Thorax and Lungs: 6 Questions Flashcards
Labored
Bent Over and less words
Even, Effortless
Is good breathing
Deep
Anxiety or calmness
Shallow
Short Breath
Gasping
Can’t breath, decrease anxiety
Grunting
Sounds like snoring and flared nostrils
Stridor
Whistle Sound PED’s, STAT
Tachypneic
Fast breathing = rapid and shallow over 20 rr
Bradypneic
Slow breathing = less than 12 and CNS depressant
Apinic
Not breathing
Sleep Apnea
While sleeping and stops breathing
Dyspnea/Shortness of Breath
Exercise, stress, anxiety, attitude, COPD, Asthma, pneumonia
SHOB on Exertion
Exercise induced, activity = short of breath
Increased Chest Expansion
Breathing in
Orthopnea
Shortness of breath when lying down.
Use of Accessory Muscles
Using muscles that are not typical for breathing (Mechanical Incubate)
How do you do Auscultation?
Zig Zag 1-9
Fine Crackles
(Atelectasis) Complete or partial lung collapse
Dry and usually after surgery solution.
Course Crackles
Fluid, Wet, Course. Pulmonary Edema
Rhonchi (URI)
-Large Airway sounds=gurgling or bubbling. Movement of fluid suction. Difficulty breathing in or out.
Rales
Congestive Heart Failure TINY POPS
Wheeze
Asthma, High Pitched whistling sound while breathing.
Both Inspiration or Expiration
Diminished
Decreased sounds=air, fluid around the lungs.
Absent
Not good, over inflation of the lungs. EMERGENCY
Front Auscultation
1-5
Lateral Auscultation
1-4
Right Side of Lung
3 lobes.
Right Upper Lung
Right Middle Lung
RIght Lower Lung
Left side of Lung
2 lobes.
Left Upper Lung
Lower Left Lung
Nasal Cannula
~Oxygen tree or Flow meter=Green
~0.5 to 6 Liters of Oxygen
Nonrebreather Mask
Old School
Before you incubate a patient.
12-15 liters
OxyMask
Increase Oxygen
Mouth Breather
0.5 - 15 liters
Incentive Spirometer
Patient taking nice deep breaths, returned demonstration
Cough Deep Breathe
Avoid infecting in lungs.
Thin White or Clear Mucous Sputum
Colds, viral infections, chronic bronchitis
White to Yellow Sputum
Acute bronchitis, acute pneumonia, asthma, or allergic conditions.
Thick Yellow or Green Sputum
Bacterial Infection; green long standing infection such as lung abscess, chronic bronchitis, pneumonia
Rust Colored Sputum
Tuberculosis (TB)
Pneumococcsal Pneumonia
Brown or Black Sputum
“Old Blood”
Seen in CA, TB, or coal worker
Pink-Tinged Sputum
Lung tumor
Profuse, Frothy, Pink
Pulmonary Edema
Foul-Smelling Sputum
Lung Abscess, bronchiectasis, anaerobic.
Posterior Thorax
Inhales and Separates thumbs
Tactile Fremitus
Created by vocal cords (Say words or number 99), transmitted through lungs to chest wall, palpation.
Lateral Thorax
Vesicular Sounds
Anterior Thorax
Observe accessory muscles, palpate muscles and skeleton, compare right and left sides, auscultate for bronchial sounds.