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H&P II > Respiratory > Flashcards

Respiratory Flashcards

1
Q

What are the signs of respiratory distress?

A

accessory msucle use, intercostal reactions, nasal flaring in kids, tripoding, cyanosis

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2
Q

What should u evaluate in the neck?

A

position of trachea

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3
Q

What should u evaluate on the chesticles?

A

AP diameter, deformities (pectus excavatum/carinatum), flail chest, barrel chest

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4
Q

What should u say to the pt when doing auscultations?

A

“Deep, slow breaths, in and out, through the mouth”

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5
Q

How many levels should u do aroudn the body?

A

3 levels anteriorly with one above the clavicle
2 level laterally
3 levels posteriorly

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6
Q

What are vesicular breath sounds?

A

Soft, low-pitched
Over majority of the lung fields
Last longer in inspiration than expiration

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7
Q

What are bronchovesicular sounds?

A

Intermediate intensity

Equal duration of inspiration and expiration

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8
Q

What are bronchial sounds?

A

Loud

Last longer over expiration than inspiration

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9
Q

What are adventitious sounds?

A

Crackles
Wheezes
Rhonchi
Rubs

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10
Q

What do crackles indicate?

A

Pneumonia
Fibrosis
Heart failure

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11
Q

What do wheezes indicate?

A

Musical, High-pitched
Expiratory and inspiratory
Bronchospasm
Asthma, COPD, Bronchitis

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12
Q

What do rhonchi indicate?

A

Low-pitched
Snoring quality
Suggests secretions in the larger airways

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13
Q

What do u palpate for on the chesticles?

A

Tenderness
Boney Deformity
Symmetrical Expansion

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14
Q

What is tactile fremitus?

A

Vibrations from the bronchial tree
Ulnar surface of the hand
Pt. says “99” - assess symmetrically
Decreased: COPD, Pleural effusion, pneumothorax

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15
Q

What do u percuss for on the chesticles?

A

Symmetrical approach for each level

Diaphragmatic excursion

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16
Q

What does a dull percussion indicate?

A

Pleural effusion

Consolidation – pneumonia, large tumor

17
Q

What does a increased resonance on percussion indicate?

A

Air – pneumothorax, COPD

18
Q

What should u assess for on the skin?

A

Clubbing, cyanosis

19
Q

What is broncophany?

A

Sound transmitted louder at area of consolidation

20
Q

What is egophony?

A

Patient says “e”, sounds like “a”

21
Q

What is whispered pectoriloquy?

A

Whispered words sound louder

22
Q

What is TF and resonence in PNA?

A

↑ Tactile Fremitus

↓ Resonance on percussion

23
Q

What is TF and resonence in pneumothroax?

A

↓ tactile fremitus

↑ resonance on percussion

24
Q

What is TF and resonence in pleural effusions?

A

↓tactile fremitus

↓resonance on percussion

H&P II (7 decks)

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