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Flashcards in Lower Respiratory Exam Deck (76)
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1

Normal adult respiratory rate

14-20/min

2

_____ = decreased depth (shallow) and rate (slow) of respiration

Hypopnea

3

_____ = regular breathing rhythm but slower rate than normal - about 14/min

Bradypnea

4

__________ = increased depth of breathing and rate of respiration (occurs in exercise)

Hyperpnea

5

______ = rapid breathing at a rate greater than 20/min

Tachypnea

6

________ = feeling short of breath

Dyspnea

7

________ = deficiency of the amount of oxygen reaching the tissues

Hypoxia

8

_________ = oxygen deficiency in arterial blood

Hypoxemia

9

_______ = no breathing

Apnea

10

_______ = collapse of lung tissue that affects the alveoli from normal O2 absorption

Atelectasis

11

______ = hyperextended middle finger of nondominant hand in percussion

Pleximeter finger

12

_______ = tapping finger, dominant hand, for percussion

Plexor finger

13

What chief complaints are related to lower respiratory issues?

Cough (with or without blood)

Trouble breathing (rest, conversional, exertional)

Wheezing

Swelling

14

What past medical history findings are relevant to the lower respiratory system

Asthma
Chronic bronchitis
Heart failure

15

What types of medications might affect the lower respiratory tract

Chemo

Amiodarone

16

What social hx findings are relevent to lower respiratory complaints

Ilicit drug use
Alcohol
Smoking history (PPD x yrs)

Hobbies, allergies, and travel are also important

17

What occupations are relevant to lower respiratory complaints?

Farmer
Wood worker
Mining
Asbestos exposure
Duct/vent cleaning

18

What are the 3 main systems that should be documented when someone presents with a lower respiratory complaint?

Constitutional
Respiratory
ENT

19

What are some ENT ROS considerations for a lower respiratory complaint?

Otalgia
Tinnitis
Ear drainage
Epistaxis
Nasal congestion
Rhinorrhea
Post nasal drainage
Lymphadenopathy
Hoarseness
Sore throat
Sinus pressure
Goiter

20

What are some respiratory ROS considerations for a lower respiratory complaint?

Chest pain
SOB
Dyspnea
Cough (productive?color?)
Wheezing
Hemoptysis
Asthma
Pneumonia

Note if the above are with/without activity

21

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

22

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?

23

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)

Percussion

Lung sounds

24

What vital signs are important to obtain when a patient presents with a respiratory complaint?

Respiratory rate
HR
BP
Temp
O2 sats

25

What are the 4 major parts to a lower respiratory exam?

Inspection
Palpation
Percussion
Auscultation

26

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

27

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

Incentive spirometer

28

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)

29

_______ 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

Spirometry

30

What are some abnormal respiratory findings in patient posture/position?

Chest and abdominal retractions (using accessory muscles)

Pursed lips

Tripoding