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Cardio Pulm Lab Practical > Practical Exam > Flashcards

Practical Exam Flashcards

1
Q

Explain position of postural drainage for apical segments

A

supine, long seated inclined 30 degrees

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2
Q

Explain position of postural drainage for right posterior segment

A

The patient should lie on the left side turned 45° on to the face, resting on a pillow, with another pillow supporting the head.

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3
Q

Explain position of postural drainage for left upper lobe posterior segment

A

The patient should lie on the right side turned 45° on to the face with three pillows arranged to Raise the shoulder 12 inches from the bed.

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4
Q

Explain position of postural drainage for upper lobes anterior segments

A

supine, pillow behind head, knees bent

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5
Q

Explain postural drainage position for middle lobe, both medial and lateral

A

trendelenburg, left side lying on a pillow, foot of bed raised 14 inches, chest is turned to open up

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6
Q

Explain postural drainage position for lingula

A

trendelenburg, right side lying on pillow, foot of bed raised 14 inches, chest is turned to open up

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7
Q

Explain postural drainage, lower lobe, superior segments

A

prone with pillow under abdomen

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8
Q

Explain postural drainage, lower lobe, post segment

A

trendelenburg prone, pillow under hips, foot of bed lifted 18 inches

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9
Q

Explain postural drainage, lower lobe ant segments

A

supine trendelenburg, but on pillow, knees flexed, foot of bed tilted 18 inches

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10
Q

Explain postural drainage lower right lobe

A

left side lying trendelenburg, pillow under hips, end of bed elevated 18 inches

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11
Q

Explain postural drainage lower right lobe

A

left side lying trendelenburg, pillow under hips, end of bed elevated 18 inches

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12
Q

S1 is the

A

Lub

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13
Q

S1 is heard best over the

A

apex

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14
Q

How to listen to S1/apex

A

left side lying and go under left nipple

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15
Q

S2 is heard best over the

A

aortic area

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16
Q

where is aortic area

A

right sided, 2nd intercostal

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17
Q

3 abnormal breath sounds

A

bronchial, diminished, absent

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18
Q

posterior lower segment marker

A

under scap inf border

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19
Q

abnormal breath sounds

A

bronchial, diminished, absent

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20
Q

bronchial (as abnormal) sounds like

A

megaphone, darth vador

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21
Q

3 adventicious lung sounds

A

crackles, wheezes, rubs

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22
Q

3 main dx that bruce prototocol is better for

A

H, A, C

Heart Transplant, asthma, cabg

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23
Q

crackles sounds like

A

stepping on rice crispies

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24
Q

bronchitis and pnemonia - make sure and ask

A

is your cough productive, if so, what color of sputum

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25
Q

If emphysema you HAVE TO ASK

A

are you a smoker

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26
Q

hyperlipidemia parameters

A

over 200 total

130 and 40

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27
Q

hyperlipidemia parameters

A

over 200 total

130 and 40

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28
Q

normal diaphragmatic excursion should be

A

3-5 cm

29
Q

If emphysema you HAVE TO ASK

A

are you a smoker

30
Q

Really good assessments for CABG

A

pain, visual

31
Q

Upon inhalation diaphragm moves

A

down

32
Q

normal diaphragmatic excursion should be

A

3-5 cm

33
Q

diaphragm is at level of

A

T10

34
Q

Big goal with PAD is

A

endurance

35
Q

Heart transplant and CABG important question

A

MEDS

36
Q

pillow at night question is related to

A

heart failure

37
Q

Target HR for MI is

A

MY 20 (less than 120, or RHR + 20)

38
Q

Big goal with PAD is

A

endurance

39
Q

the segments on the very bottom of the outside of the ribs is

A

anterior of the lower lobes

40
Q

pillow at night question is related to

A

heart failure

41
Q

how to determine post segment of lower lobe

A

just below inf border

42
Q

bronchial sounds like

A

blowing through a big tube

43
Q

explain 3 breathlessness positions

A

relaxed sitting - hands on thighs
forward lean sitting- lean at hips and arms go on table in front
wall relaxed stand- wall sit open up chest

44
Q

How to determine superior segment of lower lobe

A

level with spine of scapula

45
Q

sputum characteristics

A

color, viscosity, odor, amt, blood

46
Q

explain tactile fremitus

A

placing your ulnar side of hand on segments and having them say 99

47
Q

explain 3 breathlessness positions

A

relaxed sitting - hands on thighs
forward lean sitting- lean at hips and arms go on table in front
wall relaxed stand- wall sit open up chest

48
Q

What is segmental breathing

A

breath into my hand

49
Q

sputum characteristics

A

color, viscosity, odor, amt, blood

50
Q

HR mantra EKG

A

300 150 100 75 60

51
Q

All middle and lower are trendelenburg except for

A

sup of lower lobes

52
Q

phase 1 cardiac rehab you stay under how many mets

A

work towards 5 at end, but stay 1-2 at first

53
Q

Early on phase 1 rehab your freq is

A

3 x/day

54
Q

phase 2 cardiac rehab you see them

A

3 times a week

55
Q

kings crown is

A

vtac

56
Q

non pattern squiggly

A

vfib

57
Q

Afib is

A

flutter with more peaks

58
Q

p wave with no qrs is

A

3rd dhb, NO TREAT

59
Q

explain 1st degree heart block

A

pr interval is long and consistant

60
Q

explain 2nd degree heart block

A

there are some short and some long pr intervals, along with p waves with no qrs

61
Q

tacky crown

A

vtac

62
Q

degrees for both side lying uppers

A

45

63
Q

what 2 postural drainage positions are simple

A

anterior of upper and superior of lower

64
Q

time frame of phase 2 cardiac rehab is to reach ____ min

A

20-30

65
Q

list 2 reasons you would not recommend exercise

A

unstable angina, HTN over 200/110

66
Q

RPE goal for phase 1 AND 2 cardiac rehab

A

under 13

67
Q

difference in time in phase 1 and 2 rehab

A

1- intervals of 3 min

2- 10-15 min working towards 20 -30

68
Q

things that are the same for phase 1 and 2 cardiac rehab

A

Intenstiy: HR is either RHR + 20 or RHR + 30, or under 13 RPE,
Mode: is walking

69
Q

Heart blocks

A

1st - P-R far apart (they are pretty close together)
2nd- a p without a qrs (closer together)
3rd - p without a qrs and they are FAR apart with asystole in middle

Cardio Pulm Lab Practical (1 decks)

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