Respiratory Flashcards
(57 cards)
An acute increase in the severity of a problem, illness, or bad situation
Exacerbation
What does COPD stand for?
Chronic obstructive pulmonary disease
The absence of enough oxygen in the tissues to sustain bodily functions
Hypoxia
If a patient is not oriented x3, they could have ___, ___, or be ___
Hypoxia, anxiety, confused
A barrel shaped chest and a 1:1 AP to transverse diameter is a sign of ___ and ___
COPD and emphysema
Expected chest shape findings (3)
Elliptical shaped, a 1:2 AP to transverse in diameter, and a 90 degree costal angle
5 accessory muscles
Intercostal, supraclavicular, substernal, suprasternal, subcostal
Accessory muscles are used in ___ and ___
Acute airway obstruction and massive atelectasis
If a patient is healthy with an oxygen level above 95% they ? 
Show no signs of lung disease
Accessory neck muscles include
Scalene, sternomastoid, trapezes
Clubbing of the fingers is late signs of ___ and indicates chronic ___ or ___, or ___
Hypoxia; chronic lung or heart disease, or COPD
People with COPD often sit in the ____ position, leaning forward with arms race against knees or nearby furniture
Tripod
How do you assess chest expansion?
Place hands sideways with thumbs pointing together at the level of T9 or T10, and ask a patient to take a deep breath
What is the expected finding when assessing chest expansion?
As patient breathes in, thumbs should separate symmetrically and the skin should be warm and dry
When assessing chest expansion, if we lack symmetrical movement, it can occur with what? Name 3
Trauma to the rib area, injury to the lung, or collapsed lung
When percussing the chest, you should hear ___ sounds
What sounds are unexpected?
Resonance
Dull
When percussing the chest, too much air present in the lungs means patient could have ___ or ___
COPD or emphysema
When percussing the chest, “thud” sounds will accompany ___ or ___
Tumors or pneumonia fluid
when auscultating the lungs, have patient ___, use ___ of stethoscope, ___, ___, and ___
Sitting and leaning forward, diaphragm, firm pressure, side to side comparison, and listen to 1 full respiration at each point
What lung lobes are you assessing on the anterior chest?
Right middle lobe and both upper lobes
What lung lobes are you assessing on the posterior chest?
Lower lobes
Name three different sounds heard in the lungs
Bronchial, bronchovesicular, vesicular 
When auscultating the posterior chest, listen to sites ___-___ side-by-side, then sites ___-___ together
1-6; 7-9
Harsh, hollow, tubular sound with high pitches
Bronchial
