Chart Review - Pulmonary

Question 1

parts of the chart review

Answer 1

“first part”

history of present illness

pulmonary fxn tests

other tests

Question 2

“first part” includes

Answer 2

past medical history

family history of pulmonary pathology

personal and social history

Question 3

what does past medical history include

Answer 3

thoracic trauma or surgery

use of oxygen or ventilatory

Question 4

use of O2 of ventilatory –> PMH

Answer 4

assisting devices

chronic pulmonary dzs

dx testing

Question 5

family history of pulmonary pathology

Answer 5

TB

cystic fibrosis

emphysema

allergies

malignancies

Question 6

personal and social history includes

Answer 6

employment

home environment

tobacco use

exposure to respiratory infections

nutritional status

hobbies

use of alc

use of illegal drugs

exercise tolerance

Question 7

how is history of the present illness maintained

Answer 7

medical chart

from the pt directly through interview

Question 8

history of present illness includes

Answer 8

cough

SHOB

chest pain

lab, radiographic and surgical tests

Question 9

cough includes

Answer 9

onset

nature

sputum production

pattern

severity

associated sxs

efoorts to tx

Question 10

onset of cough

Answer 10

when did it start

progression

Question 11

progression of cough

Answer 11

sudden

gradual

Question 12

sudden onset of cough

Answer 12

one day they didn’t have a cough and the next they did

Question 13

gradual onset of cough

Answer 13

mild cough that has become more severe

Question 14

nature of the cough

Answer 14

dry

moist

wet

hacking

hoarse

productive or non productive

Question 15

productive/non-productive cough

Answer 15

of sputum or mucus

Question 16

sputum production

Answer 16

duration

frequency

w/ activity

at certain times of day?

Question 17

sputum characteristics

Answer 17

amount

color

consistency

odor

Question 18

pattern of cough

Answer 18

occasional

regular

related to time of day

weather

activity

Question 19

severity of cough

Answer 19

causes fatigue

disrupts sleep

causes chest pain

Question 20

associated sxs

Answer 20

SOB

chest pain

tightness w/ breathing

fever

stuffy nose

noisy respirations

Question 21

efforts to tx

Answer 21

prescription or non-prescription drugs

vaporizers

effectiveness

Question 22

SOB

Answer 22

onset

pattern

severity

Question 23

onset of SOB

Answer 23

sudden or gradual

how long have they had it for

was there something that started this SOB

Question 24

pattern of SOB

Answer 24

most comfortable position

of pillows used to relieve

related to extent of exercise

harder to inhale or exhale

Question 25

severity of SOB

Answer 25

extent of activity limitation fatigue w/ breathing anxiety about getting air?

Question 26

restrictive lung dz

Answer 26

hard to get air into the body

Question 27

obstructive lung dz

Answer 27

hard to get air out of the body

Question 28

chest pain

Answer 28

onset and duration associated sxs efforts to tx other meds

Question 29

onset and duration of chest pain

Answer 29

associated w/ trauma coughing or lower respiratory infection

Question 30

associated sxs of chest pain

Answer 30

shallow breathing fever uneven chest expansion coughing or radiation of pain to neck or arms?

Question 31

efforts to tx chest pain

Answer 31

heat splinting pain meds

Question 32

other meds for chest pain

Answer 32

for unrelated problem

Question 33

lab, radiograph and surgical tests

Answer 33

chest x-ray arterial blood gases

Question 34

what does a chest x-ray provide

Answer 34

clinician w/ statis assessment or anatomic abnormalities

Question 35

arterial blood gasses are

Answer 35

sensitive indicators of a pt's changing physiologic state

Question 36

2 major reasons to determine and monitor ABGs

Answer 36

is the pt adequately oxygenated? the acid base balance of the pt

Question 37

what will the ABGs provide

Answer 37

invaluable info for planning appropriate and safe txs

Question 38

pulmonary fxn tests are

Answer 38

essential part of the assessment range from very complex to very simple

Question 39

what are pulmonary fxn tests primarily used for

Answer 39

as PTs objective way to document effectiveness or response to tx

Question 40

other tests (less common tests)

Answer 40

tomography gallium scanning pleural fluid analysis surgical tests

Question 41

surgical tests

Answer 41

direct laryngoscopy bronchoscopy biopsy