Respiratory Clinical stuff

Question 1

where to do pleural tap?

Answer 1

9th intercostal space in MAL during expiration

When there is a pleural effusion, the lung will be collapsed.
Hence, these locations would also be acceptable:
- 5th intercostal space at the MAL-pleural effusion/tension pneumo
- 2nd intercostal space at the MCL – emergency Tension pneumothorax

Question 2

where does foreign stuff fall into ?

Answer 2

goes down right main bronchus into lower lobe

supine pt: apical lower lobe (aka Superior segment of the inferior lobe)
standing pt: posterior basal segment of the lower lobe (aka Inferior segment of the inferior lobe of the right lung)

Question 3

where does foreign stuff fall into ?

Answer 3

goes down right main bronchus into lower lobe

supine pt: apical lower lobe
standing pt: posterior basal segment of the lower lobe

Question 4

pleural effusion

Answer 4

o fluid in pleural cavity

Question 5

chylothorax

Answer 5

lymph in pleura cavity

Question 6

empyema

Answer 6

pus in pleura ciavty

Question 7

hemopneumothorax

Answer 7

o air + blood in pleura cavity

Question 8

pleural sac

Answer 8

=2 layers of pleura + pleural cavity

Question 9

plleural caivty

Answer 9

allows layers of ppleura to slide smoothly over each other during rest

rpovides surface tension to keep lung attached to thoracicc wall

Question 10

lungs level

Answer 10

6th rib
8th rib
10th rib
(MCL,
MAL
SCAPULAR LINE)

Question 11

parietal pleura level

Answer 11

8, 10 12

Question 12

thoracentesis/pleural tap

Answer 12

Insert the needle into the 9th intercostal space in the MAL during EXIRATION to avoid the inferior border of the lung.
needle is inserted superior to the rib
needle should be angled upward to avoid penetrating the deep side of the recess (such as the diaphragm)