leik pulm

Question 1

Impending respiratory failure

Answer 1

tacchyp over 20 
tacchy-card or brady
cyanosis
accessory muscle use
"quiet lungs" not much weeze or air movement
cant speak full sentences

epi, 02, albuterol nebs
IV steroids
benedryl

wheeze returing is a good sign cause bronchi are opening

Question 2

egopony normal findings

Answer 2

EEEEEEEE if BAHHHHHHH thats bad

louder over upper lobes

Question 3

tactile frem

Answer 3

999 should be stronger vibrations upper, if lower think consolidation

Question 4

whisper pec

Answer 4

with consolidation you can hear lower

Question 5

percussion

Answer 5

resonance is heard over normal lung tissue

Question 6

TYMPANY or HYPPER ressonance on precussion

Answer 6

COPD or emphysema

Question 7

DUlLL precussion equals

Answer 7

consolidation

Question 8

chronic bronchitis definitionn

Answer 8

coughing with excessive mucus production for at least 3 or more months for a minimum of two or more consecutive years

Question 9

Emphysema definition

Answer 9

permanent alveolar damage from loss of elastic recoil inresulting in chronic HYPERinflation of the lungs

expiratory respirtory phase is PROLONGED

Question 10

Emphysema RF

Answer 10

smoker
olde than 40
occupational exposure
alha 1 anti-trypsan deff-

Question 11

Emphysema CC

Answer 11

elderly smoker
worsoning SOB

Chronic cough freq light white or yellow sputum CHORNIC BRONCHITIS

min cough, BARREL CHEST, SKINNY emphysema

Question 12

Emphysema findings

Answer 12

INCREASED AP DIAMETER 
decreased breath and heart sounds
accessory muscle use, pursed lip breathing, skinny 
TF and EGOPH decreased not solid
hyperresonat 

CXR- flat diaphragm, hyperinfltion, can have bullae

with chronic bronch componenet can have crackles wheeze and prd cough