Lung Flash Cards 3 Preview

Assessment Quiz 3 > Lung Flash Cards 3 > Flashcards

Flashcards in Lung Flash Cards 3 Deck (25)
Loading flashcards...
1

In a health history of the lungs, what should you ask about?

Acute/chronic sym, hx of chest pain, shortness of breath, difficulty breathing on expiration and/or inspiration, orthopnea, coughing, fever, chills, weight loss, hx of asthma, tobacco use, occupation exposure, hx of resp. infections, and cardiac probs

2

What are the planes of the anterior chest wall?

Midsternal line, midclavicular line, and anterior axillary line

3

What are the planes of lateral chest wall?

RUL, RLL, RML, LUL, and LLL

4

During the lung inspection, what do you assess for?

chest wall diameter later > anterior- posterior diameter, movement of chest w/ inspiration/expirations, use of accessory muscles, skin & m. membranes color, and pt. desired breathing position

5

What is a normal chest wall shape?

lateral diameter > anterior-posterior diameter

6

What is a barrel chest?

AP = Lateral Diameter

7

What is pectus carinatum?

Anteriorly displaced sternum and depressed costal cartilages

8

What is Pectus Excavatum?

Funnel chest ( chest caved in), may have murmurs

9

What are the scoliotic changes of chest wall?

Spinal convexity to the right when pt. bending forwards. Left ribs are close together and right ribs are widely separated

10

What is Flail Chest?

Expiration ribs out and inspiration goes in

11

What is palpation used for?

Asses chest expansion, detect fremitus or vibration during speaking, and low-use assessment skill

12

What is percussion used for?

if tissues are fluid/air/solid filled, assess lesions, tones, and sounds, which should be symmetrical

13

What kinds of notes may be emitted from percussion?

Flat, dull (abnormal lung tissue), Resonant (healthy), Hyper-Resonant ( hyper inflated lung tissues, due to COPD/asthma), and tympany

14

What are the special consideration (populations) for lung sounds?

women, pregnant women, children, infants, and frail elderly or immobilized patients

15

What are normal breath sounds?

smooth and rhythmic, sound breezy. May be difficult to hear in neonate and very old/frail/infants. Should be audible in all lung fields.

16

What kind of sound is hear over Vesicular Respiratory Sounds?

Soft sounds

17

Where is the Broncho-vesicular and what kind of sound?

below the scapulae (1st & 2nd ICS Anteriorly) and has an intermediate sound

18

Where is the Bronchial located and what kind of sound?

Loud sound and over the manubrium

19

Where is the tracheal and what kind of sound do you hear?

high pitched sounds heard over trachea in neck

20

Where are the 5 abnormal sounds to listen for?

crackles, wheezes, rhonchi, stridor,and pleural rub

21

What is a crackle?

air bubbles flowing through secretions or snapping open of airways closed by secretions, asthma, acute URI, or chronic bronchitis

22

What are wheezes?

Air flow through narrowed airways in asthma, COPD, or acute URI EX: hissing or shrill quality

23

What is a Rhonchi?

lower pitch than wheezes, secretions in large airways EX: snoring quality

24

What is a stridor?

wheeze on inspiration only, emergency situation

25

What is a pleural rub?

rubbing or creaking sound usually on expiration from inflamed pleura rubbing together