Cardiopulmonary: Study Set 2 Flashcards
9What are the three types of breath sounds that could be heard when auscultating the lungs
vesicular, bronchovesicular bronchial, and absent
(Tracheal and bronchial/vesicular) breath sounds are loud, tubular sounds normally heard over the trachea
Tracheal and bronchial
True or False:
Bronchial sounds heard over distal airways are abnormal because it represents consolidation or compression of lung tissue that facilitates transmission of sound
True, bronchial sounds are heard more proximal over the trachea
(Tracheal and bronchial/vesicular) breath sounds are low pitched, breezy sounds normally heard over the distal airways in healthy lung tissue
vesicular
(Tracheal and bronchial/vesicular) has a shorter inspiratory phase and a longer expiratory phase
tracheal and bronchial
(Tracheal and bronchial/vesicular) breath sounds have a longer inspiratory phase and a shorter expiratory phase
vesicular
(Tracheal and bronchial/vesicular) breath sounds have a small pause between inspiratory phase and expiratory phase
tracheal and broncial
(Tracheal and bronchial/vesicular) breath sounds do not have a pause between the inspiratory phase and expiratory phase
vesicular
Upon auscultating a patient’s lung sounds, you find discontinuous high pitched popping sounds that occur more with inspiration. What is this abnormal sound referred as
crackles
Upon auscultating a patient’s lunch sounds, you find dry crackling sounds directly over the spot your patient is complaining of pain. What is this abnormal sound referred as
pleural friction rub
Upon auscultating a patient’s lunch sounds, you find continuous low pitched sounds that sound similar to snoring or gurgling sounds. What is this abnormal sound referred as
Rhonchi
Upon auscultating a patient’s lunch sounds, you find continuous high pitched wheeze. What is this abnormal sound referred as
stridor
Upon auscultating a patient’s lunch sounds, you find continuous musical sounds that vary in pitch. What is this abnormal sound referred as
wheeze
Upon auscultating a patient’s lunch sounds, you find there are absent lung sounds. What is this idicitative of
pneumothorax aka lung collapse
What does bronchophony mean
increased vocal resonance with greater clarity or loudness of spoken word
like saying 99
what does egophony mean
a form of bronchophony where a long E sound turns into a long nasal sounding A
what does whispered pectoriloquys mean
recognition of whispered words
What are the contraindications for using diaphragmatic breathing
moderate to severe COPD
marked hyperinflation of the lungs without DB movement
pts with paradoxical breathing patterns
pts who need increased muscle effort to perform DB
Pts with increased dyspnea with DB movement
what position should diaphragmatic breathing be done in
semi fowlers
legs extended with upper body/trunk at 30-45 degree incline
(like a patient sitting in a hospital bed)
What is inspiratory muscle training
attempts to strengthen the diaphragm and intercostal muscles by using either resistive breathing or threshold breathing
what is paced breathing
a breathing technique to decrease the work of breathing and prevent dyspnea during activity
what is exhale with effort breathing
a technique that helps prevent someone from holding their breath during activity. Inhale on rests, and exhale during exertion or movement
How should paced breathing and exhale with effort be performed while walking
inhale every two steps and exhale every four
How should paced breathing and exhale with effort be performed while climbing stairs
inhale while standing, exhale while ascending or descending stairs. stay on one stair until inhalation is complete and continue with stairs during expiration only
