PFT PRELIM Flashcards
(112 cards)
History of Symptoms Associated with Pulmonary Disorders
Cough
Dyspnea
Wheezing
Basic Information and History Taking
Age
Gender
Body Height and Size
Race
As the person age, the natural elasticity of the lungs decreases.
Age
This translates to smaller and smaller lung volumes and capacities as we age.
Age
Usually the lung volumes and capacities of males are larger than females.
Gender
Even when males and females are matched for height and weight, males have larger lungs than females.
Gender
Has a tremendous effect
Body Height and Size
A smaller man will have a smaller PFT result than a man of same age who is much larger
Body Height and Size
Sometimes, as people age they begin to increase their body mass by increasing their body fat to lean body mass ratio. If they become too obese, the abdominal mass prevents the diaphragm from descending as far as it could so PFT result will demonstrate a smaller measured PFT outcome than expected.
Body Height and Size
Blacks, Hispanics, Native Americans, Caucasians have different PFT result compared to Asians
Race
Includes the name, age, gender, height in stocking feet, race and current diagnosis.
Basic Information
Includes whether the subject has ever has or has been told that he has allergies/hay fever, asthma, chest injury or surgery, recurring colds, pneumonia, tuberculosis, lung CA, bronchieactasis, emphysema, chronic bronchitis.
Personal Medical History
Includes type of medications prescribed and for what problems they are taken in the dose.
Medications Prescribed for Lung or Heart Problems
Includes type of medications prescribed and what problems they are taken in the dose prescribed the scheduled taken in and when they were last taken or used.
Medications Prescribed for Lung or Heart Problems
Includes the immediate family. Immediate family member’s history should be described as it relates to the disorders listed earlier under the heading of the subject’s personal medical history
Family History
Includes the age smoking began, years smoked, type of tobacco or other substance, past and current daily consumption.
Smoking History
Can be useful. This is especially true if the hobbies include the use of chemicals, art supplies or other possibly irritating or poisonous substances
Hobbies
A listing of types and numbers of pets are useful. This is true if their presences can be linked to pulmonary symptoms. Knowing whether they are maintained indoors or outdoors can be significant.
Pets
This can be useful in diagnosing certain endemic diseases.
Place of Residence
A chronological history of the subject’s occupation should be taken. A description of the actual job, exposures to fumes, dust, gases should be noted. A history of employment in farming mining, quarrying, textiles can be significant to pulmonary problems.
Occupational History
Physical Assessment
Vital Signs
Auscultation
Results of Xray Examination
The subject’s pulse, respiratory rate, blood pressure should be noted.
Vital Signs
Their subject should be auscultated and any abnormalities in the subject’s breath sounds should be recorded. With adventitious sounds such as wheezing, ronchi, or crackles, the intensity, location and relation of the sound to the breathing cycle must be noted
Auscultation
Significant information should be noted such as abnormal densities in the lung fields, hyperinflation, loss or vascular markings, presence of bullae, flattened diaphragm etc.
Results of Xray Examination
