A.) How could an infection in Cari’s nasal passages and pharynx spread into her sinuses?
- Since Cari is a smoker, cigarette smoke has paralyzed her cilia and stimulated the goblet cells lining her respiratory passages to secrete excess amounts of mucus. Ducts from the sinuses open into the internal nose providing a passageway for microorganisms to travel into the sinuses.
B.) What is the couch reflex? Describe the process that Cari’s respiratory system is using to clear her lungs by couching.
- A long drawn and deep inhalation followed by a complete closure of the glottis, which results in a strong exhalation that suddenly pushes the glottis open and sends a blast of air through the upper respiratory passages. Stimulus for this
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The presence of fluid in the alveolar space could potentially cause the lung capacity to be effected as well.
G.) How does the elevation of Cari’s respiratory rate alter her minute ventilation?
- The higher her respiratory rate the more liters of oxygen needed to supply for the loss in her lungs. To get the minute ventilation you take the breaths per min times 500mL/breath and that gets your liters of oxygen per min.
H.) How do the the clinical findings relate to the internal respirations in Cari’s body?
- Cari’s po2 is 54 mm Hg so therefore her lungs were working as if she was doing intense exercise although she wasn’t. Decreased oxygen saturation and PO2, decrease the efficiency of gas exchange between the arterial blood and tissues of the body.
I.) Which of the symptoms Cari’s has described are due to the lack of oxygen and reduced oxygen exchange in her tissues?
- Cari’s states, “I feel like I’m panting like a dog, and my chest hurts” Her shortness of breath, fatigue and headache are all results of the lack of oxygen exchange to her tissues. The pH of her blood was rising due to the hyperventilation also.
J.) As Cari’s Pco2 rose, how was the oxygen-carrying capacity of hemoglobin affected?
- As Pco2 rises, hemoglobin releases O2 more readily. Pco2 and pH are related factors because low blood pH (acidity) results from high Pco2.
K.) How would you have expected Cari’s decreased Pco2 and alkaline blood pH to have affected her
What do you think would happen if the two lungs were in a single large cavity instead of separate cavities?
It results when one or both of these gas-exchanging functions are inadequate . It is not a disease but a symptom of an underlying pathology affecting lung tissue function, 02 delivery, cardiac output, or the baseline metabolic state. It is a condition that occurs because of one or more diseases involving the lungs or other body systems. Symptoms of this is hypoexia and hypercapnia.
1. During exercise: TV will increase. 2. During exercise: IRV will decrease. 3. During exercise: ERV will increase. 4. During exercise: VC will not change. 5. During exercise: TLC will not change.
B. The muscles that help move air in and out of the lungs are severely compromised.
Lungs – Mucus plugging, chronic bacterial infections, pronounced inflammatory response, damaged airways leading to respiratory insufficiency, progressive decline in pulmonary function.
Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,
Question K: How would you have expected Cari’s deceased Pco2 and alkaline blood pH to have affected her breathing?
Air escaped from the lung into the pleural space. Eventually, enough air collected in the pleural space to cause the mediastinum to shift twoard the right. The collapsed left lung, increased intrapleural pressure, and rightward shift make it difficult to ventilate A.W.
There is no problem in her breathing at this time, but eventually there may be shortness in breath which
K. How would you have expected Cari’s decreased Pco2 and alkaline blood pH to have affected her breathing?
I think Sally is experiencing metabolic acidosis, and the respiratory response is hyperventilation which increases loss of CO2 hence the reason she is breathing deeply and gasping. Also, if compensation is complete, pH will be within normal range but HCO3- will be low.
Also he’s oxygen diffusion rate has increased due to the more oxygen which is absorbed by the alveoli and then circulated around the body.
The observation of both animal and humans has revealed that mechanical ventilation can cause severe lung injury if over-distention occurs (Roupie et al., 1995). To make the matter even worse, the very patients that need mechanical ventilation the most, patients with the acute respiratory distress syndrome for example, are especially susceptible to over-distention and therefore, lung injury (Stewart et al., 1998). The main reason that patients with acute respiratory distress syndrome or respiratory distress syndrome are in higher risk of lung injury is due to over-distention, caused by reduced numbers of alveoli as result of fluid buildup, consolidation, and atelectasis (Roupie et al., 1995).
change in air temperature). In short your lungs are used more like a balloon filling up
Respiratory Acidosis occurs when the lungs cannot remove all the carbon dioxide that the body makes. In turn this makes fluid in the body become too acidic. The distinctive feature of respiratory acidosis is an abnormally high PCO2, meaning above 45 mmHg. Improper exhalation of oxygen can cause the blood pH to drop.” Any condition that decreases the movement of CO2 from the blood to the alveoli of the lungs to the atmosphere causes a buildup of CO2, H2CO3, and H+ (Tortora, 2014, p.1036)”. Symptoms of this condition may include: confusion, lethargy, fatigue, sleepiness, and shortness of breath. Probable causes are: obesity, disease of the chest, diseases of the lungs and airways, and drugs that suppress breathing (MedlinePLus, 2012). A health care provider will perform a physical exam to see if this is what is happening. He may do so by: arterial blood gas which measures oxygen and carbon dioxide levels in the blood, basic metabolic panel, a chest x-ray, or possibly a pulmonary function test (MedlinePLus, 2012). Treatment is mainly aimed at the underlying cause not at condition itself. It is treated