Practical Exam Flashcards
Explain position of postural drainage for apical segments
supine, long seated inclined 30 degrees
Explain position of postural drainage for right posterior segment
The patient should lie on the left side turned 45° on to the face, resting on a pillow, with another pillow supporting the head.
Explain position of postural drainage for left upper lobe posterior segment
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.
Explain position of postural drainage for upper lobes anterior segments
supine, pillow behind head, knees bent
Explain postural drainage position for middle lobe, both medial and lateral
trendelenburg, left side lying on a pillow, foot of bed raised 14 inches, chest is turned to open up
Explain postural drainage position for lingula
trendelenburg, right side lying on pillow, foot of bed raised 14 inches, chest is turned to open up
Explain postural drainage, lower lobe, superior segments
prone with pillow under abdomen
Explain postural drainage, lower lobe, post segment
trendelenburg prone, pillow under hips, foot of bed lifted 18 inches
Explain postural drainage, lower lobe ant segments
supine trendelenburg, but on pillow, knees flexed, foot of bed tilted 18 inches
Explain postural drainage lower right lobe
left side lying trendelenburg, pillow under hips, end of bed elevated 18 inches
Explain postural drainage lower right lobe
left side lying trendelenburg, pillow under hips, end of bed elevated 18 inches
S1 is the
Lub
S1 is heard best over the
apex
How to listen to S1/apex
left side lying and go under left nipple
S2 is heard best over the
aortic area
where is aortic area
right sided, 2nd intercostal
3 abnormal breath sounds
bronchial, diminished, absent
posterior lower segment marker
under scap inf border
abnormal breath sounds
bronchial, diminished, absent
bronchial (as abnormal) sounds like
megaphone, darth vador
3 adventicious lung sounds
crackles, wheezes, rubs
3 main dx that bruce prototocol is better for
H, A, C
Heart Transplant, asthma, cabg
crackles sounds like
stepping on rice crispies
bronchitis and pnemonia - make sure and ask
is your cough productive, if so, what color of sputum
If emphysema you HAVE TO ASK
are you a smoker
hyperlipidemia parameters
over 200 total
130 and 40
hyperlipidemia parameters
over 200 total
130 and 40
normal diaphragmatic excursion should be
3-5 cm
If emphysema you HAVE TO ASK
are you a smoker
Really good assessments for CABG
pain, visual
Upon inhalation diaphragm moves
down
normal diaphragmatic excursion should be
3-5 cm
diaphragm is at level of
T10
Big goal with PAD is
endurance
Heart transplant and CABG important question
MEDS
pillow at night question is related to
heart failure
Target HR for MI is
MY 20 (less than 120, or RHR + 20)
Big goal with PAD is
endurance
the segments on the very bottom of the outside of the ribs is
anterior of the lower lobes
pillow at night question is related to
heart failure
how to determine post segment of lower lobe
just below inf border
bronchial sounds like
blowing through a big tube
explain 3 breathlessness positions
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
How to determine superior segment of lower lobe
level with spine of scapula
sputum characteristics
color, viscosity, odor, amt, blood
explain tactile fremitus
placing your ulnar side of hand on segments and having them say 99
explain 3 breathlessness positions
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
What is segmental breathing
breath into my hand
sputum characteristics
color, viscosity, odor, amt, blood
HR mantra EKG
300 150 100 75 60
All middle and lower are trendelenburg except for
sup of lower lobes
phase 1 cardiac rehab you stay under how many mets
work towards 5 at end, but stay 1-2 at first
Early on phase 1 rehab your freq is
3 x/day
phase 2 cardiac rehab you see them
3 times a week
kings crown is
vtac
non pattern squiggly
vfib
Afib is
flutter with more peaks
p wave with no qrs is
3rd dhb, NO TREAT
explain 1st degree heart block
pr interval is long and consistant
explain 2nd degree heart block
there are some short and some long pr intervals, along with p waves with no qrs
tacky crown
vtac
degrees for both side lying uppers
45
what 2 postural drainage positions are simple
anterior of upper and superior of lower
time frame of phase 2 cardiac rehab is to reach ____ min
20-30
list 2 reasons you would not recommend exercise
unstable angina, HTN over 200/110
RPE goal for phase 1 AND 2 cardiac rehab
under 13
difference in time in phase 1 and 2 rehab
1- intervals of 3 min
2- 10-15 min working towards 20 -30
things that are the same for phase 1 and 2 cardiac rehab
Intenstiy: HR is either RHR + 20 or RHR + 30, or under 13 RPE,
Mode: is walking
Heart blocks
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
