Pulmonary Eval pt 1

Question 1

tidal volume (TV)

Answer 1

normal breathing

Question 2

inspiratory reserve volume (IRV)

Answer 2

max inhale after quiet breathing

Question 3

expiratory reserve volume (ERV)

Answer 3

max exhale after quiet breathing

Question 4

vital capacity

Answer 4

IRV + ERV
4000 - 5000 ml

Question 5

residual volume

Answer 5

air left over, keeps lungs inflated

Question 6

what is normal FEV1/FVC?

Answer 6

0.75 - 0.8

Question 7

it’s not official, but what is pre-obstruction FEV1/FVC?

Answer 7

0.7 - 0.75

Question 8

what is restrictive lung disease FEV1/FVC, and what does it tell you?

Answer 8

> 0.8
-Tells you that too much air is coming out bc of the non-compliant lung

Question 9

what is the FEV1/FVC for obstructive lung disease?

Answer 9

< 0.7

Question 10

forced midexpiratory flow (FEF 25-75)

Answer 10

volume of air exhaled over middle half of FVC

Question 11

DL / DLCO

Answer 11

diffusing capacity of lung aka the amount of gas entering pulmonary BF per unit time

Question 12

if DLCO is really low, what does this mean?

Answer 12

something is wrong with the alveoli

Question 13

peak flow

Answer 13

-max rate a person can reach breathing at any point
-used with asthmatics to determine exacerbation
-typically described as L/sec

Question 14

what are some facial signs of distress?

Answer 14

nasal flaring
sweating
paleness
focused or enlarged pupils
signs of SNS kicking in

Question 15

JVD is usually seen with what pulmonary condition?

Answer 15

cor pulmonale

Question 16

normal A-P thoracic diameter is ____ of the transverse diameter

Answer 16

half

Question 17

hyperinflated chest: ratio of A-P to transverse diameter approaches ___

Answer 17

1; this is also called “barrel chest” and air is getting trapped

Question 18

normal rib angle (at max rib curve)

Answer 18

< 90 deg

Question 19

if rib angle becomes more obtuse, what kind of abnormality will you see?

Answer 19

barrel chest

Question 20

the ribs attach to the vertebrae at what angle?

Answer 20

45 deg (btw rib and spinous process)

Question 21

barrel chest: the diaphragm sits higher or lower than normal?

Answer 21

lower

Question 22

why do you need to be careful with diaphragmatic breathing with someone who has barrel chest?

Answer 22

air can get trapped

Question 23

infant RR

Answer 23

30-60

Question 24

3-6 y/o RR

Answer 24

22-34

Question 25

6-12 y/o RR

Answer 25

18-30

Question 26

12-18+ y/o RR

Answer 26

12-20

Question 27

if RR ever gets above ___, go to ER!!

Answer 27

60