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CardioPulmn II - Final > Pulmonary Assessment (2) > Flashcards

Pulmonary Assessment (2) Flashcards

(52 cards)

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1
Q

bronchophony

A

ask pt to say “99”

normal = inaudible

tissue consolidation

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2
Q

what does bronchophony sound like if theres tissue consolidation

A

loud and clear

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3
Q

egophony

A

ask pt to say “eee”

normal - muffled

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4
Q

what does abnormal egophony sound like

A

“AAAA” loud and clear

indicated tissue consolidation

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5
Q

whispered pectoriloquy

A

ask pt to say “99”

normal - inaudible

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6
Q

abnormal whispered pectoriloquy

A

loud and clear

tissue consolidation

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7
Q

what are adventitious breath sounds

A

where air passes through narrowed airways, moisture, pleural membrane inflammation

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8
Q

wheezes causes

A

airway narrowing

increased airflow to segment

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9
Q

crackles

A

discontinuous

intermittent crackling and bubbling

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10
Q

crackles causes

A

air bubbling through airway secretions

or

sudden opening of small airways

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11
Q

pleural friction rub sounds like

A

cracking leather

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12
Q

describe pleural friction rub

A

non musical

discontinuous low pitched

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13
Q

where is pleural friction rub heard

A

lateral lung fields

same place on insp/exp

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14
Q

when does pleural friction rub occur

A

each breath

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15
Q

wheeze assessment

A

important to document time of occurrence

ex: on insp, on exp, monophonic

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16
Q

wheezes on expiration

A

most common

associated with airway constriction found in bronchospasm

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17
Q

wheezes on inspiration

A

not common

more severe obstruction in airways

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18
Q

monophonic wheezes

A

stirdor

medical emergency

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19
Q

what does pleural friction rub indicate

A

pleural inflammation

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20
Q

documenting breath sounds

A

intensity

pitch

duration

location

character

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21
Q

intensity –> documenting

Study These Flashcards
A

loud

moderate

soft

22
Q

pitch –> documenting

Study These Flashcards
A

low

moderate

high

23
Q

duration –> documenting

Study These Flashcards
A

long

short

continuous

intermittent

24
Q

location –> documenting

Study These Flashcards
A

ant

lateral

posterior

interscapular

25
character --> documenting
bubbling rough fine musical
26
palpating location of the trachea
place finger on medial aspect of suprasternal notch push posteriorly
27
whats normal location of the trachea
equal on both sides
28
if the trachea is deviated away, what is indicated
pneumothorax or effusion
29
if the trachea is deviated towards, what is indicated
atelectasis or tumor
30
vocal and tactile fremitus
place palms on chest wall and have pt say 99 compare side to side cephalocaudal
31
chest wall expansion assessment
place palms on chest wall have pt breathe thru nose out thru mouth
32
chest wall expansion assessment --> hand placements
5 anterior 2 lateral 6 posterior cephalocaudal
33
evaluative percussion
tapping to produce sound waves through the chest wall
34
what does evaluative percussion give data about
air, liquid, or solid content in lung
35
what does evaluative percussion identiy
placement of organs (diaphragm)
36
what does evaluative percussion measure
diaphragmatic excursion
37
what would a dull percussion sound like
low amplitude medium to high pitch short duration
38
where should you hear dull sounds
over solid organs L3-5 IC (heart) R 5-7 IC (liver)
39
what would tympanic percussion sound like
high pitch medium duration
40
where should you hear tympanic sounds
heard over hollow orangs L 6th IC
41
what would resonate percussion sound like
high pitch short duration
42
where would you hear resonate sounds
heard over normal filled organs L 6th IC
43
what would hyper resonate percussion sound like
very low pitch prolonged duration
44
when would you hear hyper resonate sounds
pts with emphysema
45
when performing evaluative percussion, if dull where resonance is expected what does this indicate?
fluid build up hemothorax
46
when performing evaluative percussion, if tympanic where resonance is expected what does this indicate?
air build up pneumothorax
47
diaphragmatic excursion measured in
centimeters
48
diaphragmatic excursion normal
3-5 cm
49
who is diaphragmatic excursion decreased in
COPD
50
cough is
60% vital capacity
51
what should you look for with cough
is pt able? is cough productive or non-productive? what position is pt when they cough? can they stop coughing?
52
if pt cant stop coughing , what do you do?
extend pts head and have them look up (SCI pts)

CardioPulmn II - Final (8 decks)

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