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Chapter 7 Vocab and Terms

AB
agonal respirationsSlow, gasping respiration, sometimes seen in dying patients.
airwayThe upper airway tract or the passage above the larynx, which includes the nose, mouth, and throat.
American Standard SystemA safety system for oxygen cylinders, designed to prevent the accidental attachment of a regulator to a cylinder containing the wrong type of gas.
apneaA period of not breathing.
aspirationThe introduction of vomitus or other foreign material into the lungs.
ataxic respirationsIrregular, ineffective respirations that may or may not have an identifiable pattern.
bag-valve-mask (BVM) deviceA device with a one-way valve and a face mask attached to a ventilation bag; when attached to a reservoir and connected to oxygen, delivers more than 90% supplemental oxygen.
barrier deviceA protective item, such as a pocket mask with a valve, that limits exposure to a patient''s body fluids.
bilateralA body part that appears on both sides of the midline.
complete airway obstructionOccurs when a foreign body completely obstructs the patient''s airway. Patients cannot breathe, talk, or cough.
complianceThe ability of the alveoli to expand when air is drawn in during inhalation.
cricoid pressurePressure on the cricoid cartilage; applied to occlude the esophagus in order to inhibit gastric distention and regurgitation of vomitus in the unconscious patient.
diffusionA process in which molecules move from an area of higher concentration to an area of lower concentration.
dyspneaDifficulty breathing.
exhalationThe passive part of the breathing process in which the diaphragm and the intercostal muscles relax, forcing air out of the lungs.
gag reflexA normal reflex mechanism that causes retching; activated by touching the soft palate or the back of the throat.
gastric distentionA condition in which air fills the stomach, often as a result of high volume and pressure during artificial ventilation.
good air exchangeA term used to distinguish the degree of distress in a patient with a partial airway obstruction. With good air exchange, the patient is still conscious and able to cough forcefully, although wheezing may be heard.
head tilt-chin lift maneuverA combination of two movements to open the airway by tilting the forehead back and lifting the chin; not used for trauma patients.
hypoxiaA condition in which the body''s cells and tissues do not have enough oxygen.
hypoxic driveA "backup system" to control respiration; senses drops in the oxygen level in the blood.
inhalationThe active, muscular part of breathing that draws air into the airway and lungs.
ischemiaA lack of oxygen that deprives tissues of necessary nutrients.
jaw-thrust maneuverTechnique to open the airway by placing the fingers behind the angle of the jaw and bringing the jaw forward; used for patients who may have a cervical spine injury.
labored breathingBreathing that requires visibly increased effort; characterized by grunting, stridor, and use of accessory muscles.
metabolismThe sum of all the physical and chemical processes of living organisms; the process by which energy is made available for the uses of the organism.
minute volumeThe volume of air moved through the lungs in 1 minute; calculated by multiplying tidal volume and respiratory rate.
nasal cannulaAn oxygen-delivery device in which oxygen flows through two small, tubelike prongs that fit into the patient''s nostrils; delivers 24% to 44% supplemental oxygen, depending on the flow rate.
nasopharyngeal (nasal) airwayAirway adjunct inserted into the nostril of a conscious patient who is unable to maintain airway patency independently.
nonrebreathing maskA combination mask and reservoir bag system that is the preferred way to give oxygen in the prehospital setting; delivers up to 90% inspired oxygen and prevents inhaling the exhaled gases (carbon dioxide).
oropharyngeal (oral) airwayAirway adjunct inserted into the mouth to keep the tongue from blocking the upper airway and to facilitate suctioning the airway.
partial airway obstructionCondition in which an obstruction leaves the patient able to exchange some air, but also causes some degree of respiratory distress.
patentOpen, clear of obstruction.
pin-indexing systemA system established for portable cylinders to ensure that a regulator is not connected to a cylinder containing the wrong type of gas.
pneumothoraxA partial or complete accumulation of air in the pleural space.
poor air exchangeA term used to describe the degree of distress in a patient with a partial airway obstruction. With poor air exchange, the patient often has a weak, ineffective cough, increased difficulty breathing, or possible cyanosis and may produce a high-pitched noise during inhalation (stridor).
recovery positionA side-lying position used to maintain a clear airway in unconscious patients without injuries who are breathing adequately.
retractionsMovements in which the skin pulls in around the ribs during inspiration.
Sellick maneuverA technique that is used to prevent gastric distention in which pressure is applied to the cricoid cartilage; also referred to as cricoid pressure.
stomaAn opening through the skin and into an organ or other structure; a stoma in the neck connects the trachea directly to the skin.
suction catheterA hollow, cylindrical device used to remove fluid from the patient''s airway.
tidal volumeThe amount of air that is exchanged with each breath.
tonsil tipsLarge, semirigid suction tips recommended for suctioning the pharynx; also called Yankauer tips.
ventilationExchange of air between the lungs and the environment, spontaneously by the patient or with assistance from another person, such as an EMT-B.



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