Nunns Applied Respiratory Physiology 7th Pdf 82

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the eyes, nose, ears, and mouth are portals for entry of infectious agents. thus, the eyes, nose, ears, and mouth must be examined for lesions. care should be taken to inspect all mucous membranes [ 37 ]. appropriate laboratory testing should be performed to assess the patient’s immune system, possible infection, and underlying medical problems. in addition to routine laboratory tests, a chest radiograph or ct scan should be obtained to evaluate the lungs. these tests may help determine the source of infection, the stage of the disease, and the probability of a poor outcome. in patients presenting with symptoms of acute respiratory distress, the clinician should be prepared to rule out a number of different etiologies, including respiratory infections, trauma, asthma, pulmonary embolism, sepsis, and pneumonia [ 38].

the most common cause of a respiratory arrest is hypoxic or anoxic cerebral injury. during surgery, exposure to hypoxia or hypoperfusion of the brain may occur due to either regional or global ischemia or hemorrhagic shock [8]. persistent neonatal respiratory arrest may be due to occult congenital diaphragmatic hernia or potentially due to lung malformation [9].

the respiratory system consists of the thorax, the nasal cavity, the larynx, and the upper airways, including the trachea, the main bronchi, and the secondary bronchi. the airways transition to the tracheal bifurcation, the main carina, and the secondary carina. each main carina branches into four to six secondaries and then narrows to about 2 mm or less. the trachea is a long tube that extends from the larynx to the bronchial bifurcation; it is the primary air passage leading to the alveoli. the trachea includes cartilaginous rings, muscular rings, mucous glands, smooth muscle, and two sets of nerves [13].

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