Diagnosis Study guide

Question 1

What happens to the vital signs with impaired CV pump?

Answer 1

Abnormal vital sign change in response to activity (flat response or decrease in HR and/or BP with increase workload

Question 2

Below what EF is considered a CV pump problem?

Answer 2

< 40%

Question 3

WIth what condition do you have elevated BNP levels?

Answer 3

CV pump problem

Question 4

How can you identify a CV pump problem by the ST wave?

Answer 4

> 2mm ST elevations or depressions

Question 5

Angina is a sign of what type of impairment?

Answer 5

CV pump problem

Question 6

What is ventricular ectopy and what can it be a sign of?

Answer 6

Ventricular contractions in the wrong place. Can be a sign of CV pump problem. Problem when you have >7 PVC’s per minute

Question 7

When does reconditioning occur?

Answer 7

After patient has been on bed rest for 24-48 hours

Question 8

What will vital signs look like with reconditioning?

Answer 8

Exaggerated vital sign response to activity; greater than expected for workload

Question 9

What SpO2 level constitutes a gas exchange problem?

Answer 9

< 97-100% depending upon age

Question 10

What will the PaO2/PaCO2 look like in a pt with a gas exchange issue?

Answer 10

abnormal for age at rest or in response to activity

Question 11

What are abnormal PFT’s a sign of?

Answer 11

A ventilatory pump problem, either restrictive or obstructive

Question 12

What will happen to the MIP/MEP with a ventilatory pump problem?

Answer 12

decreased significantly

Question 13

What type of muscle pattern could you see with a ventilatory pump problem?

Answer 13

accessory muscle use at rest

Question 14

What type of breathing pattern can you see with a vent pump problem?

Answer 14

Paradoxical at rest or in response to position change or activity

Question 15

A patient with a vent pump problem could have what ratio of inspiration:expiration?

Answer 15

1:1

Question 16

What can the subcostal angle in a pt with a vent pump problem be?

Answer 16

flattened on exam or chest film

Question 17

What will you hear upon lung exam with an airway clearance problem?

Answer 17

abnormal/adventitious breath sounds or voice sounds indicative of secretions

Question 18

What are the two signs of peripheral ischemia?

Answer 18

Claudication with ambulation

ABI<0.5

Question 19

What type of cough is typical of an airway clearance problem?

Answer 19

ineffective cough or effective cough not able to clear volume of secretions present

Question 20

What will you see on a chest film with an airway clearance problem?

Answer 20

evidence of infiltrate or consolidation