Thorax & Lungs Flashcards

1
Q

how many lobes does the left lung have?

A

TWO, an upper and lower

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2
Q

how many lobes does the right lung have?

A

three, (upper, middle, and lower lobe)

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3
Q

what diagnostic equipment is used for the thorax and lungs?

A

x ray, MRI, and CT scans

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4
Q

what are immediate ways you can assess the lungs and thorax?

A

inspection, palpation, ausultation (percussion isnt really used anymore)

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5
Q

what are the different respiratory patterns?

A

even, effortless
uneven
labored
deep
shallow
gasping
grunting
stridor
tachypneic
bradyneic

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6
Q

is watching their pattern of breathing

A

respiratory pattern

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7
Q

a classic example is an asthma attack, THEYRE HAVING A HARD TIME GETTING THEIR BREATH

A

labored breathing

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8
Q

gasping for breathing, this is not on the slide, but it is a term you might see on other systems

A

agonal breathing

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9
Q

is seen in cardiac arrest or stroke patients

A

agonal breathing

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10
Q

it sounds horrible, it is often associated with airway obstruction or crup. more commonly seen in children`

A

stridor

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11
Q

what does stridor require?

A

immediate medical attention

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12
Q

what is the limit for tachypneic?

A

over 20-22

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13
Q

what would be an example of someone who might have bradypnea ?

A

someone who’s overdosing, or someone you gave a narcotic to

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14
Q

any type of movement makes them profoundly short of breath, seen in CHF and COVID
asthma
pneumonia

A

SHOB on exertion

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15
Q

shortness of breath while laying down

A

orthopnea

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16
Q

you will see their chest go in and out

A

increased chest expansion

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17
Q

use of accessory muscles, but mostly in the abdomen

A

retractions

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18
Q

cessation of breathing

A

apnea

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19
Q

how many areas do you auscultate on the posterior chest?

A

9

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20
Q

what would you document for breathing that is normal sounding?

A

clear

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21
Q

what are the abnormal or adventitious sounds?

A

crackles
rhonchi
wheezes
pleural friction rub

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22
Q

are more of the wet crackles you will hear

A

coarse crackles

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23
Q

coarse crackles are heard in patients with?

A

pneumonia, pulmonary edema

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24
Q

where airway will suddenly open when close (the alveoli open)

A

fine crackles

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25
large airway sounds, is like continuous gurgling or bubbling sound
rhonchi
26
rhonchi can be heard during?
inspiration and expiration
27
what usually causes rhonchi?
movement of fluids during upper respiratory infection
28
sounds like thousands of tiny pops on top of each other,
rales
29
seen in CHF and pneumonia
rales
30
is heard with asthma
wheezing
31
wheezing is heard during
inspiration or expiration
32
wheezing is associated with?
asthma copd
33
can be clear sounds but can be _________, can be in the bases, sometimes in smokers, is clear but is not as lound (is muffled in a way)
diminished
34
is theyve had a lobectomy what would you chart for that lobe?
absent
35
is charted with apnea
absent
36
can result from air or fluid in or around lungs, as well as from a pneumothorax
absent breathing sounds
37
how many areas do you auscultate on the anterior chest?
5
38
what does the purple indicate?
bronchial area
39
what does the green area indicate?
tracheal area
40
what does the blue area indicate?
bronchovesicular
41
what does the red are indicate?
vesicular
42
are hash and high pitched sounding areas
tracheal
43
loud high pitched
bronchial
44
Medium in loudness and pitch
bronchovesicular
45
Quiet low pitched
vesicular
46
is hear equally during inspiration and expiration at these locations
tracheal, and bronchovesicular
47
what is heard more at the broncial area ?
expiration
48
what is heard more at the vesicular location?
inspiration
49
is above the supraclavicular notch
tracheal
50
just above clavicles on each side of the sternum over the manubrium
bronchial
51
next to sternum between scapulae
bronchovesicular
52
what area is indicated by the blue?
bronchovesicular
53
what area is indicated by the red?
vesicular
54
what are you palpating for on the lungs?
tenderness, lesions, lumps, & deformities
55
is subcutaneous imphazema
crepitus
56
air trapped under the skin
crepitus
57
what is a common cause of crepitus?
trauma
58
what type of oxygen delivery is this?
nasal canula
59
what type of oxygen delivery is this?
nonrebreather mask
60
is youre ging past 6 liter of oxygen what type of mask do you want to use?
something at least like a nonrebreather
61
what type of oxygen delivery device do you want to use for mouthbreathers?
something that covers their mouth, so a nonrebreather possibly
62
a pillow or a teddy bear that is help is a type of this
chest splint
63
if they're not coughing or deep breathing after surgery what is your patient at risk for?
pneumonia
64
what are two respiratory interventions (especially ones meant to prevent pneumonia?)
incentive spirometer, coughing and deep breathing
65
what is a good goal for an incentive spirometer ?
ten times an hour while awake
66
what do you need to know about sputum?
color, consistency, amount, and odor
67
thin white or clear sputum indicates?
colds viral infections, chronic bronchitis
68
white to yellow sputum indicates?
acute bronchitis, acute pneumonia, asthma, or allergic conditions
69
thick yellow or green sputum indicates?
bacterial infection (ex. lung abscess, chronic bronchitis, pneumonia)
70
what does rust colored sputum indicate?
TB pneumococcal pneumonia
71
what does brown or black sputum indicate?
TB, coal workers pneumoconiosis lung CA?
72
what does pink tinged sputum indicate?
lung tumor, TB, lung cancer (lung Cancer to go from pink to red and progress to brown or black)
73
profuse frothy pink sputum indicates?
pulmonary edema
74
red pink and rsut colored sputum indicates?
pulmonary edema
75
foul smelling sputum indicates?
lung abscess, cronchiectasis, anaerobic infection
76
what is tactile fremitus?
noise from vocal chords, is used as a way to palpate chest to assess for fluid with palpation
77
is where youre going to listen for vesicular sounds at
lateral thorax
78
where are you going to: observe accessory muscles palpate muscles and skeleton asses tactile fremitus compare right and left sides auscultate for bronchial sounds?
anterior thorax
79
what is LFT?
liver function tests
80
what is ABG?
arteriole blood gas values
81
what do you use ABG values for?
to adjust ventilator setting