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Clin Phys > Pulmonary assessment > Flashcards

Pulmonary assessment Flashcards

1
Q

What is a normal FEV1/FVC?

A

70%

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2
Q

What is FEV1?

A

maximum amount of air expelled in 1 second

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3
Q

What FEV1 indicates stage 1COPD?

A

> 80%

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4
Q

What FEV1 indicates stage 2 COPD?

A

50-79%

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5
Q

What FEV1 indicates stage 3 COPD?

A

30-49%

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6
Q

What FEV1 indicates stage 4 COPD?

A

<30%

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7
Q

Using FEV1 (PERF) to measure reversible obstruction is used in what disease?

A

asthma

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8
Q

How is PERF calculated?

A
  1. Repeat FEV1 1-2 times daily for 14 days and find the average
  2. average is 100% capacity
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9
Q

What should be done if someones PERF is 50-79%?

A

rescue inhaler

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10
Q

What should be done if someones PERF is < 50 ?

A

seek medical attention

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11
Q

What is dyspnea?

A

difficulty breathing

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12
Q

What is orthopnea?

A

dyspnea while lying down
number of pillows
positional dyspnea

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13
Q

What is paroxysmal nocturnal dyspnea?

A

dyspnea upon awakening at night

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14
Q

What is tachypnea?

A

increased respiratory rate

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15
Q

What is bradypnea?

A

decreased respiratory rate

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16
Q

What is apnea?

A

absence of breathing

17
Q

What is hyperapnea?

A

normal rate but deep respirations

18
Q

How should treacheal auscultation sound?

A

loud, high pitched blowing

19
Q

How should bronchial auscultation sound?

A

harsh, high pitched

20
Q

How should vescular auscultation sound?

A

gentle, soft, low pitched

21
Q

What is the cause of the abnormal sound of rales?

A

congestion, usually cardiac disease

22
Q

What are abnormal lung sounds upon ausultation ?

A
  1. rales
  2. rub
  3. rhonchi
  4. crackles
  5. wheezing
  6. stridor
23
Q

What is rough coarse sound when pleural surfaces rub together?

A

rub

24
Q

What is continuous, low piched rattling sound with snoring quality

A

rhonchi

25
Q

What are bubbly discontinuous sounds?

A

crackles

26
Q

What are high pitched sounds best heard during expiration?

A

wheezing

27
Q

What is a loud hiss or shriek heard best during expiration?

A

stridor, needs ergent medical attention

28
Q

What is felt during pulmonary palpitation?

A

crepitation
fremitus

29
Q

What is a coarse, crackling sensation near the shoulder?

A

crepitation

30
Q

When is fremitus abnormal?

A

strong and clear vibrations

Clin Phys (15 decks)

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