Pulmonary

Question 1

What is IRV and percentage?

Answer 1

Inspiratory reserve volume
All air I can bring in
50%

Question 2

What is TV and percentage?

Answer 2

Tidal volume
Air I breathe @ rest in and out
10%

Question 3

What is ERV and percentage?

Answer 3

Expiratory reserve volume
Puff of air after TV expiration
15%

Question 4

What is RV and percentage?

Answer 4

Residual volume
Air that is trapped in the lungs
25%

Question 5

What is VC and percentage?

Answer 5

Vital capacity
All air I can control
75%

Question 6

What is TLC and percentage?

Answer 6

Total lung capacity
All the air
100%

Question 7

What volume never changes and what drops no matter the disease?

Answer 7

Tidal volume never changes
ERV and VC drops

Question 8

What is rhonchi?

Answer 8

Snore

Question 9

What is Cheyne stokes?

Answer 9

Death rattle or newborn
( no breathing for 30-40 sec then big gasp)

Question 10

What is respiratory acidosis?

Answer 10

Aveolar hypo- ventilation

Question 11

What is respiratory alkalosis?

Answer 11

Aveolar hyper-ventilation

Question 12

Metabolic acidosis and metabolic alkalosis s/s?

Answer 12

> 20 RR
<12 RR

Question 13

Bacteria pneumonia?

Answer 13

Productive cough “purulent”
Crackles

Question 14

Viral pneumonia?

Answer 14

Dry cough
Crackles

Question 15

Aspirational pneumonia?

Answer 15

Absent/ decreased breath sounds

Question 16

What to wear with a T.B pt?

Answer 16

N95 duck billed mask

Question 17

What type of disease is tuberculosis?

Answer 17

Airborne

Question 18

Position for upper lobes postural drainage?

Answer 18

Seated and supine

Question 19

Position for middle lobes postural drainage?

Answer 19

Head down hands on side

Question 20

Position for lower lobes for postural drainage?

Answer 20

Head down, hands over head

Question 21

What is initially performed with postural drainage?

Answer 21

Manual or mechanical percussion

Question 22

When should you use diaphragmatic breathing?

Answer 22

Postoperative pts, post trauma pts with obstructive or restrictive pulmonary lung diseases

Question 23

What is pursed lip breathing used for?

Answer 23

COPD
Reduce dyspnea
Reduce RR

Question 24

What is the position for upper lobe apical segments, posterior segments and anterior segments?

Answer 24

Apical- seated leans back on pillow
Posterior- pt leans over pillow
Anterior- supine w pillow under knees

Question 25

What is the position of middle/lingular lobes of right middle and left upper lobe?

Answer 25

Right middle- foot bed elevated, head down on L side rotates 1/4 backward, knees flexed

Left upper/ lingular- foot bed elevated , head down on R side rotated 1/4 backward, knees flexed

Question 26

What is position for anterior basal segment of lower lobe?

Answer 26

Bed elevated 20”
Pt on side, head down, pillow under knees

Question 27

What is superior segment of lower lobe postural drainage position?

Answer 27

Bed flat
Pt lies on abdomen w/ 2 pillows under hips

Question 28

What is the lateral basal segment of lower lobes with postural drainage position?

Answer 28

Lateral- foot of bed elevated
Pt lies on abdomen, head down, rotates 1/4 turn upward, upper leg flexed on pillow

Question 29

What is the postural drainage position for posterior basal segment?

Answer 29

Foot of bed elevated
Pt lies on abdomen
Head down w/ pillow under hips

Question 30

What are restrictive disease?

Answer 30

Pulmonary edema
Hemothorax (blood)
Pneumothorax (air)
Pleural effusion ( fluid)
CVA/SCI

Question 31

What are obstructive disease?

Answer 31

COPD
Asthma
Emphysema
Bronchiectasis
Atelectasis ( collapsed lung)

Question 32

Resting inspiration muscle?

Answer 32

Diaphragm

Question 33

Deep inspiration muscles?

Answer 33

Diaphragm, scalenes, pec major

Question 34

Forced expiration muscles?

Answer 34

Abdominals
Quadratus lumborum

Question 35

Forced inspiration muscles?

Answer 35

Traps
Pecs
Serrated
Levator scapula

Question 36

Resting inspiration muscles?

Answer 36

Internal intercostals