Flashcards in Lower Respiratory Exam Deck (76)
Normal adult respiratory rate
_____ = decreased depth (shallow) and rate (slow) of respiration
_____ = regular breathing rhythm but slower rate than normal - about 14/min
__________ = increased depth of breathing and rate of respiration (occurs in exercise)
______ = rapid breathing at a rate greater than 20/min
________ = feeling short of breath
________ = deficiency of the amount of oxygen reaching the tissues
_________ = oxygen deficiency in arterial blood
_______ = no breathing
_______ = collapse of lung tissue that affects the alveoli from normal O2 absorption
______ = hyperextended middle finger of nondominant hand in percussion
_______ = tapping finger, dominant hand, for percussion
What chief complaints are related to lower respiratory issues?
Cough (with or without blood)
Trouble breathing (rest, conversional, exertional)
What past medical history findings are relevant to the lower respiratory system
What types of medications might affect the lower respiratory tract
What social hx findings are relevent to lower respiratory complaints
Ilicit drug use
Smoking history (PPD x yrs)
Hobbies, allergies, and travel are also important
What occupations are relevant to lower respiratory complaints?
What are the 3 main systems that should be documented when someone presents with a lower respiratory complaint?
What are some ENT ROS considerations for a lower respiratory complaint?
Post nasal drainage
What are some respiratory ROS considerations for a lower respiratory complaint?
Note if the above are with/without activity
When a patient presents with a respiratory complaint, what are some important things to note on your PE in terms of patient position, muscles used, fingers, lips, and nails?
Observe sitting position and breathing pattern, ability to speak
Use of accessory muscles
Color of fingers and lips. Shape of nails.
Breathing through pursed lips
When a patient presents with a respiratory complaint, what are some important things to note on your PE in terms of chest, spine, and trachea position?
Look for chest and spinal deformities, such as chest excursion
Is the trachea in midline?
When a patient presents with a respiratory complaint, what are some important things to note on your PE in terms of palpation of the thoracic cavity and use of your stethoscope?
Check for lymphadenopathy
Note any tactile fremitus (vibration felt through the chest wall)
What vital signs are important to obtain when a patient presents with a respiratory complaint?
What are the 4 major parts to a lower respiratory exam?
Capillary pulse brings the arterial blood to fingers. Oxygenated Hgb absorbs infrared light and allows red light to pass through. Deoxygenated blood is the opposite, absorbing red light and allowing red light to pass through.
What instrument is used to detect this phenomenon?
Pulse oximeters - sense pulse, record red light (oxyhemoglobin) and blue light (deoxyhemoglobin) and pulse rate is displayed
% saturation = red/red+blue
What instrument is used to record the following:
Take a slow deep breath as deep as you can, as you breathe the piston or ball inside a large column moves up; try to move the piston or ball as high up as you can or to the level your doctor recommends. When you can't breathe in anymore, hold your breath for 2-5 seconds
What type of test is non-invasive and shows how well the lungs are working; also used to diagnose lung disorders between obstructive vs. restrictive
Pulmonary function test (PFT)
_______ is also considered a pulmonary function test because it measures lung function based on the amount and speed of air inhaled and exhaled. It can diagnose between obstructive and restrictive diseases