Pulm exam Flashcards
what are some extrapulm signs
cyanosis, clubbing
what is normal pH
7.35-7.45
<6.8 or >8=maybe death
what is the body response to acid-base balance called
compensation
what is grade 0 dyspnea scale
only breathless with hard exercise
what is grade 1 dyspnea scale
short of breath when hurrying on level ground or walking up slight hill
what is grade 2 dyspnea scale
on level ground, i walk slower than people of my age bc im breathless and have to stop for breath
what is grade 3 dyspnea scale
stop for breath after walking 100 yards of few minutes on level ground
what is grade 4 dyspnea scale
too breathless to leave house or when dressing
what are some performance tests you could do
TUG
5xSTS
gait speed
what are some exercise test you could do
stress test
submit testing: 6MWT, incremental shuttle walk
what are the ratings of function
FIM
AM-PAC
mMRC
what are the ventilation and respiration exams
vital signs
- breathing patterns (includes RR)
- breath sounds and cough
- chest wall shape and movement
what could you do for pulm exam
- insprction
- palpation
- percussion
- ausculation
- acitivty
what are you looking for in the posterior view
-spine of scap= upper lobe above spine
-below spine of scap= lower lobes
-T7 @ FRC= diaphragm
angle of scap approx T7
-T10 after deep breath= diaphragm
what is a normal RR
10-20
what is cheyne-strokes
crescendo-decrescendo pattern in depth of respirations with periods of apnea
HF, TBI, brain tumor
RR and TV will accelerate and then decelerate and then not breathe at all
RR decreases
HR increase with rising CO2 levels
what is pectus excavatum
funnel chest
-concavity
what is pectus carinatum
pigeon chest
chest bows outward
what are you looking for in sputum?
- amount
- thickness
- color
- smell
what are abnormal breathing sounds
- bronchial
- diminished
- cackles
- wheezes
what thirds should you examine on the chest
upper=clavicle
middle=below boob
lower=back under spine of scap
