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resp assessment Flashcards

(56 cards)

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1
Q

Principal mm inspiration

A

external intercostals

diaphragm

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2
Q

accessory mm inspiration

A

SCM
scalenes
pec minor

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3
Q

active breathing mm

A

internal intercostals

the abs

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4
Q

assessing resp

A

Patient history, physical exam, lab tests

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5
Q

patient history on resp ass

A

chart, interview, social assessment

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6
Q

physical exam resp

A

IPPA, functional mobility, cardiac assessment

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7
Q

lab tests resp

A

chest x ray
ECG
exercise test

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8
Q

4 principals of assessment resp

A

position of patient
draping patient
room set up
biomechanics of you

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9
Q

whats IPPA

A

inspection, palpation, percussion, ausculation

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10
Q

inspection in IPPA

A 
Lines
HR, BP, BR
Head (pain? alter? speech? skin? lips?)
Breathing type
Cough, Sputum
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11
Q

clubbing assessment

A

connect index nails see a gap your good

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12
Q

palpation IPPA

A

THUMBS MIDSTERNAL LINE BREATH IN

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13
Q

precision IPPA

A

taps

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14
Q

normal lung sound

A

resonant (chest)

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15
Q

pleural fluid sound

A

dull (patella)

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16
Q

air sound

A

hyper resonant (stomach)

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17
Q

how many points of auscaltion

A

11 front, 14 back

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18
Q

types of breath sounds

A

normal, diminished, asset, bronchial, wheeze etc..

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19
Q

indication of lung consolidation

A

patient whisper and examiner hears whisper

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20
Q

bronchophany

A

patient says 99 and hear with greater clarity

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21
Q

epiphany

A

patients says e but you hear a

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22
Q

signs of lung consolidation

A

whispered, bronchophany,egop hany

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23
Q

hyperpnea

Study These Flashcards
A

deep breaths

rate normal or tacky

24
Q

apnea

Study These Flashcards
A

cessation of breath

25
cheyne stokes
apnea with tacky
26
red/brown sputum mean
blood
27
yellow green sputum mean
infection
28
orthopnea
SOB laying flat
29
Clubbing looking for
appearance angle girth space
30
diaphragm of stethoscope for
vibrating body , high frequency
31
bell of stethoscope for
vibrating skin, low frequency
32
gold standard of aus. listen to ___
lobes
33
bronchial heard when ___ crackles heard when_____ Wheezing heard when____
hallow fluid/ obstruction narrowing
34
stridor heard when ____
tracheal obstruction
35
pleural rub is ___
sound of stepping on snow
36
AP or PA most standard
PA
37
AP disadvantages
mediastinum magnified hard to take full breathing position compromised
38
T/F rotation is always abnormal of the long side
NO short
39
is left rotation shortened what do you see
rotation to left, increase heart size
40
is right rotation shortened what do you see
rotation to right, decreased heart size
41
how to know if heart is enlarged
make A and B lines (heart and thoracic border) | should be half
42
how to check mediastinum shift
border each lung to thoracic, should be 2:1
43
mediastinal or trachea shifting could indicate:
volume inc or dec
44
increase in volume shift ____ decrease in volume shift ___
shift away | shift towards
45
mediastinum landmarks
pulmonary artery | general vascularity
46
where is hila typically found
1-2 rib counts below inferior aspect of arch of aorta
47
volume decrease conditions
collapse / atectatsis
48
volume increase conditions
consolidation pleural effusion pneumothorax COPD
49
pneumothorax
total colapse
50
atelectasis
collapse or close, part of all of lung | little to no volume
51
features of atelectasis on X-ray
shifts toward the decrease silhouette signs white
52
consolidation
anything that fills alveolar | opaque
53
pleural effusion
fluid in pleural costophrenic angle effected or opaque / shift in opposite direction
54
general features of consolation or pleural effusion
opaque siloutte signs shift away from volume increase
55
pneumothorax general features
air in space, dark area
56
emphysema on xray
horizontal flat diaphragm | pear shaped hart

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