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Respiratory > Objective Respiratory Assessment > Flashcards

Objective Respiratory Assessment Flashcards

1
Q

A patient is presenting active contraction of the abdominal and internal intercostal muscles during a specific phase of respiration. What is the definition for this sign?

A

Active expiration

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2
Q

5 points on the assessment of cough

A 
Strength: Strong, Fair, Weak
Dry or moist
Effective, non-effective
Productive, no-productive
Tight or barking
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3
Q

x = ?

A capillary refill time above X seconds may be a sign of dehydration and decreased peripheral perfusion

A

2 seconds

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4
Q

What are you expecting to hear during the auscultation of a pneumothorax?

A

Nothing - Absent Breath Sounds

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5
Q

What are Kussmaul respirations?

A

Increased RR, depth and irregular rhythm. Observed in diabetic patients.

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6
Q

What could cause a central, retrosternal pain with or without radiation to the jaw or upper extremities frequently on left.

A

Ischemic Heart Disease

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7
Q

What is dyspnoea?

A

Is the subjective sensation of difficulty breathing

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8
Q

What means the ABCDE respiratory assessment means?

A 
Airway
Breathing
Circulation
Disability
Exposure
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9
Q

What do you auscultate on the 2nd intercostal space at the Left Sternal border?

A

Aortic arc

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10
Q

Define Percussion Note

A

a method of tapping over the surface of the chest to determine the nature of the underlying structures.

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11
Q

Normal adult heart rate

A

60- 100 bpm

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12
Q

What would you do if your patient becomes SOB during Auscultation?

A

STOP AUSCULTATION - POSITION THE PATIENT - COMMENCE RELAXED DEEP BREATHING

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13
Q

What does the crackles sound means?

A

These sounds are often associated with lung inflammation or infection.

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14
Q

Waist circumferences is associated with risk for…

A

DMII
Dyslipidemia
Hypertension
Cardiovascular

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15
Q

I:E ratio is 1:2

How would you define this ratio?

A

Normal breathing

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16
Q

Auscultation of superior lobe

A

First intercostal space

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17
Q

Normal values of blood saturation?

A

95-100%

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18
Q

What is orthopnea?

A

When a patient is unable to breath comfortably lying flat

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19
Q

Purulent rusty sputum is more likely to be an infection caused by

A

Pneumococcus, Mycoplasma

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20
Q

What is eupnea?

A

Normal breathing between 12-20 breaths/minute

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21
Q

What is the value of X?
With a nasal cannula, we assume that the fraction of oxygen that is inspired (above the normal atmospheric level or 21%) increases by X% for every additional litre of oxygen flow administered.

A

4%

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22
Q

What is tachypnea?

A

Respiratory rate that is greater than the normal for age. >20 breaths/minute in adults

23
Q

How much FiO2 I am giving to a patient through a nasal cannula with a flow rate of 2 litres/min.

A

29%

24
Q

I:E ratio of 1:3 or 1:4 it is likely to be seen on which disease?

A

COPD

25
Q

Auscultation location of the right and left anterior upper lobe

A

Mid clavicular line, between clavicle and 4th intercostal space

26
Q

What is apnea?

A

Is the absence of breathing.

27
Q

Normal body mass index BMI?

A

20-25 kgs/m2

28
Q

What is bradypnea?

A

Respiratory rate that is lower than normal for age. <12 breaths/ min in adults

29
Q

Purulent redcurrant jelly sputum is more likely to be an infection caused by

A

Klebsiella

30
Q

How much is the FiO2 inside a room?

A

21%

31
Q

Auscultation of middle lobe

A

Third intercostal space

32
Q

When do you hear the stridor sound?

A

When there is obstruction of the upper airway

33
Q

What is tachypnoea?

A

An increase if respiratory rate (RR) above 20 breaths per minute.

34
Q

When do you hear the gurgling sound?

A

When there is fluid in the upper airway

35
Q

Purulent yellow sputum is more likely to be an infectious caused by

A

Haemophilus

36
Q

What is the Cheyne-Stokes patern?

A

Cheyne-Stokes respiration is characterized by alternating apnea and hyperventilation during sleep

37
Q

What is the best position for CHF or other cardiac conditions?

A

SEMI FOWLER’S

38
Q

What does the rhonchi sound mean?

A

Means that there are secretions in the larger airways

39
Q 
What sound we should expect to be present on these 4 conditions?
→ atelectasis
→ pleural effusion
→ pulmonary edema
→ pulmonary fibrosis
A

Crackles

40
Q

What is considered a high waist circumference in women?

A

Above 35

41
Q

The 5 primary vital signs are:

A
  • Pulse Rate (Heart Rate)
  • Respiratory Rate (Breathing Rate)
  • Oxygen Saturation
  • Blood Pressure
  • Body Temperature
42
Q

Purulent dark green/brown sputum is more likely to be an infection caused by

A

Pseudomonas

43
Q

What is considered a high waist circumference in men?

A

Above 40

44
Q

What are the four stages of blood pressure? BP

A

Normal -120mm Hg
Elevated 120-129 mm Hg
Stage 1 130=139 mm HG
Stage 2 140 mm Hg

45
Q

How much FiO2 I am giving to a patient through a venturi mask with a flow rate of 4 litres/min.

A

24-28% FiO2

46
Q

What is the Cheyne-Stokes patern?

A

Is a pattern of crescendo-decrescendo respirations followed by a period of apnea. Is the result of disordered central control of breathing

47
Q

Components of breathing assessment (3)

A

Chest shape
Chest and abdominal movement (pattern)
Effort (Inspiration or expiration)

48
Q

Define Fremitus

A

A vibration felt on the body during palpation.

49
Q

Normal infant heart rate

A

100-130 bpm

50
Q

Normal child heart rate

A

80-100 bpm

51
Q

A 63-year-old male patient was just admitted to the ICU. While auscultating his lungs, you hear
bronchial breath sounds over the right lower lobe. This would indicate which of the following?
A. Pneumothorax
B. Normal lungs
C. Pleural effusion in the patient’s right lower lobe
D. Consolidation in the patient’s right lower lobe

A

Correct Answer: D: Consolidation in the patient’s right lower lobe

52
Q

Respiratory infection caused by harmful microorganisms and is characterized by a
productive cough, often with greenish or yellowish secretions.

A

Pneumonia

53
Q

When do you hear the wheezing sound?

A

When there is obstruction of the lower airways

54
Q

How much FiO2 I am giving to a patient through a nasal cannula with a flow rate of 4 litres/min.

A

37%

Respiratory (3 decks)

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