Assessment of the Thorax and Lungs - Unit 2 Flashcards
Respiratory History - what does this include?
History of Upper Respiratory Infections, Asthma, COPD, Pneumonia, TB, Dyspnea, Smoking, Weight Loss, activity restrictions, environmental exposure to toxins, etc.
How should we position patients for respiratory assessments?
The upright position - the recumbent position, tho, if too ill!
Respiratory Approach - what do we do? What do compare? What direction do we move? Where do we begin?
We inspect, palpate, percuss, and auscultate.
We compare one side with another.
We work from above-down.
We begin with the posterior chest.
COPD - Changes are fast. T/F?
False! It’s slow changing!
What is included under the COPD umbrella?
Chronic Bronchitis, Emphysema, Asthma
What is emphysema?
Abnormal destruction of lung tissue where air gets trapped.
What happens to the bronchioles during with asthma?
Constriction of the bronchioles.
Control of Respirations - normal stimulus is an increase in ___ ___ or ___.
Normal stimulus is an increase in carbon dioxide or hypercapnia.
A decrease in oxygen (hypoxemia) also stimulates respirations but not as effectively. T/F?
True!!!!
Atelectasis - what is it?
Incomplete expansion of the lung (alveoli collapse) caused by tumors, pneumoniae, etc.
Hypostatic Pneumonia - pneumonia from…
not moving around. Make sure to move patients!
TCDB - what does it mean?
Turn, Cough, Deep Breath
Pleural Effusion - what is it?
Fluid buildup between lining of the lung and lung tissue.
Neumothorax - what is it?
Collapsed lung/extra air in lung.
TB - causes cavitation (like little holes) in the lung. T/F?
True!
