Lower Respiratory Tract Exam Flashcards
1
Q
General History for breathing chief complaint
A
- noncompliance with medication
- diet
- exposure to cold/allergen
- allergic reaction
- new productive cough
- recent surgery or immobilization
- recent trauma
2
Q
Inspection for Breath
A
- rate, rhythm, effort
- skin color
- clubbing
- chest wall/ expansion
- accessory muscle use
- positioning : Tripod, Pursed Lip breathing
3
Q
Primary Muscle of Breathing
A
Diaphragm
4
Q
Accessory muscles of breathing
A
- Supraclavicular: scalenes and sternocleidomastoid
- intercostal muscles
- subcostal muscles
5
Q
CTAB
A
clear to auscultate Bilaterally
6
Q
Unilateral absent/decreased breath sounds
A
- pneumothorax
- lung full of fluid
- hemothorax
- pleural effusion
- emphysema
7
Q
Bilateral absent/decreased breath sounds
A
- extreme COPD
- asthma
- secondary to not moving air
