1. Respiratory System
Chapter 20

2. Pronunciation Alveoli Asthma Bronchi Bronchiectasis Bronchitis
Chest percussion
Chronic obstructive pulmonary disease COPD
Emphysema
Expiration
Hemoptysis

3. Pronunciation Inspiration Lungs Multi-drug-resistant TB MDR-TB
Oxygen therapy
Pneumonia
Respiration
Sputum
Trachea
Tuberculosis

4. Pronunciation Dyspnea Apnea Trachea Epiglottis Pharynx Larynx Nostrils
Pleura
Diaphragm

5. Anatomy and physiology
ACA

6. Lobes of the lungs

7. Interesting facts
Right main bronchus is wider and straighter than left one, so inhaled subjects usually get stacked in a right bronchus.
Bronchoscopy is required to remove an object:
Prevention – toilet paper roll rule: No object which can pass the toilet roll opening should be accessible to kids before 3 years old.

8. Auscultation of Lungs

9. Activity Listen to your lungs
Count your patient respirations for 1 min

10. Abbreviations 1. COPD – chronic obstructive pulmonary Disease
2. CXR – chest X-ray
3. TB – tuberculosis
4. Lung Ca – lung cancer
5. RR – respirations rate
6. O2SAT – oxygen saturation
7. SOB – shortness of breath
8. PNA - pneumonia

11. Chronic obstructive pulmonary disease - COPD
Chronic incurable condition of difficulty breathing due to obstruction of the airways
Causes – smoking, living and working in polluted areas, chronic bronchitis
XMo
Patient fRk&feature=relmfu

12. How to help patient with COPD?
m/living-with- copd/breathing- exercises.html
Pierced-lip breathing
Sitting position

13. Test of content
A resident suffers from chronic obstructive pulmonary disorder (COPD). Which of the following can the nursing assistant expect as a result of this?
The NA can expect to adjust the resident’s oxygen level periodically.
The NA can expect that the resident will be anxious about not being able to breathe.
The NA can expect that with proper treatment, the resident’s COPD will be reversed.
The NA can expect that the resident’s ability to walk will decline.

14. Asthma
Swelling of air passages due to allergic reaction to irritants – dust, smells, pollen, cold air, etc.
Inhaler -
Nebulizer - Q
Advair Disc Powder - &feature=related

15. Pneumonia - PNA Inflammation of the lungs
URXo&feature=related

16. Pneumonia CXR – Chest X-ray

17. Test of content
One room houses both a healthy resident and a resident who has pneumonia. Which of the following is an infection prevention example for Link 3 (portal of exit) in the chain of infection?
The healthy resident should get a vaccine to prevent getting pneumonia.
The sick resident should cover his nose and mouth when sneezing.
The sick resident should get a vaccine to prevent transmitting pneumonia.
The healthy resident should keep his bedside table and overbed table clean and dry.

18. Tuberculosis
gp1E&feature=related

19. How to use incentive spirometer
w96w

20. Oxygen delivery
qNs&feature=related
Three things to remember for the Nursing Assistant:
1. Never adjust oxygen flow yourself
2. never allow open flames or smoking around the oxygen – oxygen feeds fire
3. Check for pressure wounds behind the ears in patients with chronic oxygen use

21. How to collect sputum culture
Which container does it go in?

22. Test of content
. A resident in subacute care is lying in bed and suddenly becomes short of breath. Which of the following is the best response by the nursing assistant?
The nursing assistant should place the resident in the semi-Fowler’s position.
The nursing assistant should place a pad or towel under the resident’s chin.
The nursing assistant should begin deep breathing exercises.
The nursing assistant should notify the nurse immediately.

23. Test
1. What acts like a lid to shut off the larynx during the swallowing process?
2. Where voice cords are located?
3. What is the primary function of the larynx?
4. What is respiration? Inspiration? Expiration?
5. What is the best position for the patient with COPD?
6. What is not allowable around the oxygen?