Respiratory PA Flashcards
left lobes locations
slightly above clavicle -> 6th -> 8th rib
right lobes locations
slightly above clavicle -> 4th -> 6th -> 8th rib
which side of the lung is more likely to aspirate
right side;
left side bronchus is wider and more straight than the right
tactile fremitus increase vs. decrease
increased: congested areas like pneumonia or tumor
decreased: blocked by secretions or emphysema
bronchial sounds: description, location, duration
D: high, loud, hollow tubular
L: anterior only over trachea & larynx
D: inspiration < expiration
vesicular sounds: description, location, duration
D: soft, low pitched, breezy/rushing sound
L: A&P majority lobes
D: inspiration > expiration
bronchovesicular sounds: description, location, duration
D: medium pitched, hollow
L: A&P branches
D: inspiration = expiration
crepitus
crackling, bubble wrap feeling palpated over the skin when air abnormally escapes from the lung and enters subq tissue
Cheyne-Stokes breathing
wax and wane with periods of apnea in between
Kussmaul breathing
rapid, deep breathing in a fast pace;
Kussmaul breathing indicates what
diabetic ketoacidosis
biots (ataxic) breathing
irregular breathing with sudden periods of apnea;
periods of prolonged inspiration with abrupt expiratory efforts
hyperventilation leads to what?
more CO2 exhaled -> respiratory alkalosis
5 possible symptoms of hyperventilation
- numbness & tingling in extremities
- heart palpitations
- chest pain
- lightheadedness
- unconsciousness
transverse vs. AP diameter normal vs barrel chest
normal would be 2:1 ratio
barrel is 1:1
