Lesson 10 Flashcards
Air hunger
Dyspnea
A nonpainful but uncomfortable awareness of breathing that is inappropriate to the level of exertion
Dyspnea
Shortness of breath
Dyspnea
Examine the posterior and lateral thorax and lungs while the patient is __________
Sitting
Examine the anterior thorax and lungs while the patient is _______
In supine position
Process for examining the chest
I
Pa
Pe
A
The supine position makes it easier to examine woman because the breast can ______
Gently displace
A healthy adult breathes quickly and regularly about
Normal RR:
12-20 times a minute
Impaired respiratory movements on one or both sides
Unilateral lag
Note the shape of the chest and how the chest moves
Inspection
The thorax is normally: symmetric or assymetric
Symmetric
Anteroposterior (AP) diameter of the thorax in relation to lateral diameter is approximately
1:2 (lateral is wider than ap)
Focus on the tenderness and abnormalities in the overlying skin, muscles, and ribs, respiratory expansion, and fremitus
Palpation
Palpable vibration
Tactile fremitus
Palpable vibrations transmitted through the bronchopulmonary treer to the chest walls as the patient is speaking
Tactile Fremitus
What part of the hand is to use in tactile fremitus
Ball or the bony part of the palm ;
Ulnar surface of the hand
What are the words to ask a patient with a possible tactile fremitus?
“Ninety-nine” or “One-on-one”
Sets the chest wall and underlying tissue in motion, producing audible sound
Percussion
Establish whether the underlying tissues are air filled, fluid-filled, or solid
Percussion
Middle finger of the hand
Pleximeter finger
Healthy lungs are ______
Resonant
Five Percussion Notes
Flatness
Dullness
Resonance
Hyperresonance
Tympany
The most important examination technique for assessing airflow through the tracheobronchial tree
Auscultation
Listening to the sounds generated by breathing
Auscultation
Listen for any adventitious or extra sounds
Auscultation
Check the deformities or symmetry of thorax
Inspection
Observing of the patient’s work of breathing
Inspection
Identification of tender areas
Palpation
Assessment of tactile fremitus
Palpation
Measures the arterial oxygenation saturation or SpO2
Pulse Oximetry
A ______ is placed on the patient’s finger for earlobe
Probe
SpO2 of a healthy person
95%-100%
Assesses the maximum volume of air expelled from the lungs during a vigorous exhalation
Peak flow meter
Which ribs are considered as “floating ribs”
11th and 12th
Decreased breath sounds over the left lung fields
Pneumothorax
Increased transmission of voice sounds over the right lines
The lung has become airless
A sudden onset of dyspnea without pain
Pulmonary Embolism
