1. Describe the relationship between intrapulmonary pressure, atmospheric pressure, and air flow during normal inspiration and expiration, referring to Boyle’s law.
- Boyles law states that as the pressure of gas increases then the volume of gas decreases. Which is how intrapulmonary and atmospheric pressure are connected to one another. Intrapulmonary pressure is lower while undergoing inspiration and higher than atmospheric pressure during the time of expiration.
2. Resistance varies in Mike’s conducting airways. Using your understanding of respiratory anatomy, explain where in his airway the resistance is highest and why.
- Destruction of the elastic tissue in the lungs causes airway resistance to be the highest because it supports the airways to
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When Mike is experiencing an asthmatic attack, his forced vital capacity (FVC) is 65%, and his FEV1 is 65%. Are these values normal? Knowing how one performs FVC tests, explain these test results in Mike’s case. (Assume that Mike and the doctor have performed an accurate test.)
- Forced vital capacity is used performed while an asthma attack is occurring because it is used to measure the maximum volume of air that can be forcefully pushed out from inflated lungs. Normal ranges for FVC readings are between 80% and 100%. Mike has a reading of 65% which would be considered abnormal. Mike’s bronchoconstriction is causing reduced airflow, so he is unable to produce enough air.
7. Albuterol is a selective beta-2 adrenergic agonist, which means it specifically activates beta-2 adrenergic receptors on smooth muscle in the airways. How does this improve Mike’s asthma?
- Albuterol is used to relax the muscles that are in the bronchioles to relieve breathing. It relaxes smooth muscle by decreasing the calcium ions. Calcium ions are necessary to produce muscle contraction. It improves Mike’s asthma because it is relaxing his smooth muscle, which allows for a clear pathway for airflow to help him breath
Al 's AP chest diameter is increased ("barrel chest") from the chronic air trapping. Excess air is trapped in the lungs, which is shown in his PFTs results (NIH, 2016). The lungs are hyperinflated, which is why the RV and FRC are increased. COPD pathophysiologically prevents the trapped air from being breathed out, which is indicated by the decreased VC. 5.
Assessment 2 Short Essay Question -01 Discuss Mr. Ronald bates systemic assessment and priorities of management Mr. Ronald bates presented to the emergency department with shortness of breath (Respiratory rate- 24 breaths/min) and general discomfort (pain score- 4/10) and it was started in the morning and worsens when doing activities. The above presenting complaints lead to a possible cardiac event, so that this presentation would be triaged as category 2. Therefore, medical officer would be notified regrading patient presentation and put Mr. bates to semi fowler’s position in the Emergency bed if this position is comfortable for him. Further primary systemic assessment of the patient starts with an order with an assessment of
On attached paper On attached paper The bronchioles use elastic fibers instead of rings of cartilage; therefore, they are more likely to collapse. During an asthmatic episode, the airways are inflamed and are sensitive. The muscles around the airway tightens and causes less air to pass to the lungs.
While auscultating sounds of lung fields no wheezing was found, and VS were within normal range for patient as determined through comparison of chartings on 10/23/2015 thru the morning and lunch VS of 10/26/ 2015 before impaired gas exchange was detected. 10/26/2015 2. Administer O2 @ 2L N/C
Understanding respiratory volumes, capacities, and measurements will help me perform my job as a medical assistant because they are significant being a medical assistant. First of all, when the patient is on the bed, I will measure the respiratory rate while he/she is at relaxation. In the next, I will observe the rise and fall of the victim 's chest and count the number of respirations for one full minute. Then, I will record the current time, respiratory rate and respiratory characteristics. Spirometry is used diagnose conditions that affect breathing such as asthma, pulmonary fibrosis, and cystic fibrosis.
Hyaline membranes help to the development of fibrosis and atelectasis (collapse) essential to decrease in gas exchange capability and lung dysfunction. These changes cause the lungs to become stiff, patient work hard to inspire. Hypoxemia and the stimulation of juxtacapillary receptors in the stiff lung parenchyma leading to increase respiratory rate and decrease in tidal volume. Breathing irregular increase carbon dioxide removal,
In this experiment, we will focus on how exercise, in particular, affects the cardiopulmonary physiology of boys across different body mass indexes. Exercise places strenuous activity on the human body. When an individual exercise, the blood flow must level up to the demands being made on the individual’s muscles, heart, and lungs. Blood flow increases so that the blood does not clot
As respiratory therapist we will have the ability to deliver three types of bronchodilators depending on symptoms the patient is displaying or as a maintenance drug in diseases like COPD, emphysema and cystic fibrosis. It is vital that we know which medication works best in each circumstance. Beta-agonists are medications that use the beta-2 receptors in our airway in order to help smooth muscle relaxation and bronchodilation. The beta-agonists primarily affect the bronchioles (small airways). These medications are usually given by inhalations, pills, tablets and intravenously, but most frequently by inhalation due to less side-effects.
Teach the patient to that the exhaling of air is twice the length of time compared to
Lung volume and lung capacity are two measurements of respiratory health and measured during pulmonary functions tests. It is show the physical condition of the lungs. Pulmonary ventilation, or breathing, is the process of air flowing into the lungs during inspiration (inhalation) and out of the lungs during expiration (exhalation). Air flows because of pressure differences between the atmosphere and the gases inside
From these questions that were given out by Dr. Frander, many students should have a great understanding what to expect to the mid-term exam. Dr. Frander really encouraged us to study because most of these questions are difficult. For instance, she gave us an example in a patient who has COPD/ emphysema. What we have concluded from this question what they are looking for the emphysema patients don’t have a problem of taking air in rather they have a problem of taking the air out. The main problem of the emphysema, they have a lot of mucus, and the alveoli which where the gas exchange takes is impaired.
The desired outcome will be having the patient with clear lung sounds, edema free and denies dyspnea on exertion. To achieve these outcomes we need to monitor body weight daily, ? changes in bodyweight reflect changes in body fluid volume? (Methney, 2010). Mean time we need to monitor extension and location of edema?
The maximal test measures the volume of air that is expired by an individual. This expired air is then analyzed to determine the oxygen and carbon dioxide content is done using either a Douglas bags or the metabolic cart. Whereas the submaximal test is create to ensure the intensity does not exceed 85% of the individual’s maximal heart rate. The physiological rationale for the submaximal testing is that heart rate and work rate have a linear relationship. The submaximal test, provides an estimate of an individual’s VO2max not the actual VO2max.
4. Predict the air pressure changes you experience on an elevator? When on an elevator the pressure changes are due to the acceleration of the elevator and the gravity. When moving up in the elevator the less dense the air becomes.
Vital capacity (VC) this is what air is left in the lungs after a forced expiration. This leads into what forced expiratory volume in one second (FEV1)is, which is how much air an individual can breath out in one second out of four seconds. Four seconds in the about of time it should take a normal individual to release all of their breath. This is different for an individual with a disease such as asthma because it is an obstructive disease which causes an individual the have difficulties in breathing. During a flare up an individual has a longer forced expiratory volume in one second (FEV1).