Chapter 15 vital signs and Chapter 16 Health Assessment Flashcards
Heard over main stem bronchus
Sounds like blowing
Medium pitched
Inspiration equal to expiratory sounds
Bronchovesicular Breath sounds
Heard over trachea
High pitched
Expiration longer than inspiration
Blowing, hollow sounds
Bronchial sounds
Heard best at the lungs on inspiration
Soft and low pitched
Inspiratory sounds longer than expiratory sounds
Vesicular breath sounds
Fine, moist or coarse
Not cleared by coughing
Noise is made by air traveling through wet secretions
Crackles
Continuous Low pitched Loud May be cleared with coughing Caused by air passing air passages Narrowed by secretions, swelling or tumor
Rhonchi
Result of narrow airway Continuous, high pitched Musical Asthma Caused by constricted airway
Wheezes
Closure of the mitral and tricuspid valves
S1
Closure of the aortic and pulmonic valves
S2
Ventricular gallop
Impending heart failure
Fluid overload
S3
Atrial gallop
MI
Htn
PE
S4
Order of assessment of abdomen
Inspection
Auscultation
Percussion
Palpitation
Which quad is your liver in
RUQ
Which quad is your appendix in
RLQ
What is Braden scale used for
Determine risk for skin breakdown
Higher better
List possible signs and symptoms of hypoxia
Mental status changes Restlessness Pallor Cool temp Increased respirations Decreased 02 sat Displeasure Chronic clubbed fingernails Increased anteroposterior diaphragm
