Pulm exam Flashcards

1
Q

what are some extrapulm signs

A

cyanosis, clubbing

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2
Q

what is normal pH

A

7.35-7.45

<6.8 or >8=maybe death

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3
Q

what is the body response to acid-base balance called

A

compensation

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4
Q

what is grade 0 dyspnea scale

A

only breathless with hard exercise

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5
Q

what is grade 1 dyspnea scale

A

short of breath when hurrying on level ground or walking up slight hill

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6
Q

what is grade 2 dyspnea scale

A

on level ground, i walk slower than people of my age bc im breathless and have to stop for breath

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7
Q

what is grade 3 dyspnea scale

A

stop for breath after walking 100 yards of few minutes on level ground

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8
Q

what is grade 4 dyspnea scale

A

too breathless to leave house or when dressing

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9
Q

what are some performance tests you could do

A

TUG
5xSTS
gait speed

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10
Q

what are some exercise test you could do

A

stress test

submit testing: 6MWT, incremental shuttle walk

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11
Q

what are the ratings of function

A

FIM
AM-PAC
mMRC

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12
Q

what are the ventilation and respiration exams

A

vital signs

  • breathing patterns (includes RR)
  • breath sounds and cough
  • chest wall shape and movement
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13
Q

what could you do for pulm exam

A
  • insprction
  • palpation
  • percussion
  • ausculation
  • acitivty
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14
Q

what are you looking for in the posterior view

A

-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

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15
Q

what is a normal RR

A

10-20

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16
Q

what is cheyne-strokes

A

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

17
Q

what is pectus excavatum

A

funnel chest

-concavity

18
Q

what is pectus carinatum

A

pigeon chest

chest bows outward

19
Q

what are you looking for in sputum?

A
  • amount
  • thickness
  • color
  • smell
20
Q

what are abnormal breathing sounds

A
  • bronchial
  • diminished
  • cackles
  • wheezes
21
Q

what thirds should you examine on the chest

A

upper=clavicle
middle=below boob
lower=back under spine of scap