from radiation, chemical, inhalation, aspiration or foregin bodies, or gastric contents
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pneumonia mixed with flu
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ranks as the eighth leading cause of death
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bacterial pneumo--
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typical pneumo, less common but more serious
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atypical pneumos
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caused by mycoplasmas, L. pneumo, chlamdia, viruses, parasites, fungi, M. tb can cause pneumo,
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virus are the most common cause of
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pneumo
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4 classes of categories
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1. CAP comm aq
2. HAP hosp aq 3. immunocompromised host. p. jiroveci, fungal pneumo, pneumo r/t tb 4. aspiration pneumo |