环境管理体系肺讲座英文ppt课件.pptVIP

EMS Pulmonary Lecture Mike MD, MPH Outline Anatomy Physiology Airway Management Medical Management Trauma Management Epidemiology 25% Infectious 5% Tb 28 % Neoplasia 13 % Multiple or miscellaneous 28 % Undetermined Risk Factors – Marlboro Man +/- horse Functions of Respiratory System Moves Air Communication Non-specific Immunity Acid/Base Respiratory Tract Anatomy Conducting Nose/Mouth Nasopharynx/Oropharnyx Laryngopharynx Trachea Respiratory Tract Anatomy Conducting Trachea Bronchus Bronchiole Terminal Bronchiole Respiratory Tract Anatomy Respiration Alveolar ducts Alveoli Respiratory Tract Anatomy Respiratory Mechanics Pressure and Volume PV=nRT PV=1 As pressure increases, volume decreases As volume increases, pressure decreases Respiratory Mechanics Pressure Volume Adhesion Compliance Surface Tension Gas Exchange Respiratory Mechanics Adhesion Parietal Visceral Pleural Fluid Respiratory Mechanics Surface Tension Respiratory Mechanics Compliance Respiratory Mechanics Gas Exchange Oxygen Transport Dissolved Bound pH O2 Temperature Airway Resistance R=8nL/R 4 Cross-sectional Area Dynamic Respiratory Cycle Respiratory Control Mechanoreceptors Inflation Deflation Chemoreceptors pH PCO2 PO2 Respiratory Distress Dyspnea Orthopnea PND Cyanosis Central Peripheral Lung Sounds PT 630 - Breath Sounds Respiratory Distress Airway Cardiac Lung Thoracic Cavity Vascular Neuromuscular Respiratory Distress O2 Hypoxia Hypoxemia Relative Hypoxemia CO2 Acute Chronic Infections Bronchitis Pneumonia Tuberculosis Hemoptysis Dual Blood Supply Mechanisms Intravascular Inflammatory Coagulation Pathophysiology Intravascular LV CHF Mitral Valve Stenosis Rheumatic Heart Disease Pathophysiology Inflammatory Bronchitis Bronchiectasis Mycetoma FB PE Pneumonia Neoplasia TB Vasculitidies Pathophysiology Coagulopathies Hemophilia Thrombocytopenia Anticoagulants Thrombolytics Clinical Features History Fever Sputum Weight loss Night sweats Physical Examination Vitals NasalCavity and oropha