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CEN > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Classification of asthma consists of symptoms more than twice a week but less than once a day, minor limitations to normal activity, and use of an inhaler more than 2 days a week but not daily.

A

Mild persistent asthma

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2
Q

Classification of asthma consists of daily symptoms and nighttime symptoms more than once a week but not daily, some limitations with activity, and daily use of an inhaler.

A

Moderate persistent asthma

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3
Q

Classification of asthma consists of continual daytime symptoms and frequent nighttime symptoms, limited to no control of symptoms, and extreme limitations in normal activities.

A

Severe persistent asthma

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4
Q

Classification of asthma consists of symptoms twice a week or less and nighttime symptoms twice a month or less, symptoms do not interfere with activity, and an inhaler is used 2 days a week or less.

A

Intermittent asthma

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5
Q

What breath sound should have a soft intensity, a low pitch, and a rustling quality?

A

Vesicular breath sound

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6
Q

What breath sound should have a medium intensity, a medium pitch, and a breezy quality

A

Bronchovesicular breath sound

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7
Q

What is breath sound should have a loud intensity, a high pitch, and a hollow quality?

A

Bronchial breath sound

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8
Q

What percussion tone that you would most likely hear in normal lung tissue is?It has a medium intensity, a low pitch, long duration, and a hollow quality.

A

Resonant percussion tone

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9
Q

What is the percussion tone that is generally heard in hyperinflated lungs, the dull percussion tone is generally heard in the liver, spleen, or heart?

A

Hyperresonant percussion tone

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10
Q

What is percussion tone is generally heard in muscle or bone?

A

Flat percussion tone

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11
Q

Type of Breathing which is characterized by neurological diseases.
Meningitis, encephalitis, and head trauma may all be causes of this type of breathing.

A

Biot’s

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12
Q

Type of breathing caused by a brain stem lesion.

A

Ataxic

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13
Q

Type of breathing caused by Lesion of pons.

A

Apneustic

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14
Q

Type of breathing caused by Metabolic acidosis and peritonitis.

A

Kussmaul

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15
Q

What is a breathing sound that sounds like snoring and is caused by blocked or disturbed air flow?

A

Rhonchi

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16
Q

What is a breathing sound that sounds like a high-pitched whistle that you do not need a stethoscope to hear?

A

Stridor

17
Q

What is a breathing sound that sounds like a high-pitched whistle?

A

Wheezing

18
Q

What is a breathing sound that sounds like a grating or scratching sound?

A

Pleural friction rub

19
Q

While listening to the chest with a stethoscope, ask the patient to say the vowel “e.” Over normal lung tissues, the same “e” (as in “beet”) will be heard. If the lung tissue is consolidated, the “e” sound will change to a nasal “a” (as in “say”). What sound is this?

A

Egophony

20
Q

Ask the patient to say “99” in a normal voice. Listen to the chest with a stethoscope. The expected finding is that the words will be indistinct. It is present if sounds can be heard clearly.
What sound is this?

A

Bronchophony

21
Q

Ask the patient to whisper a sequence of words such as “one-two-three,” and listen with a stethoscope. Normally, only faint sounds are heard. However, over areas of tissue abnormality, the whispered sounds will be clear and distinct.
What sound is this?

A

Whispered pectoriloquy

22
Q

Ventilation setting: number of breaths delivered per minute?

A

Resp rate

23
Q

Ventilator setting: amount of air inhaled and exhaled per breath?

A

Tidal volume

24
Q

Ventilator setting: the rate at which the tidal volume is administered?

A

Flow rate

25
Q

Ventilation setting: percentage of oxygen delivered by the ventilator?

A

Fraction of inspired oxygen (FiO2)

26
Q

Ventilation setting: amount of time for inspiration in comparison to the time required for expiration

A

Inspiratory-expiratory ratio

27
Q

Ventilation setting: the maximum amount of pressure to be produced by the ventilator in order to administer the set tidal volume

A

Pressure limit

28
Q

PaCO2 the indicates hypoventilation?

A

Greater than 45

29
Q

Normal PO2 level?

A

80 to 100 mmHg

30
Q

Normal Bicarbonate level?

A

22 to 26 mEq/L

31
Q

Abnormal output from chest tube drainage for pt with hemothorax that could indicate uncontrolled bleeding?

A

Initial output greater than 1500 ml or an hourly output greater than 200 ml/hr

32
Q

Respiratory problem in mechanicalt ventilated patients caused by hypotension secndary to increased intrathoracic pressure caused by inability to exhale?

A

Stacking

Disconnect from ventilator and use small tdal volume and long expiratory time.

33
Q

Beige color showed by exhaled CO2 indicator?

A

ET tube misplaced or that prefusion is low.

34
Q

Purple color shown by exhaled CO2 indicator?

A

ET tube is misplaced in the esophagus in pt with adquate prefusion. When the ET tube is positioned properly, the drvice will turn purple during inspiration when CO2 is low.

35
Q

Color change to yellow by CO2 indicator?

A

High levels of CO2 indicating that the ET is in the trachea.

36
Q

What causes false yellow color change in pt with ET tube?

A

Pt recently ingested carbonated drinks may have false yellow readings when tube is in the esophagus due to elevated levels of CO2

37
Q

Classic presentation of croup? Onset?

A

Barking cough. 24 to 72 hrs after the onset of URI

38
Q

Correct site for needle throacentesis in pt with right tension pneumothorax?

A

Second interscoastal space, mid clavicular line on the right side of the chest.

39
Q

Tidal volume undicates pt is ready for extubation?

A

Greater than 6 mL/kg

CEN (17 decks)

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