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This resource explores the intricate details of the respiratory system, covering both the upper and lower airways, along with key organ functions such as the lungs, trachea, and alveoli. It details the physiology of respiration, including inspiration and expiration, gas exchange, and the role of the medulla and chemoreceptors in controlling respiration. The impact of various factors—health levels, lifestyle, and environment—on respiratory functioning is addressed, alongside nursing assessments, diagnosis, and interventions to promote effective oxygenation in patients across different life stages.
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OXYGENATION “The Respiratory System”
Respiratory System • Upper airway: • Lower airway: • Function:
Organs Of The Respiratory Tract • Nasal cavity • Oral cavity • Epiglottis • Esophagus • Thyroid cartilage • Right and left main bronchus • Trachea • Pleura • Terminal bronchioles
PHYSIOLOGY OF RESPIRATION • Main Organs Of Respiration • Lungs • Alveoli • pleurae
PULMONARY VENTILATION • INSPIRATION EXPIRATION
ALVEOLAR GAS EXCHANGE • Diffusion • Perfusion
Transport Of Respiratory Gases • Oxygen • Carbon dioxide
CONTROL OF RESPIRATIONS • Medulla • Chemoreceptors • Diaphragm
DEVELOPMENTAL VARIATIONS • Respiratory Variations in the Life Cycle • (infant – aged adult) • Table 44-1
FACTORS AFFECTING RESPIRATORY FUNCTIONING • Levels of Health • Development • Opioids • Lifestyle • Environment • Psychological Health
Applying The Nursing Process To The Basic Need: Oxygenation • Nursing History • Physical Assessment • Inspection/Observation • Palpation • Percussion • Auscultation
ASSESSING RESPIRATORY FUNCTIONING • NURSING HISTORY • PHYSICAL ASSESSMENT • COMMON METHODS OF ASSESSING RESPIRATORY FUNCTIONING
DIAGNOSING • Table 44-2 • Common Diagnostic Procedures Used to Assess Respiratory Functioning
IMPLEMENTING; • Establishing a trusting nurse/patient relationship • Promote proper breathing • Promoting and controlling coughing • Promoting comfort • Using nebulizers • Providing supplemental oxygen • Using artificial airways • Assisting ventilation • Clearing an obstructed airway • Administering cardiopulmonary resuscitation (CPR) • Hyperbaric O2 Therapy
EVALUATING • Nursing Process In Clinical Practice Evaluates Nursing Care R/T To Select Nursing Diagnosis: • Impaired gas exchange • Ineffective breathing pattern • Ineffective airway clearance