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Summer NPTE Cradiopulm > cardiopulm - 10 tests and measures book > Flashcards

cardiopulm - 10 tests and measures book Flashcards

1
Q

what are adventitious breath sounds

A

abnormal breath sounds heard with inspiration and or expiration that can be continuous or discontinous

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2
Q

what are crackle lung sounds

A

high pitched popping sound heard more often during inspiration

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3
Q

what disease is crackle sounds often associated

A

restrictive or obstructive respiratory disorders

present w/ fluid or secretions

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4
Q

what is pleural friction rib lung sounds

A

dry crackle heard with both inspiration and expiration

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5
Q

where do we hear pleural friction rib lung sounds

A

heard or area where pt feels pleuritic pain

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5
Q

when do we hear pleural friction rib lung sounds

A

when inflammed viseral and partial pleura rub together

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6
Q

what do rhonchi lung sounds sound like

A

continous low pitched sound described as having snoring or gurgling quality

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7
Q

what are rhonchi lung sounds caused by

A

cuased by air passing through an airway which is obstructed by inflammatory secreations, bronchi spasma, or a neoplasm

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8
Q

what does stridor lung sounds sound like

A

contoniues high pitcjed wheeze heard with inspiration or expiration

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9
Q

what do stridor lung sounds indicate

A

upper airway obstruction

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10
Q

what does wheeze lung sound sound like

A

continuous musical or whistling sound made of a variety of pitches

variable area to area

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11
Q

what causes wheezing sound

A

turbulant air flow and vibrations of the walls of the small airways 2/2 narrowing by

bronchospasm

edema

collapse

secretiosn

foreign body

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12
Q

what do absent breath sounds indicate

A

collaspe

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13
Q

what is considered obese on the BMI scale

A

30

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14
Q

what is claudation a cardinal sym of

A

PAD

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15
Q

what is claudation

A

when the skeletal muscle oxy demand exeedsthe blood oxy supply

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16
Q

what is the claudication test

A

the pt walks on a flat track at max speed or treadmill at 2.0 mph at a constant grade

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17
Q

what is the grading scale for claudication out of

A

1- 4

1 being best

4 being worst

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18
Q

how much is the borg dyspnea scale out of

A

1-10

10 - worst

1 -best

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19
Q

what is the point of a ECG

A

the is a graphic rep. of the hearts electrical activity

recorded from electrodes on the body

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20
Q

what is a ECG used for

A

assess cardiac arrthy

to diagnosis the place, acuteness of MI

eval changes w/ activtiy

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21
Q

what ICS are the most superior ECG leads

A

4th ICS at the sternal

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22
Q

what is hoamans sign for deep vein thrombosis

A

a test used to detect a DVT in the lower leg

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23
Q

what is the procedure for hoamans sign

A

pass DF the ankle while keeping the knees straight

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24
Q

what is the interprestation of hoamans sign

A

positive: if the manuver produced pain in the calf of the popliteal space

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25
Q

mediated percussion - flat or dull sound

A

sounds liek you are hitting your thigh muscle

in the upper lungs this suggest a neoplasm, atelectasis or consolidation in the lung

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26
Q

mediated percussion - resonance

A

this is normal sound of a air filled lung

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27
Q

mediated percussion - hyper resonance

A

int sound between resonce and tymphany

suggest pulmonary emphysema or pnemothorax

28
Q

mediated percussion - tympany

A

hollow sound that kinda sounds like a drum beat

occur with a large pneumothorax

29
Q

when is someones pulse irregular

A

with cardiac arthym

30
Q

when is someones pulse weak and hard to palpate

A

w/ PAD

31
Q

carotid pulse - where to find

A

the memdial aspect of the SCM in the lower half of the neck

32
Q

brachial pulse - where to find

A

medial to the biceps tedon and lateral to the medial epi

33
Q

ulnar pulse - where to find

A

at the wrist between the flexor digitorum superficalis and the flexo carpi ulnaris tendon

34
Q

radial pulse - where to find

A

at the wrist lateral the the flexor carpi radialis

35
Q

femoral pulse - where to find

A

in the upper thigh

1/3 the distance to the pubis

36
Q

popliteal pulse - where to find

A

in the popliteal space behind the knee

37
Q

posterior tibial pulse - where to find

A

in the psace between the medial mall and the achilles tendon above the calcaneus

38
Q

dorsalis pedis - where to find

A

near the center of the long axis of the foot

between the 1st and 2nd metatarsal

39
Q

what is the normal heart rate for a child

A

80 - 100 bpm

40
Q

what does 3+ mean for pulse

A

large and bounding pulse

41
Q

what does 2+ mean for pulse

A

normal or average pulsation

42
Q

what does 1+ mean for pulse

A

small or reduced pulse

43
Q

what does 0 mean for pulse

A

absent pulse

44
Q

what is pulmonary function testing

A

a test that measure the volume of flow of air during inhalation and exhalation

test I did for asthma

looking at forced vital capcity

45
Q

what is forced vital capacity

A

the maximum amount of air a person can exhale forcefully after a deep breath

46
Q

what does FEV1/FVC < 70%

A

this is a primary indicator of obstructive impairment

asthma, empahsema, chronic bronchitis

47
Q

what is pulse oximetry looking at

A

the estimates the oercent of arterial oxy saturation of hemoglobin

48
Q

what is rate pressure product

A

is an index of myocardial oxygen consumption and coronary blood flow

RPP = HR x SBP (measured during the same exercise)

49
Q

what is the borg scale

A

RPE

50
Q

what does a RPE of 13-14 represent in HR

A

70% of max HR

51
Q

in cardiac training what is the max RPE suggested

A

11-13

52
Q

what is the normal RR for - newborn

A

33-45

53
Q

what is the normal RR for - 1 year

A

25 - 35

54
Q

what is the normal RR for - 10 year old

A

15-20

55
Q

what is the normal RR for - adult

A

12 20

56
Q

normal inspiration vs expiration

A

1:2

inspiration is half as long as expiration

57
Q

COPD inspiration vs expiration

A

1:3 or 1:4

58
Q

what is apnea

A

absence of spontaneous breathing

59
Q

what is bradypnea

A

slower the normal RR

<12 breaths per min

60
Q

what is biot’s

A

irregular breathing that have periods of apnea

often associated with increase intercranial pressure or damage to the medulla

61
Q

what is eupnea

A

normal rate and depth of breathing

62
Q

what is hyperpnea

A

increased rate and depth of breathing

63
Q

what is hypopnea

A

decrease rate and depth of breathing

64
Q

what is kussmaul’s

A

deep and fast breathing

often associated with metabolic acidosis

65
Q

what is paradoxical breathing

A

the chest wall move in w/ inhalation and out exhalation

this is 2/2 chest trauma or paralysis of the diaphragm

66
Q

what is tachpnea

A

faster the normal respirtory reate

> 20 breaths/min in adults

67
Q

what is the purpose of the 6 MWT

A

used to measure functional status and to document treatment outcomes in those w/ lung disease and healthy adults

68
Q

how many walks are reccomended for the 6 MWT

A

3 walks w/ 15 min rest in between

Summer NPTE Cradiopulm (15 decks)

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