PT and Pulmonary Flashcards

1
Q

pt history to know for eval

A
smoking hx
amount of supplemental O2
exposure to toxins
hx of lung conditions
hx of vent assit
episodes of dyspnea
level of activity
sputum production 
sleeping position
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2
Q

what should you inspect during eval

A
general appearance 
easy of speaking
skin color
chest shape/posture
breathing patterns
digital clubbing
supplemental O2
surgical incisions
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3
Q

what is a wheeze
when is it more common
what is it seen most with

A

airway obstruction
more common on expiration
asthma

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4
Q

what is a stridor
when is it more common
what is it seen most with

A
  • high pitched wheeze
  • inspiration and expiration
  • large obstruction, throat swelling
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5
Q

what is a rhonchi
when is it more common
what is it seen most with

A
  • low pitched, sounds like snoring
  • early inspiration and expiration
  • large obstruction
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6
Q

continuous adventitious breath sounds

A

wheeze
stridor
rhonchi

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7
Q

what is a crackles

when is it more common

A
  • bubbling, popping sounds from fluid/secretions or sudden opening of closed airway
  • inspiration
  • discontinuous adventitious breath sound
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8
Q

mediate percussion

A

evaluate stissue densities within thoracic cage

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9
Q

cough exam includes

A
effectiveness
control
quality
fq.
sputum production
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10
Q

what is the goal for interventions for a pulmonary pt

A
  • promote independent functional mobility
  • maximize gas exchange
  • increase aerobic capacity
  • increase respiratory muscle endurance
  • pt ed about condition
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