Quiz 1: SBAR, Auscultation, Lung Anatomy Flashcards
What is SBAR?
Situation, Background, Assessment, Recommendation
Right Lung Anatomy
-3 lobes: RUL,RML,RLL
-Separated by horizontal and oblique fissures
Left Lung Anatomy
-2 lobes: LUL,LLL
-Separated by oblique fissures
What part of the lungs are mid-clavicular?
Above the clavicles are the apices of the lungs
2nd and 3rd intercostal space is what right and left part of the lung?
right and left upper lobes
The 4th intercostal space is what parts of the lungs?
RML and LUL
The 6th intercostal, mid-axillary, is what parts of the lung
RLL,LLL
The posterior chest is primarily which area of the lungs?
the lower lobes
Above T7 of the spine is which area of the lungs
the Upper lobes
T7-T11 of the spine is which area of the lungs
the lower lobes
What are the auscultation tips?
Breath deep and slow, listen for one whole inhalation and exhalation, start to listen near the bottom to detect astelectasis, listen from side to side at equivalent sites, note if breath sounds are equal and bilateral, and know thoracic landmarks and what coincides with what lobe of the lung
How many sites do you auscultate posteriorly
8 sites
How many sites do you auscultate anteriorly
6 sites
How many sites do you auscultate axillary
4 sites, 2 on each side
Crackles: what, when, where, why, intervention
What: Hair rubbing together or rice crispies
When: secretions(inhalation and exhalation); alveoli popping open(inspiration)
Where: peripheral airways(secretions) ; alveoli(atelectasis)
Why: secretions in the airways or alveoli popping open
Intervention: deep breath and cough
Wheezes: what, when, where, why, intervention
What: high pitched noise as air moves through the airways
When: mostly on exhalation, not always
Where: smaller airways, periphery although they can resonate
Why: restricted or obstructed airways
Intervention: bronchodilators; coughing
Rhonchi: what, when, where, why, intervention
What: low pitched noise
When: can be inspiration and exhalation
Where: rhonchi are in the bronchi
Why: secretions
Intervention: coughing or suctioning
Stridor: what, when, where, why, intervention
What: squeak
When: inspiration
Where: trachea, large airways
Why: obstruction of large airway
Intervention: depends; clear obstruction, anti-inflammatory steroids, racemic epinephrine
