Respiratory System Flashcards
Upper Respiratory Tract?
Nose Mouth Sinuses Pharynx Larynx 1/3 trachea
Lower Respiratory Tract?
Lower 2/3 trachea
Bronchi
Lungs
Pleural membranes
Full respiratory cycle?
inspiration + expiration
What may cause problems with inspiration (restrictive)?
Sx pain lung infection (pneumonia) scoliosis kyphosis aspiration obesity
What may cause problems with expiration (obstructive)?
asthma
COPD
lung cancer
What brings patients with respiratory illness to the hospital?
cough (productive or not)
dyspnea/SOB
orthopnea (trouble breathing in supine position)
chest/rib/muscle pain
Document respirations?
Rate: bradypnea, tachypnea, eupnea
Rhythm: regular, irregular
Volume: shallow, deep, hypo/hyperventilation
Sounds: crackles, ronchi, wheezing, stridor
Assessment of common Respiratory Symptoms?
OPPQRRSTU
Vertebrae?
C 1-7 T 1-12 L 1-5 Sacrum Coccyx
Adventitious sounds?
abnormal sounds
Bronchiovesicular sounds?
between 2/3 ICS I=E
ICS 3,4,5 (between C7 and T5) will hear sods of?
bronchovesicular
Normal breath sounds?
tracheal
broncheal
bronchovesicular
vesicular
Adventious sounds?
Abnormal sounds
Crackles?
bubble sound of air young into fluid
Ronchi?
rattling sound of air going into secretions
if pt coughs and nothing is herd then it is ronchi
Wheezing?
whistling on expiration
Stridor?
obstruction of trachea
crowing sound-upper airway obstruction
how does fluid usually accumulate?
bilaterally
What is wet sounding cough related to?
infection
What is dry sounding cough related to?
upper respiratory tract infection
Health history?
What brings you in today
What to observe for when pt is breathing?
accessory muscle use (skin btwn ribs in concave on inhalation)
rise and fall of chest
use of shoulder muscles to breathe
Palpation?
trachea
supersternal notch
NO PERCUSSION
Check for good air entry bilaterally
.
vesicular sound?
remainder of lung field I>E
Bronchiovesicular sound?
sternal border between scapula I=E
Bronchial sound?
next to trachea I<E
Tracheal sound?
over trachea I<E
