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Y1 Respiratory > Clinical Skills > Flashcards

Flashcards in Clinical Skills Deck (138)
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1

Target SaO2 for most people

94-98%

2

What clues might exist there is a respiratory complaint?

peak flows, inhalers, IV drips

3

Where can tar staining also be seen?

around the hair line - yellowing in fringe area

4

Signs of finger clubbing (5)

Change in nail bed angle
Nail bed feels boggy
Sharper angle with cuticle
Distal ends of fingers may appear enlarged or bulging
Nail curves downward

5

When asthma is considered severe, the PEFR is...

33-50%

6

What must you do before assembling and giving nebuliser?

the drug

7

polycythemic patients become cyanosed at ______ SaO2 because there is an increase in the level of the RBCs in the blood

higher

8

How can JVP be assessed if not visible using conventional method?

pressing in the RUQ to circulated more blood from liver

9

What should you ask the patient to do when auscultating?

breath deeply but at a rate normal for them, ask them to take deep breaths when they feel the stethoscope move

10

You take the average of PEFR - true or false?

False
Take the best of all three as given

11

FiO2 of Reservoir mask

60-80%

12

the nasal cannula prevents rebreathing of expired CO2?

true

13

Example of low pitched sound

bowel sounds
heart murmurs

14

When might a spacer be useful

when the patient technique is not great

15

When examining the posterior aspect of the chest for percussion and auscultation, what is best for the patient?

ask them to swing their legs round and sit over the side of the bed

16

Normal Pulse

60-100bpm

17

What does oedema in the legs potentially indicate?

DVT
Pulmonary hypertension/R. Ventricular failure

18

Second step when visiting patient

introduce self, check you have the right patient and confirm details, explain plan and gain consent

23

What does palpation involve?

feeling for the trachea in the neck - should be in the middle of the notch above the sternum
chest expansion

24

Normal SaO2 range for healthy individuals

94-100%

25

Where should you percuss and ascultate?

anteriorly, posteriorly and laterally

26

How loud are bronchovesicular breath sounds?

intermediate

27

When asthma is considered moderate, the PEFR is....

50-75%

28

When asthma is considered life-threatening, the PEFR is

<33%

30

Abnormal breath sounds are...

bronchial

31

How loud are bronchial breath sounds?

loud

32

Patients should bite down around the mouthpiece of their inhaler - true or false?

false
they should form seal with their lips and have the inhaler between their teeth

33

Moving on from hand exam what do you check?

pulse, resp rate, skin

34

bronchial breath sounds are

harsher than vesicular sounds

35

Example of high pitched sound

breath sounds
normal heart sounds