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524 > resp assessment > Flashcards

resp assessment Flashcards

1
Q

Principal mm inspiration

A

external intercostals

diaphragm

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2
Q

accessory mm inspiration

A

SCM
scalenes
pec minor

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3
Q

active breathing mm

A

internal intercostals

the abs

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4
Q

assessing resp

A

Patient history, physical exam, lab tests

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5
Q

patient history on resp ass

A

chart, interview, social assessment

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6
Q

physical exam resp

A

IPPA, functional mobility, cardiac assessment

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7
Q

lab tests resp

A

chest x ray
ECG
exercise test

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8
Q

4 principals of assessment resp

A

position of patient
draping patient
room set up
biomechanics of you

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9
Q

whats IPPA

A

inspection, palpation, percussion, ausculation

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10
Q

inspection in IPPA

A 
Lines
HR, BP, BR
Head (pain? alter? speech? skin? lips?)
Breathing type
Cough, Sputum
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11
Q

clubbing assessment

A

connect index nails see a gap your good

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12
Q

palpation IPPA

A

THUMBS MIDSTERNAL LINE BREATH IN

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13
Q

precision IPPA

A

taps

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14
Q

normal lung sound

A

resonant (chest)

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15
Q

pleural fluid sound

A

dull (patella)

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16
Q

air sound

A

hyper resonant (stomach)

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17
Q

how many points of auscaltion

A

11 front, 14 back

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18
Q

types of breath sounds

A

normal, diminished, asset, bronchial, wheeze etc..

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19
Q

indication of lung consolidation

A

patient whisper and examiner hears whisper

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20
Q

bronchophany

A

patient says 99 and hear with greater clarity

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21
Q

epiphany

A

patients says e but you hear a

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22
Q

signs of lung consolidation

A

whispered, bronchophany,egop hany

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23
Q

hyperpnea

A

deep breaths

rate normal or tacky

24
Q

apnea

A

cessation of breath

25
Q

cheyne stokes

A

apnea with tacky

26
Q

red/brown sputum mean

A

blood

27
Q

yellow green sputum mean

A

infection

28
Q

orthopnea

A

SOB laying flat

29
Q

Clubbing looking for

A

appearance
angle
girth
space

30
Q

diaphragm of stethoscope for

A

vibrating body , high frequency

31
Q

bell of stethoscope for

A

vibrating skin, low frequency

32
Q

gold standard of aus. listen to ___

A

lobes

33
Q

bronchial heard when ___
crackles heard when_____
Wheezing heard when____

A

hallow
fluid/ obstruction
narrowing

34
Q

stridor heard when ____

A

tracheal obstruction

35
Q

pleural rub is ___

A

sound of stepping on snow

36
Q

AP or PA most standard

A

PA

37
Q

AP disadvantages

A

mediastinum magnified
hard to take full breathing
position compromised

38
Q

T/F rotation is always abnormal of the long side

A

NO short

39
Q

is left rotation shortened what do you see

A

rotation to left, increase heart size

40
Q

is right rotation shortened what do you see

A

rotation to right, decreased heart size

41
Q

how to know if heart is enlarged

A

make A and B lines (heart and thoracic border)

should be half

42
Q

how to check mediastinum shift

A

border each lung to thoracic, should be 2:1

43
Q

mediastinal or trachea shifting could indicate:

A

volume inc or dec

44
Q

increase in volume shift ____ decrease in volume shift ___

A

shift away

shift towards

45
Q

mediastinum landmarks

A

pulmonary artery

general vascularity

46
Q

where is hila typically found

A

1-2 rib counts below inferior aspect of arch of aorta

47
Q

volume decrease conditions

A

collapse / atectatsis

48
Q

volume increase conditions

A

consolidation
pleural effusion
pneumothorax
COPD

49
Q

pneumothorax

A

total colapse

50
Q

atelectasis

A

collapse or close, part of all of lung

little to no volume

51
Q

features of atelectasis on X-ray

A

shifts toward the decrease
silhouette signs
white

52
Q

consolidation

A

anything that fills alveolar

opaque

53
Q

pleural effusion

A

fluid in pleural

costophrenic angle effected or opaque / shift in opposite direction

54
Q

general features of consolation or pleural effusion

A

opaque
siloutte signs
shift away from volume increase

55
Q

pneumothorax general features

A

air in space, dark area

56
Q

emphysema on xray

A

horizontal flat diaphragm

pear shaped hart

524 (25 decks)

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