The Respiratory System - Ian Peate - E-Book

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Ian Peate

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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.

  • Equips healthcare students and practitioners with the necessary information to provide safe and competent care
  • Features colourful illustrations to aid comprehension, clarify complicated concepts, and render content more engaging and accessible
  • Empowers readers to adapt to a rapidly evolving healthcare landscape, preparing them for the future of healthcare delivery
  • Contains information necessary for effective patient care of those with Chronic Obstructive Pulmonary Disease (COPD), asthma, lung cancer and other respiratory diseases and conditions

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Seitenzahl: 286

Veröffentlichungsjahr: 2025

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Table of Contents

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

List of Illustrations

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.

List of Tables

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

Guide

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Begin Reading

Index

End User License Agreement

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Peate’s Body Systems

The Respiratory System

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

All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Ian Peate to be identified as the author of this work has been asserted in accordance with law.

Registered Office(s)

John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA

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For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.

Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats.

Trademarks: Wiley and the Wiley logo are trademarks or registered trademarks of John Wiley & Sons, Inc. and/or its affiliates in the United States and other countries and may not be used without written permission. All other trademarks are the property of their respective owners. John Wiley & Sons, Inc. is not associated with any product or vendor mentioned in this book.

Limit of Liability/Disclaimer of Warranty

The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging-in-Publication Data has been applied for.

ISBN: 978-1-394-252381

Cover Images: © marinashevchenko/Adobe Stock, © phototechno/Getty Images, © 4luck/Adobe Stock, © Oleksandr Pokusai/Adobe Stock

Cover Design: Wiley

Preface

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.

Purpose and Scope

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

Structure of the Series

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

Commitment to Excellence

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

Acknowledgements

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.