multistep adaptive response of the body making hemopoietic and respiratory adjustments at different elevations
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apnea
cessation of breathing
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asthma
respiratory passages swell and bronchioles constrict; wheezing and gasping for air caused frequently by allergic reactions
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atelectasis
lung collapse which renders lung useless for ventilation; occurs when air enters pleural cavity through a chest wound
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carbon monoxide poisoning
CO outcompetes O2 hemoglobin; CO has 200x the affinity for hemoglobin as does O2
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chronic bronchitis
excessive mucus production by the mucosa of lower resp. pathways and inflammation and fibrosis of the mucosa; obstructs airways
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chronic obstructive pulmonary disease (COPD)
chronic bronchitis and obstructive emphysema; history of smoking, labored breathing, coughing, and pulmonary infections developing into resp. failure
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cleft palate
hard palate bones fail to fuse hole results
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cystic fibrosis
oversecretion of viscous mucus that clogs respiratory passageways and predisposes child to eventually fatal respiratory infections
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deviated septum
nasal septum takes a more lateral cause than usual and may obstruct breathing: old age and nose trauma
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epitaxis
“nosebleed” or nasal hemorrhage; trauma or hard blowing
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Heimlich maneuver
air in a person’s lung is used to “pop out” or expel the obstruction
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hyperpnea
breathing becomes deeper and more vigorous but no change in respiratory rate
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hyperventilation
increased depth/rate of breathing; flushes CO2 out of blood increasing pH
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hypoventilation
breathing is shallow and slow
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anemia hypoxia
poor O2 delivery resulting from too few RBCs or from RBCs that contain chemical abnormal or inadequate amounts of hemoglobin
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ischemia hypoxia
blood circulation is impaired or blocked (heart failure)
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hypoxemic hypoxia
reduced arterial pressure of O2
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laryngitis
inflammation of vocal cords (overuse of voice, bacterial infections, very dry ai, inhaling irritating chemicals)
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squamos cell carcinoma
arises in epithelium of bronchi and larger subdivisions; form masses that cavitate and bleed
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adenocarcinoma
originates in peripheral lung areas as solitary nodules that develop from bronchial glands and alveolar cells
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small cell carcinoma
consists of lymphocyte like cells that develop, originate in the primary bronchi and grow aggressive in cords or gape-like clusters within the mediastinum
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obstructive emphysema
permanent enlargement of the alveoli and deterioration of the alveolar walls may lead to lung fibroid and lungs lose elasticity
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orthopnea
inability to breathe in a horizontal position
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oxygen toxicity
excessive oxygen concentration generate large amounts of harmful free radicals; profound CNS disturbances culminating in coma death
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pleurisy
inflammation of pleura can be caused by decreased secretion of pleural fluid; pleural surfaces become dry and rough, resulting in infection and pain
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pneumonia
infections inflammation of the lungs in which fluid accumulates in the alveoli (viral bacterial, or fungal)
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pulmonary embolism
obstruction of the pulmonary artery or one of the branches by an embolus clot
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stuttering
condition in which vocal chords of larynx are out of control and the first syllable of a word is repeated in machine gun fashion
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sudden infant death syndrome (SIDS)
unexpected death of an apparently healthy infant during sleep; believed to be caused by immaturity of the resp. control centers
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tracheotomy
surgical opening of the trachea to provide a route for air to reach the lungs when superior respiratory passageways are obstructed
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tuberculosis
infectious disease caused by bacteria - *Myobacterium t.*; spread by repeated exposure to airborne bacteria, usually from an infected person’s cough; affects lungs but may spread to lymphatic system; bacteria walled off in fibrous nodules (tubercles) in the lungs
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hiccups
occur when a spasm contracts the diaphragm causing an intake of breath that is suddenly stopped by the closure of the vocal cords (glottis). A very full stomach can cause bouts of these (eating too much, swallowing air, sudden changes in stomach temp, stress). Most cures focus on increasing carbon dioxide in the blood. Long term (…) due to nerve issues.
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acid buffer
HCO3- + H+ → H2CO3
* excess hydrogen combines with HCO3- to form H2CO3 * increase pH
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base buffer
H2CO3 + OH- → HCO3- + H20
* excess hydroxide combines with H2CO3 to form HCO3- and water * decrease pH
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bohr effect
declining blood pH (acidosis) which weakens the bond between hemoglobin and O2; unloads O2 where needed
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age associated
alveolar perfusion decreases
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age associated
alveoli increase in size (when dilated, elasticity is lost, decreased gas exchange)
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age associated
decreased surface area for gas exchange
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age associated
costal cartilage tends to ossify (become bone) - decreases ability for lungs to expand
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age associated
articulations (joints) stiffen; thorax doesn’t expand as well - decreases ability for lungs to expand
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age associated
decreased lung elasticity
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age associated
decreased vital capacity (greatest volume of air that can be expelled from the lungs after taking a deep breath)
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age associated
increased residual volume
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age associated
decreased ventilation/perfusion ratio
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age associated
decreased ability for physical activity
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age associated
chemoreceptors (sense of smell) become less sensitive