respiratory

Question 1

if pt is SOB, how do we know if it is a cardiac or respiratory issue?

Answer 1

if presence of edema in lower extremities=circulatory issue–> cardiac

Question 2

is SOB subjective or objective?

Answer 2

subjective

Question 3

meds specific to respiratory

Answer 3

bronchodilators
NSAIDS
antibiotics
corticosteroids

Question 4

kussmaul breathing

Answer 4

deep and labored breathing associated with diabetic ketoacidosis or chronic kidney failure

Question 5

cheyne stokes breathing

Answer 5

episodes of apnea; indicated end of life

Question 6

abnormal trachea

Answer 6

deviated trachea indicates pneumothorax, which means high thoracic pressure emergency!!!

Question 7

crepitus

Answer 7

grating sensation produced by friction of bones rubbing together; use fingers to feel the chest wall

Question 8

while performing tactile fremitus, you feel vibrations stronger on one side than the other. what can this indicate?

Answer 8

consolidation, mass, or bronchial obstruction

Question 9

while performing tactile fremitus, you feel vibrations weaker on one side than the other. what can this indicate?

Answer 9

air trapping: emphysema or pneumothorax

Question 10

abnormal thoracic expansion

Answer 10

< 3 cm, most likely indicates COPD

Question 11

resonance

Answer 11

normal sound, lung tissue filled with air

Question 12

dull

Answer 12

fluid-filled or tissue-filled

Question 13

tympany

Answer 13

high-pitched air, hallow; indicated excessive air in the chest

Question 14

hyper-resonance

Answer 14

higher pitch than resonance, air trapping & lungs cannot expand fully

Question 15

dyspnea early signs

Answer 15

increased T, RR, HR, & BP
restlessness
skin & mucous membrane pale
geriatric: acute confusion

Question 16

dyspnea late signs

Answer 16

decreased vitals
cyanosis
decreased LOC
lethargy
light headedness

Question 17

pneumonia/SARS characteristics

Answer 17

elevated WBCs (infection)
cough, crackles, wheezing
tachycardia
tachypnea
decreased O2 sat

Question 18

hemothorax

Answer 18

blood in the pleural cavity

Question 19

pneumothorax

Answer 19

collapsed lung

Question 20

lung percussion sound with hemothorax

Answer 20

dull

Question 21

lung percussion sound with pneumothorax

Answer 21

hyper-resonance

Question 22

which lung has no middle lobe?

Answer 22

left lung

Question 23

posterior chest contains mostly ___ lobe

Answer 23

lower

Question 24

anterior chest contains mostly ____ and ____ lobes

Answer 24

upper & middle

Question 25

normal respirations

Answer 25

eupnea 12-20

Question 26

<12 respirations

Answer 26

bradypnea

Question 27

> 20 respirations

Answer 27

tachypnea

Question 28

> 30 respirations

Answer 28

emergency