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Respiratory Care > Chapter1 > Flashcards

Chapter1 Flashcards

1
Q

CREATING A THERAPEUTIC CLIMATE

A
  • Caring demeanor
  • Competence
  • eye contact
  • Judicious use of touch
  • Professional image
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2
Q

THE HEALTH HISTORY PROVIDES WHAT ?

A

A detailed chronological health record for the purpose of developing an individualized plan of care. Elicits information about variables affecting the patient’s health. Guides selection of appropriate physical examination techniques

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3
Q

WHAT ARE THE COMPONENTS OF THE HEALTH HISTORY?

A
  • Chief complaint
  • History of present illness
  • Occupational and environmental history
  • Geographic exposure
  • Activities of daily living
  • Smoking history
  • Cough and sputum production
  • Family history
  • Medical history
  • Review of systems
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4
Q

CHIEF COMPLAINT

A
  • problem or concern that prompted patient to seek healthcare
  • When documenting the chief complaint in the patient record use the patient’s own words in quotation marks.
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5
Q

HISTORY OF PRESENT ILLNESS

A
  • Chronological narrative account of the patient’s health problem.
  • detailed information relevant to chief complaint.
  • including a description of onset of the problem.
  • date the symptoms occurred.
  • whether they developed gradually or suddenly
  • setting in which they develop.
  • description of the signs and symptoms associated with the problem.
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6
Q

OCCUPATIONAL AND ENVIRONMENTAL HISTORY

A
  • Inquire if the patient is employed, retired, or laid off.
  • Any current or past hazards at work such as exposure to asbestos coal dust, silica, molds, death, or animals.
  • Is the patient under stress at work?
  • Is the patient satisfied with his or her job?
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7
Q

GEOGRAPHIC EXPOSURE

A
  • Has patient traveled to foreign countries?

- Has patient been in the military?

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8
Q

ACTIVITIES OF DAILY LIVING

A

-Has Patient experienced difficulty with or changes in the ability to provide self-care?

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9
Q

SMOKING HISTORY

  1. A pack a day for one year is known as…..
  2. Two packs a day for a year is…..
A
  1. One pack year.
  2. Two pack years.
  • The examiner should find out if the client is willing to quit?
  • also if he smokes a pipe or illegal drugs
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10
Q

COUGH AND SPUTUM PRODUCTION

  1. Ask about presence of…..
  2. If the patient has a cough, note…
  3. If sputum is produced, note ?
A
  1. cough and sputum.
  2. timing of the cough…..in the morning, at night, after eating.
  3. its amount, consistency, color, and odor.
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11
Q

FAMILY HISTORY

1. Ask about family history of…….

A
  1. genetically transmitted diseases. example
    - cystic fibrosis,
    - Alpha1 antitrypsin deficiency,
    - cancer,
    - heart disease,
    - tuberculosis
    - HIV should be noted.
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12
Q

MEDICAL HISTORY

1. What should be noted

A
  • dates of past health problems,
  • hospitalizations, symptoms, and treatment should be noted.
  • whether problem is ongoing resolved or recurrent
  • Are immunizations current?
  • food drugs and insect or environmental allergies
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13
Q

REVIEW OF SYSTEMS

  1. Provides opportunity for examiner to…
  2. Differs from physical examination because….
  3. What isn’t needed at this time?
  4. Should include a detailed review of…..
A
  1. methodically question patient.
  2. data are collected verbally.
  3. Review of each system is not needed.
  4. systems affected by the present illness.
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14
Q

VITAL SIGNS

  1. Pulse for adults….
  2. RESPIRATORY rate for adults…..
  3. BP for adults…
  4. Normal body temperature……
A
  1. 60 to 100 bps…but faster in infants and children.
  2. 12 to 20 bps….but faster in infants and children.
  3. 120/80…but lower for infants and children.
  4. 37 degrees Celsius (98.6 degrees Fahrenheit)
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15
Q

RESPIRATORY ASSESSMENT TECHNIQUES

1. What are they?

A
  1. Inspection
  2. Palpation
  3. Percussion
  4. Auscultation
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16
Q

Characteristics of percussion notes

                         1. FLAT - Intensity - Pitch - Duration - Quality
A

FLAT

  • Intensity………..soft
  • Pitch…………….high
  • Duration………..short
  • Quality…………..extremely dull
17
Q

Characteristics of percussion notes
1. DULL

  • Intensity……….
  • Pitch ……………
  • Duration ………..
  • Quality ………….
A

DULL

  • Intensity……….medium
  • Pitch ……………medium high
  • Duration ………..medium
  • Quality …………..thudlike
18
Q

Characteristics of percussion notes
1. RESONANT

  • Intensity……….
  • Pitch ……………
  • Duration ………..
  • Quality …………..
A

RESONANT

  • intensity……….loud
  • pitch……………low
  • Duration………long
  • Quality…………hollow
19
Q

HYPERRESONANT

A

HYPERRESONANT

20
Q

TYMPANIC

A

Tympanic

21
Q

TACHYPNEA

  1. Rate of respirations faster than…..
  2. may be present in individuals who are…..
  3. Can occur in individuals with a…….
  4. those with restrictive…….
A

TACHYPNEA

  1. 20 breaths per minute
  2. hypoxemic, have pain in thoracic region
    - If liver enlargement or abdominal distention compromises diaphragmatic movement, tachypnea may result.
  3. fever
  4. ventilatory defenses such as pulmonary fibrosis or pneumonectomy
22
Q

HYPERPNEA

A

Breathing that is rapid, deep, and labored.

-If it results in a lowered PCO2 hyperventilation is the term that applies

23
Q

KUSSMAUL RESPIRATIONS

A

Hyper ventilation that is a compensatory mechanism for metabolic acidosis. Most commonly diabetic ketoacidosis.

24
Q

BRADYPNEA

A

Rate slower than 12 breaths per minute.

  • It may suggest…
    - neurologic impairment
    - acid-base disturbance
    - normal finding in physically fit individuals.
25
Q

DYSPNEA

A

-difficult or labored breathing, with the individual feeling short of breath.

26
Q

ORTHOPNEA

A

-Must sit or stand to breathe.

Many individuals with chronic lung disease must assume an upright position to breathe well. Such individuals often find it more comfortable to sleep in a chair.

27
Q

ORTHOPNEA

A

-Must sit or stand to breathe.

Many individuals with chronic lung disease must assume an upright position to breathe well.

-Such individuals often find it more comfortable to sleep in a chair.

28
Q

PAROXYSMAL NOCTURNAL DYSPNEA

A
  • Sudden shortness of breath, occurs several hours after person lies down.
  • Commonly suggests cardiac dysfunction
  • Heart unable to pump volume expanded by fluid absorbed from the legs which became edematous during the day.

Respiratory Care (1 decks)

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