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PEATE'S BODY SYSTEMS
THE RESPIRATORY SYSTEM
A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE RESPIRATORY SYSTEM
Each of the twelve volumes in Peate's Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.
The Respiratory System is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in respiratory care, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.
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Seitenzahl: 286
Veröffentlichungsjahr: 2025
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Chapter 1 Anatomy and Physiology: The Respiratory System
The Respiratory System
The Upper Respiratory Tract
The Lower Respiratory Tract
Blood Supply
Respiration
Pulmonary Ventilation
External Respiration
Ventilation and Perfusion
Transportation of Gases
Internal Respiration
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 2 Respiratory Assessment
Airway Obstruction
Rapid Breathing Assessment
Objective and Subjective Data
Vital Signs
Assessing Respirations
Oxygen Saturations
The Patient History
Cough
The Physical Examination
Interpretation of the Findings
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 3 Chronic Obstructive Pulmonary Disease
Pathophysiological Changes Associated With Chronic Obstructive Pulmonary Disease
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 4 Asthma
Pathophysiological Changes Associated with Asthma
Asthma Triggers
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Status Asthmaticus
Health Teaching
Inhalers
Spacers (Aerosol Holding Chambers)
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 5 Pneumonia
Pathophysiological Changes Associated with Pneumonia
Community-acquired Pneumonia
Hospital-Acquired Pneumonia
Pathophysiology
Epidemiology
Risk Factors
Hospital-Acquired Pneumonia
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Risk Stratification
Supportive Measures
Hospital-Acquired Pneumonia
Nebulisers
Advising Patients on Nebuliser Use
Care Provision
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 6 Lung Cancer
Pathophysiological Changes Associated With Lung Cancer
Small-cell Lung Carcinoma and Non-small cell Lung Carcinoma
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Staging and Grading
Tumour, Node and Metastasis Staging
Management
Rapid Diagnostic Centres
Surgery
Radiation Therapy with Curative Intent
Palliative Radiation Treatment
Chemotherapy, Targeted Therapy and Immunotherapy
Laser Therapy, Cryotherapy and Tracheobronchial Stents
Palliative Care
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 7 Tuberculosis
Notifiable Diseases
Pathophysiological Changes Associated with TB
Aetiology of TB
Stages or Forms of TB
Primary TB infection
Latent TB
Active TB Disease
Reactivation of TB
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Health Teaching
BCG Immunisation Programme
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 8 Pulmonary Embolism
Deep Vein Thrombosis
Venous Thromboembolism
Virchow’s Triad
Thrombogenesis
Pathophysiological Changes Associated with PE
Prognosis
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Urgent Care
General Management
Anticoagulants
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Index
End User License Agreement
Chapter 1
Figure 1.1 The upper and lower respiratory system
Figure 1.2 Structures of the upper respiratory system
Figure 1.3 The lower respiratory tract
Figure 1.4 The larynx
Figure 1.5 The bronchial tree and terminal bronchi
Figure 1.6 The bronchial tree and alveoli
Figure 1.7 The flow of blood between the lungs, the heart and the body
Figure 1.8 Muscles involved in pulmonary ventilation
Figure 1.9 Respiratory centres of the brain stem
Figure 1.10 External respiration: exchange of oxygen and carbon dioxide within the lungs
Chapter 2
Figure 2.1 The head-tilt/chin technique
Figure 2.2 The sequence of basic adult life support.
Figure 2.3 Peak expiratory flow meter.
Figure 2.4 Pulse oximetry
Figure 2.5 Pulse oximeter
Figure 2.6 Clubbing of finger nails
Figure 2.7 Checking for chest expansion
Figure 2.8 Tactile fremitus
Figure 2.9 Measuring jugular venous pressure
Figure 2.10 Technique for percussion
Figure 2.11 Sites for percussion of the anterior and lateral chest wall
Figure 2.12 Sites for percussion of the posterior chest wall
Figure 2.13 The diaphragm (above) and the bell (below)
Figure 2.14 Common sites for auscultation, the anterior chest
Figure 2.15 Common sites for auscultation, the posterior chest
Chapter 3
Figure 3.1 Bronchitis
Figure 3.2 Emphysema
Figure 3.3 An example of a peak flowchart
Chapter 4
Figure 4.1 The airways and asthma
Figure 4.2 The pathophysiological triad of symptoms.
Figure 4.3 Pathophysiological triad of asthma.
Figure 4.4 The common underlying characteristics of asthma
Figure 4.5 Summary of asthma management in adults.
Figure 4.6 Dry powder inhaler.
Figure 4.7 Pressurised metered dose inhalers (MDI or pMDI).
Figure 4.8 Breath‐actuated MDI (BApMDI).
Figure 4.9 Aerosol holding chamber (commonly called a ‘spacer’).
Chapter 5
Figure 5.1 Deposition of medication in the lungs and airways
Figure 5.2 Nebuliser system
Figure 5.3 Jet nebuliser
Figure 5.4 Ultrasonic nebuliser
Figure 5.5 Mask and mouthpiece
Chapter 6
Figure 6.1 Rapid diagnostic centre
Chapter 7
Figure 7.1 Extrapulmonary tuberculosis (TB)
Figure 7.2 Primary tuberculosis (TB)
Figure 7.3 Transmission cycle of tuberculosis (TB)
Figure 7.4 Sputum
Chapter 8
Figure 8.1 Virchow’s triad
Figure 8.2 Deep vein thrombosis
Figure 8.3 Pulmonary embolism
Figure 8.4 Wells’ score pulmonary embolus.
Chapter 1
Table 1.1 Factors influencing diffusion
Chapter 2
Table 2.1 Causes of dyspnoea
Table 2.2 Some examples of objective and subjective data
Table 2.3 Key features of the history
Table 2.4 Some respiratory symptoms
Table 2.5 A cough: OLDCART
Table 2.6 Lung sounds
Table 2.7 Breath sounds
Chapter 3
Table 3.1 Modified Medical Research Council Dyspnoea Scale
Chapter 4
Table 4.1 Some potential triggers associated with asthma
Table 4.2 Corticosteroids used in the treatment of asthma
Table 4.3 Summary of bronchodilator therapies given in asthma
Chapter 5
Table 5.1 Potential complications: pneumonia
Table 5.2 Some risk factors associated with community-acquired pneumonia
Table 5.3 Some risk factors associated with hospital-acquired pneumonia (HAP)
Chapter 6
Table 6.1 Risk factors associated with lung cancer
Table 6.2 The benefits of stopping smoking
Table 6.3 Additional tests that may be considered in making a diagnosis of lung cancer
Table 6.4 Tumour, node and metastasis (TNM) staging system for lung cancer
Chapter 7
Table 7.1 Notifiable disease
Table 7.2 Risk factors associated with tuberculosis (TB) (White and Ruparelia 2023; WHO ...
Chapter 8
Table 8.1 Virchow’s triad
Table 8.2 Key steps associated with thrombogenesis
Table 8.3 Risk factor classification low, intermediate or high
Table 8.4 Some major risk factors associated with pulmonary embolism (PE)
Table 8.5 Health education pointers
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Begin Reading
Index
End User License Agreement
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Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT BEd(Hons) MA(Lond) LLM
Editor in Chief, British Journal of Nursing;
Consultant Editor, Journal of Paramedic Practice;
Consultant Editor, International Journal for Advancing Practice;
Visiting Professor, Northumbria University;
Visiting Professor, Buckinghamshire New University;
Professorial Fellow, University of Roehampton;
Visiting Senior Clinical Fellow, University of Hertfordshire
This edition first published 2025.
©2025, John Wiley & Sons Ltd
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The right of Ian Peate to be identified as the author of this work has been asserted in accordance with law.
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Welcome to Peate’s Body Systems; there are 12 books in the series. This is a comprehensive collection of textbooks designed to support and enrich the knowledge of health and care workers across various fields. This series is intended to be a valuable resource for those who are dedicated to understanding the intricacies of human biology, physiology and the various systems that sustain life.
Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Each book in this series is thoroughly crafted to offer clear, accurate and up-to-date information on different body systems. The aim is to bridge the gap between complex scientific concepts and practical, everyday applications in healthcare settings.
The purpose of this series is to provide health and care workers with:
Foundational knowledge, with explanations of the anatomical structures and physiological functions of the body systems
Insights into how these systems interact with each other and how they are impacted by various diseases and conditions, highlighting clinical relevance and encouraging practical application
Each book in Peate’s Body Systems focuses on a specific body system:
The Cardiovascular System
The Respiratory System
The Digestive System
The Renal System
The Nervous System
The Endocrine System
The Female Reproductive System
The Male Reproductive System
The Musculoskeletal System
The Skin
The Ear, Nose and Throat
The Eyes
Every chapter is designed to be comprehensive yet accessible, making complex information easier to digest and apply. Figures, tables, boxes, illustrations and flowcharts have been extensively used to support visual learning and reinforce key concepts.
This series is tailored for:
Healthcare students: those in nursing and allied health programmes
Practicing professionals: nurses, therapists and other care workers seeking to deepen their understanding and stay current with the latest developments in health and care
Educators and trainers: educators who require reliable and comprehensive teaching materials to advise and instruct the next generation of healthcare providers
The series is committed to providing quality educational resources that not only inform but also inspire and empower health and care workers. By equipping you with a robust understanding of the systems of life, you will be better prepared to make informed decisions, deliver compassionate care and ultimately improve patient outcomes.
Thank you for choosing Peate’s Body Systems as your trusted resource. I hope these textbooks serve as a valuable tool in your ongoing journey of learning and professional development.
Ian Peate
London
I would like to acknowledge the help and support of my partner Jussi Lahtinen. Acknowledgements also go to staff at the RCN Library in London. My thanks go to Tom Marriott, Christabel Daniel Raj, Bhavya Boopathi and all those at Wiley.
