Patient assessment Flashcards
Lethargic
lack of energy
“somnolent , sleepy”
consider sleep apnea or excessive O2 therapy
Obtuned
drowsy state
(risk of aspiration)
may have decresed cough or gag reflex
somnolent
sleepy, drowsy
consider sleep apnea or excessive O2 therapy
Stuporous
confused
responds inappropriately, drug over dose, intoxication
emotional state
Panic
could mean?
sever hypoxemian, tension pneumothorax, status asthmaticus
emotional state
combative, irritable, anger
electrolite imbalance
subjective symptoms
orthopnea
difficulty breathing except in the upright position (CHF)
General malaise
run down feeling, nausea, weakness, fatigue, headache
Accumulation of fluid in the abdomen
Ascites
Ascites is caued by
liver failure
(fluid in the abdomen)
Erythema
redness of the skin. May be caused by capillary congestion, inflammation, or infection
Eupnea
normal respiratory rate
increased respiratory rate
tachypnea
>20
decreased respiratory rate
bradypnea
(oligopnea)
cessation of breathing
Apnea
Hyperpnea
increased respiratory rate, increased depth, REGULAR rhythm
hyperpnea cause by
increase rate, increased depth, regular rhythem
metabolic disorders / CNS disorders
bradypnea is caused by
sleep, drugs, alcohol, metabolic disorders
Cheyne-stokes
gradually increasing then decreasing rate and depth in a cycle lasting from, 30-180 seconds, with periods of apnea lasting up to 60 sec
gradually increasing then decreasing rate and depth in a cycle lasting from, 30-180 seconds, with periods of apnea lasting up to 60 sec
Cheyne- stokes
Apneustic
prolonged gasping inspiration followed by extremely short, insufficient expiration
Cause of cheyene-stokes
increased intracranial pressures, brainstem injury, drug overdose
increased RR and depth with irregular periods of apnea. each breath has the same depth
Biot’s
Cause of Biot’s
CNS problems
Kussmaul’s
increasing RR (>20), increased depth, irregular rhythm, breathing sounds labored
cause of Kussmaul’s
hypoxemia, metabolic acidosis, renal failure, diabetic ketoacidosis
increasing RR (>20), increased depth, irregular rhythm, breathing sounds labored
Kussmaul’s breathing
flat sound
atelectasis
dull sound
fluid filled organs. Pleural effusion,or pneumonia
tympanic
increased volume in lungs. normally heard over air filled stomach
hyperresonant
diagnosis
pneumothorax, emphesema
adventitious
abnormal breath sounds
Vesicular
normal breath sounds
hypopnea
shollow or slow breathing
steeple sign
Picket fence, Pencil point
croup
thumb sign
epiglottitis
Hyperlucency
diagnosis
COPD, asthma attack, pneumothorax
Heart murmurs
sounds cused by turbulent blood flow. cused by heart valve defects or congenital heart abnormalities
Heart sounds
Bruits
sounds made in an artery or vein when blood flow becomes tubulent or flows at an abonormal speed.
the right hemidiaphragm is at the level of
what rib?
ninth anterior rib
Pacemaker wires/ electodes should be positioned…
in the right ventricle
Pulmonary artery catheters should appear in …
the right lower lung field
Central venous catheters should rest in
the superior vena cava or right atrium
Central venous catheters are inserted through
subclavian or jugular vein
Nasogastric tubes / feeding tubes are positioned in the…
stomach, 2-6 cm below the diaphragm
Fluffly infiltrates
Pulmonary edema
Butterfly / Batwing pattern
Plumonary edema
terminology
ground glass appearance
ARDS
terminology
Honeycomb pattern
ARDS / IRDS
diffuse bilateral radiopacity
ARDS or IRDS
description
Scattered densities / thin-layer densities
atelectasis
Pulmonary edema treatment
Diuretics
Digitalis
Digoxin
terminology
Patchy infiltrates
Atelectasis
terminology
Platelike infiltrates
Crowded pulmonary vessels
atelectasis
Atelectasis treatment
Lung expansion therapy
* SMI/IS
* IPPB
* CPAP
* PEEP
description
reticulogranular
ARDS / IRDS
Pleural effusion treatment
Thoracentesis
Antibiotics and steroids
chest tubes
terminology
air bronchogran
Pneumonia
terminology
cavity formation
TB
terminology
Blunting/obliteration of costophrenic angle
Pleural effusion
Basilar infiltrates with meniscus
pleural effusion
Spiral CT scan can diagnose
pulmonary emboluse
What to avoid during ICP monitoring
hypotension
pulmonary angiography is used to diagnise
pulmonary embolism
Exhaled nitric oxide (FEno) testing
used to monitor the patient’s response to anti-inflammatory (corticosteroid) treatment