RESPIRATORY FUNCTION AND NURSING CARE Prepared by Prof. Rudy De Guzman, MAN, RN Functions of the Respiratory System • Inhalation and Exhalation Are Pulmonary Ventilation • External Respiration Exchanges Gases Between the Lungs and the Bloodstream • Internal Respiration Exchanges Gases Between the Bloodstream and Body Tissues • Air Vibrating the Vocal Cords Creates Sound • Olfaction, or Smelling Factors Affecting the Respiratory System • H- ealth • M-edications • E- nvironment • A-ge • L-ifestyle • S-tress Assessing the Respiratory System • Complaints of shortness of breath (dyspnea) • Bluish or cyanotic appearance of the nail beds, lips, mucous membranes and skin • Restlessness, irritability, confusion, decreased level of consciousness • Pain during inspiration and expiration • Labored or difficult breathing • Orthopnea Assessing the Respiratory System • Use of accessory muscles • Abnormal breath sounds such as wheezes, rhonchi or rales • Inability to breathe spontaneously • Thick, frothy, blood-tinged or copious sputum production • Paradoxical chest wall movement