BetterBreathingforPALS.pptVIP

Better Breathing for PALS “When you can’t Breathe, nothing else matters” Motto of the American Lung Association Puts one’s priorities in perspective It is very uncomfortable not to be able to breathe adequately Good News: Various respiratory therapies for PALS that can bring breathing relief that Improves Their Quality of Life! What is Breathing? Exchange air in our lungs Take in oxygen Used by our entire body Our heart pump oxygen through the body for all our organs to use Give off carbon dioxide End product of metabolism Our heart brings is back to the lungs to expel Respiratory Physiology Review Thorax (AKA Chest Wall): The Framework The ins outs of air: Respiratory Tract Nose Tracheal Bronchial Tree Respiratory Physiology Review Lungs: Where gas exchange takes place (the oxygen carbon dioxide do-see-do) Respiratory Physiology Review Mechanics of Breathing Images from Purves et al., Life: The Science of Biology, 4th Edition, by Sinauer Associates How Do We Breathe (Inhale)? Diaphragm is the major muscle of breathing Two dome shaped muscle located below the lungs Inhalation is caused by… the diaphragm going down flattening… creating a negative pressure in the chest cavity… Which causes air to flow into the lungs What About Exhalation? Exhalation is passive Exhalation occurs at the end of Inhalation Exhalation occurs when the diaphragm relaxes ALS Weakens the Muscles of Breathing Inspiratory Muscles Diaphragm Intercostal Controls Breathing Expiratory Muscles Diaphragm, Intercostals Glottis Control coughing ability to clear secretions ALS Respiratory Impairment Muscle of breathing deteriorate causing hypoventilation (inadequate ventilation) Carbon dioxide goes up Oxygen goes down Causes Dyspnea Dyspnea is a Symptom of Respiratory Insufficiency Means Short of Breath – SOB (really) Signs Symptoms of Dyspnea Morning headache Insomnia Fatigue lethargy SOB especially on exertion lying down Increased Respiratory Rate Restlessness anxiety Factors That In