The lungs are a pair of asymmetrical organs that facilitate gaseous exchange between the environment and the circulatory system. The lung on the right side of the chest has three lobes, and the lung on the left has two. The lungs are attached to the respiratory tract via primary bronchi that divide from the base of the trachea and enter their respective lung at the hilum. Each lobe is connected to a secondary or lobar bronchus that divides off from the primary bronchus. The secondary bronchi then further divides into tertiary or segmental bronchi that supply air to the different lobar segments through the bronchioles, alveolar ducts and terminate with clusters of alveoli. The bronchi are lined with goblet cells that secrete mucus. Mucus is a sticky substance that acts as a protective barrier against foreign material like dust and pathogens. The walls of the bronchi are also lined with …show more content…
Upon recognition of an antigen, the smooth muscle that lines the bronchi rapidly and irregularly contract in spasms, which restricts the airflow. The goblet cells lining the membrane swell and excrete excessive amounts of mucus. This causes the lining of the airways to thicken and reduce the diameter of the airways, further restricting the airflow. The walls also swell due to an influx of inflammatory secretions including eosinophils, neutrophils and lymphocytes from the blood vessels. These responses only allow partial exhalation of the air in the lungs, causing the lungs to become hyper inflated as inhalation is still occurring at the normal flow rate. Severe asthma attacks can result in total blockage of the bronchi, leading to hypoxia and then death if not re-opened. Atopic asthma can be induced by hypersensitivity to foreign particles such as dust mites. Alternatively, asthma may be non-atopic, caused by an upper respiratory tract
Asthma is the swelling that causes you to wheeze making you feel as you can’t breathe it can be treated by epinephrine. Pneumonia is an infection of the lungs caused by bacteria and sometimes it can be treated without treatment. Bronchitis is an infection in the mucus membrane, wheezing and chest pains are some symptoms and it can be treated by prescribing brunch dilator or antibiotics. Sinusitis pressure in the sinuses also nasal discharge treatments are antibiotics and many others. Tonsillitis symptoms include fever, hard for you to swallow and sore throats.
Describe your patient who is having an acute bronchospasm, then select one other differential diagnosis to compare it with. Bronchospasm is condition, characterized by a sudden constriction of the muscle of the bronchial walls, leading to a temporary narrowing of the bronchi. As a result of the bronchial muscle tightening and inflammation, individuals suffering from this condition will exhibit a variety of symptoms including productive cough with thick mucus production, wheezing, and shortness of breath. Patient scenario 1 A 32 years old male patient, is scheduled to undergo an elective procedure.
Patient is a 63 year old male complaining of cough that may have started 15 years ago but worsened with in the past 5 years since moving from Vietnam to the U.S. Currently living in SF Valley with cough being at its worse in the morning, often dry cough, sometimes productive throughout day. Patient denies fever, exception being from illness. Occasional red blood, chest pain, back pain, SOB, and DOE. Patient has stated that he has difficulty filling lungs with air and that the cold makes him cough more, while “Teas” tend to help a little. With all that is happening to this patient it leads me to ask, what is the process of gas exchange in the lungs?
Because they also encourage mucous secretions, macrophage activity on pneumococci is decreased while bacterial adhesion to the epithelium is increased. Pneumonia is a condition that aggravates the air sacs in one or both lungs. The air sacs may fill with fluid or pus causing cough with phlegm or pus, fever, chills, and difficulty breathing. Cyanosis occurs as a result of the decrease in gas exchange through the inflamed alveolar membrane and subsequent decline in hemoglobin saturation. One of the most common complications of the flu is a bacterial infection.
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.
Exhaling is difficult and requires more time than normal. Other symptoms include a persistent, dry cough with small amounts of mucus due to the inability to cough it up. Physically, the shape of a person’s chest becomes barrel shaped due to the air trapping. Their chest and back appears rounded and the diameter of their chest is enlarged. The chest becomes rigid and fixed and the lungs are always
Tracheostomy is a procedure, in which an opening is created through the neck into the windpipe also known as the trachea to enable breathing and to open blocked airways. The purpose of tracheostomy is to improve alveolar ventilation in case of respiratory inadequacy, to create an alternative pathway for breathing, or to protect the airways by using a cuffed tube. This also allows for the air to enter the lungs therefore, the breathing is done through the tube. When a patient has tracheostomy they are bypassing the nose, mouth, and throat to be able to breath.
When Providing tracheostomy care it is important to utilize opproriate technique per facility procedure. It is essential to identify the correct patient. First one need to gather all necessary supply to perform the procedure. Proper hand washing is the key to prevent infection. Threachestomy care is a sterile technique it is vital to do not break sterility.
Furthermore, the regulation of the respiratory center can be modified in response to inputs from other brain regions, receptors in the peripheral nervous system, and other factors (chemoreceptors, voluntary control, etc.) in order to preserve the homeostasis of breathing. The respiratory center comprises of dispersed clusters of neurons located near the brain stem that modify the breathing muscles of the thorax by transmitting nerve impulses from centers in the brain which signals either contraction or relaxation (absence of nerve impulses). The respiratory center can be divided into two sections: the medullary respiratory center in the medulla oblongata and the pontine respiratory group (or pneumotaxic area) in the pons. The medullary respiratory
Internationally, the epidemiology of asthma shows that the disease varies greatly in different regions around the world. Such variation results from distinct genetic, environmental and occupational risk factors (Smith, 2017). However, the prevalence appears to be reaching a plateau in high-income countries, whereas prevalence continues to rise in low and middle-income countries (Smith, 2017). Worldwide, it is estimated that there are about 334 million people who have asthma, and there are about 250, 000 deaths attributed to such disease each year (Smith, 2017). The prevalence of asthma is continuing to grow, and as a matter of fact, it is estimated that by 2015, the overall prevalence of asthma shall increase by 100 million (Smith,
Nasal congestion is a feeling of blocked nose that can become a real problem impacting the quality of your life. Such congestion could lead to greater problems if left unattended, especially when the condition persists beyond the normal duration. It is important to understand the underlying conditions that cause congestion of the nose. Some conditions settle down on their own, while others will require some interventions to be alleviated. Nose congestion are usually caused by the inflammation of the thin mucous membranes that line your nasal passage.
Abstract The respiratory system consists of the nose, pharynx, larynx, trachea, and lungs. Moreover, it is divided into the upper respiratory tract such as, nose, pharynx, larynx, and the lower respiratory tract trachea, bronchi, and lungs. However, there are some conditions that can affect the respiratory system such as croup. It is also called laryngotracheobronchitis; an upper airway infection that blocks breathing and has a distinctive barking cough that is a dry harsh cough that resembles the sound of a barking seal.
The following are the risks of untreated asthma: 1. Severe Asthma: Asthma that is not diagnosed and treated agressively with asthma controller medicines can increase the risk for lung scarring. This is permanent damage to your lungs that can make you always feel short of breath. It also makes it so your asthma might not be reversible when you use your rescue medicine (Ventolin or Xopenex). This type of asthma is called severe, persistent asthma, Chronic Obstructive Pulmonary Disease (COPD) or what I like to call hard luck asthma.
Diffusion rates across the membranes occur at rapid rates because the gas exchange membranes are only 0.5µm thick, and because the lung capillaries are situated very closely to the alveoli which also allows diffusion of gases back and forth to occur across a tiny space. To prevent the lungs from collapsing as a result of the atmospheric pressure, the lungs are protected by a rib cage which provides protection from injury and allows for differences in the internal and external air pressures to be
Previous studies suggested that asthma is a multifactorial disease