Week 3 video notes of course content on blackboard learn PDF

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Summary

Advanced healing art class - video notes from blackboard learn. Topics were completed with the powerpoints provided by the teacher...

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-Let's say that this is you. You're enjoying a nice sunny day, and you decided to take a nice long, deep breath of air. And of course, when I say air, the part that you probably care the most about is just the oxygen part of that air. -That's the part that we, as humans, need to survive. So you take a deep breath, and let's say that you take it through your mouth. You take a deep breath through your mouth. And then let's say you take one more deep breath, a second deep breath. And you take that one through your nose. -Now you might think, well, these are two totally different ways of getting in air. That's certainly how it looks when you look at a mouth and a nose. It doesn't look like they have much in common. -But the truth is that actually. If you follow the air, it almost follows an identical path. So the air is going to go into the back of the throat, really regardless of how you took it in. They meet up in the back of the throat.

They go towards this thing that we call the Adam's apple. -everybody has it, not just men. -The reason it's called an Adam's apple is because Adam is generally a boy's name. And so it's to remind us that usually men or boys have larger Adam's apples than girls. -located under the notch -What it does is it helps you control your voice. -It can also be called the voice box -And of course, air is passing through the voice box, and it's kind of the entryway into the trachea. So it actually allows me to make the voice high bitch or low tone depending on how you change the muscles around in that Adam's apple. -Air is just going to keep making its journey down-- and specifically, of course, the part of air I said we care about is the oxygen. It's going to keep making its journey down into the lung area. -It's going down the trachea, and it goes into the two lungs -Now we should probably go ahead and start labeling some of this. You can see that the lungs actually don't look identical. They look slightly different. -The right side has three lobes. We call it the upper lobe, middle lobe and lower lobe. -The left one only has two lobes. So that's the first kind of big difference. And the other difference is that you actually have this thing in the middle that we call a cardiac notch. -The reason we call it that is that it's a little spot that gets formed because the heart is literally kind of peeking out and as a result, it kind of makes a notch in the lungs when it develops. -if you ever see a lung just kind of sitting by itself and you want to figure out whether it's the left lung or the right lung, you can look for the number of lobes, or you can look for that cardiac notch.

Now around these lungs, you've got ribs. And below the lungs and below the heart, you've got a big muscle that basically becomes the floor. -The heart and the two lungs, they sit on this floor made up of this muscle. -This muscle is the diaphragm muscle. -The diaphragm muscle makes up the floor and the ribs make up the walls. -So what do we have? We have basically a room that is what we refer to as the thorax.

-I haven't done a very nice job of actually showing you where the air goes. I've just kind of pointed that it goes through the two lungs, but you don't actually get to see where it goes after that -imagine a tree, and that tree has been flipped upside down. So you've got all these branches off that tree - Our lungs basically look like a flipped upside down tree. -We even call it that - bronchial tree. -The air goes down this main trunk, this trachea, and then it kind of starts splitting up. And each of these colored regions-- the green region or the purple region-- serves a different lobe.

- Lets say we take a little branch like this, we expand it. It would basically, under a microscope, look like a bunch of little sacs that we call these alveoli. -the air actually kind of runs into the alveoli. It has a dead end, and then it comes back around. And then you breathe it out. So that's how breathing works. The air goes all the way in through your mouth, down to the alveoli, takes a U-turn, and then goes back out. -But before it takes its u-turn, is that it will exchange with the blood -Oxygen will actually go into the blood. And out of the blood will be waste. So you'll have some carbon dioxide waste that your cells have been making. And that waste actually then gets thrown back into the alveoli. -So now you can see how oxygen gets from the outside world, gets breathed in through the lungs when you inhale, gets down into the alveoli, exchanges with the blood, and then you exhale and let all that carbon dioxide out.

W3 - Chest Tubes – Video Notes

My Surgery Guide: Deep Breathing and Coughing Exercises -Important after surgery to keep the lungs clear -Sit up straight, upright position -Deep breath up through the nose and exhale with pursed lips -Make sure client is breathing deeply (the lungs should expand sideways as the air enters) -Take a deep breathe and hold it in for 3 seconds -In addition to breathing, its important the patients are coughing regularly as well -Place a pillow in the incision to provide extra support and help alleviate some of the discomfort that is associated with coughing -Deep breathe in through the nose -Cough two times in a row -Evaluate the client’s pain when that does this exercise – nurses can administer pain medicine to facilitate this important exercise -Important to do them after surgery and regularly -Repeat 3-5x per hour while awake -After discharge, important to keep up with these exercises for the following 2 weeks for the same reason of doing them in the hospital

Chest tube management:

Chest tube case study:...