环境管理体系肺讲座-英文课件_002

环境管理体系肺讲座环境管理体系肺讲座-英文课件英文课件11、用道德的示范来造就一个人，显然比用法律来约束他更有价值。希腊12、法律是无私的，对谁都一视同仁。在每件事上，她都不徇私情。托马斯13、公正的法律限制不了好的自由，因为好人不会去做法律不允许的事情。弗劳德14、法律是为了保护无辜而制定的。爱略特15、像房子一样，法律和法律都是相互依存的。伯克Respiratory Tract AnatomyConductingNose/MouthNasopharynx/OropharnyxLaryngopharynxTracheaRespiratory Tract AnatomyConductingTracheaBronchusBronchioleTerminal BronchioleRespiratory Tract AnatomyRespirationAlveolar ductsAlveoliRespiratory Tract AnatomyRespiratory Mechanics Pressure and Volume PV=nRTPV=1As pressure increases,volume decreasesAs volume increases,pressure decreasesRespiratory MechanicsPressureVolumeAdhesionComplianceSurface TensionGas ExchangeRespiratory MechanicsAdhesionParietalVisceralPleural FluidRespiratory MechanicsSurface TensionRespiratory MechanicsComplianceRespiratory MechanicsGas ExchangeOxygen TransportDissolvedBoundpHO2TemperatureAirway ResistanceR=8nL/R 4Cross-sectional AreaDynamicRespiratory CycleRespiratory ControlMechanoreceptorsInflationDeflationChemoreceptorspHPCO2PO2Respiratory DistressDyspneaOrthopneaPNDCyanosisCentralPeripheralLung SoundsPT 630-Breath SoundsRespiratory DistressAirwayCardiacLungThoracic CavityVascularNeuromuscularRespiratory DistressO2HypoxiaHypoxemiaRelative HypoxemiaCO2AcuteChronicInfectionsBronchitisPneumoniaTuberculosisHemoptysisDual Blood SupplyMechanismsIntravascularInflammatoryCoagulationPathophysiologyIntravascular LV CHFMitral Valve StenosisRheumatic Heart DiseasePathophysiologyInflammatoryBronchitisBronchiectasisMycetomaFBPEPneumoniaNeoplasiaTBVasculitidiesPathophysiologyCoagulopathiesHemophiliaThrombocytopeniaAnticoagulantsThrombolyticsClinical FeaturesHistoryFeverSputumWeight lossNight sweatsPhysical ExaminationVitalsNasalCavity and oropharynxMurmursClubbingRales vs RhonchiDiagnostic ApproachConfirm LocationPseudo,GI or pulmonaryUrgent BronchoscopyCXRNeoplasia20-30%normalChest CTNeoplasia vs bronchiectasisTreatmentIdentify history of Tb or COPDDecubitus PositionIntubation with large ETT Mainstem Bronchus intubationAsthma in AdultsChronic inflammatory diseasePrevalenceChildrenElderlyIncidence 10 100%increaseMortalityNon uniform increasePathophysiologyLarge and Small AirwaysMuscularVascular CellularMast CellsPMNEosinophilsGoblet CellFibroblastsPathophysiologyAcuteMastEosinophilsPMNPlateletsLymphocytesSubacute“resident cell activation”ChronicDeposition of CollagenPathophysiologyAllergicFamily historyIdiosyncraticNormal IgETriggersEnvironmentalInfectiousBehavioralMedicationEmotionalPathophysiologySymptomsDyspneaChest TightnessWheezingCoughTachypneaTachycardia*pay attention in pediatricsSeverity Of ExacerbationBreathlessnessWalking,talking,restPositionLying,sitting,uprightSpeechSentences,phrases,wordsTachycardia100,100-120,120PEFR80%,50-80%,95%,91-95%,91%ABGYou know its severe if you order an ABGAssessmentPEFR Pulse OximetryEKGReversibleTreatmentAdrenergic AgentsIV vs InhaledAlbuterolTo space or not to space?TreatmentCorticosteroidsIV vs POAnticholinergicsMgHelioxTreatmentAssisted VentilationIndicationsRisksBarotraumaHypotensionMucus PluggingVentilation RateSpecial CircumstancesAgePregnancyIncidenceOxygenFetal RisksTreatmentThe Things You Ask if You Have the TimeRisk Factors for DeathSudden severe exacerbationsICUIntubationRecent Withdrawl of SteroidsED visitsAlbuterol useCOPDChronic BronchitisClinical definition EmphysemaPathological definitionCOPD EpidemiologyPrevalenceMen vs WomenWHO estimatesHospitalization mortalityFloorICUWithin 1 year after dischargePathophysiologyRisk FactorsBehavioralGeneticBronchitis/EmphysemaExpiratory FlowInflammation and ElastancePathophysiologyHypoxemia and hypoventilationNeurochemical regulationPulmonary blood flowCardiac risksClinical Features-ChronicCoughCracklesWheeze HyperinflationWeight ChangeMental StatusClinical Features AcuteCausesInfectiousBehavioral IatrogenicCardiacHypoxemiaHypercapniaR/O other intrathoracic diseaseTreatment-AcuteOxygenAlbuterolAtroventSteroidsTreatment-AcuteAssisted VentilationComplicationsInfectiousCardiacTraumaticBIPAPTraumaPneumothoraxBluntPenetratingHemothoraxTension PneumothoraxAssisted VentilationProsConsBasic Airway Management Saves LivesJaw ThrustAirway AdjunctNRB/BVMReviewAirway and Lung AnatomyRespiratory Mechanics and PhysiologyRespiratory Infections/HemoptysisAsthmaCOPDTraumaPlug for BLS airway management41、学问是异常珍贵的东西，从任何源泉吸收都不可耻。阿卜日法拉兹42、只有在人群中间，才能认识自己。德国43、重复别人所说的话，只需要教育；而要挑战别人所说的话，则需要头脑。玛丽佩蒂博恩普尔44、卓越的人一大优点是：在不利与艰难的遭遇里百折不饶。贝多芬45、自己的饭量自己知道。苏联