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Health Assessment- Respiratory > Respiratory > Flashcards

Respiratory Flashcards

(70 cards)

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1
Q

Posteriorly upper lung lobes are separated from lower lobes at ___

A

T3

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2
Q

Where is the angle of louis

A

The sternal angle, the anterior angle formed by the junction of the manubrium and the body of the sternum

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3
Q

Posteriorly lungs at rest end at______

A

T10

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4
Q

Posteriorly when you take a big breath in lungs end at __

A

T12

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5
Q

If you listen only posterior chest you will hear almost no__

A

upper lobes and no right middle lobe

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6
Q

If you listen anteriorly on the Rt side you will hear what lobes

A

Upper and middle right

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7
Q

Horizontal fissure separates

A

Rt upper and Rt middle lobes

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8
Q

Horizontal fissure separated Rt upper and Rt middle lobes at __

A

4th intercostal space

4th rib

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9
Q

Location of oblique fissure on anterior

A

6 rib (separates RML and RLL, LUL and LLL)

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10
Q

A patient using accessory muscles in respiration, you look for retractions at

A

suprasternal notch

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11
Q

You listen at 2 intercostal space and it’s located

A

At the angle of Louis to the right

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12
Q

Lift shirt to inspect ___

A

skin, muscle and chest deformities, accessory muscle use/retractions

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13
Q

Normal AP diameter

A

2;1

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14
Q

Pectus excavatus

A

Funnel chest, wider front than side to side

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15
Q

Pectus carinatum

A

Pigeon chest. The bulging gives the chest a birdlike appearance.

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16
Q

Palpate anterior

A

Tracheal position, chest wall tenderness, tactile fremitus, thoracic expansion/diaphragmatic excursion

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17
Q

When palpate for chest wall tenderness, you check for

A

Fractured rib, inflamed pleura, costochondritis

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18
Q

Tactile fremitus is

A

Transmission of vibration from larynx to chest

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19
Q

Increased tactile fremitus means

A

Consolidation of tissue (pneumonia)

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20
Q

Decreased/absent tactile fremitus

A

Obstructed bronchus, tumor, effusion, too much air (COPD),

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21
Q

If a patient has high pitch voice tactile fremitus may be

A

Decreased, less vibration

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22
Q

When assessing tactile fremitus, you look for

A

symmetrical vibration

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23
Q

Anterior tactile fremitus location

A

2 intercostal space, at nipple line (4-5 intercostal space), and laterally

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24
Q

Posterior tactile fremitus location

A

Avoid scapulae

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25
where and how is respiratory excursion
Posterior, hands at the base lungs at T10, have patient breathe in, look for equal movement of hand when patient is breathing out
26
Percussion sound FLAT
over a bone
27
percussion sound DULL
over an organ (dull)
28
RESONANT percussion sound
over a lung ( airy)
29
HYPER-RESONANT sound
over a bronchus, louder than resonant
30
Abdomen (like a drum)
Tympanic percussion sound
31
Percuss chest in what pattern
ladder pattern
32
If patient exhales, percussion will sound__ posteriorly at T10-T12
Dull
33
If patient inhales deeply, persucussion at T10-T12 posteriorly will sound
Resonant (T10-T12 - 3-5 cm)
34
breath sounds
bronchial, bronchovesicular, vesicular
35
bronchial
over trachea and heard bronchus
36
bronchovesicular
heard Anterior mid chest, posterior between scapulae, mix of vesicular and bronchial
37
vesicular
the soft, low-pitched, normal breath sounds heard over peripheral lung fields
38
vesicular
soft and low *Heard over most of lung
39
Adventitious breath sounds
* Rales/crackles * Rhonchi * Wheeze * Friction rub * Stridor * Grunting
40
posterior breath sounds
no bronchial
41
adventitious breath sounds
rales/crackles, rhonchi/wheezes, friction rub, stridor, grunting
42
rales/crackles
Intermittent, non-musical, brief (bubbly). pneumonia
43
rhonchi
Low-pitch, continuous, snoring (mucus is moving). CHF, bronchitis.
44
wheezes
Continuous, high pitches, musical, hissing or shrill in quality
45
friction rub
Low-pitched, grating, inflamed pleural surfaces rubbing
46
stridor
harsh inspiratory noise from larynx or trachea when obstructed
47
Egophony
patient says "ee", sounds like "ay" over area of pneumonia
48
Bronchophony
Patient says "99". positive if louder in area of consolidation (pneumonia)
49
Whispered pictoriloquy
Patient whispers "99".Sound is increased in area of pneumonia
50
Egophony, bronchophony, whispered pectoriloquy
positive in pneumonia
51
what does a normal chest look like
AP diameter 2:1 No tenderness, fremitus equal bilaterally Resonant throughout BS equal and easily heard throughout
52
what is pleural effusion
May have a cough Fremitus decreased over effusion Dullness over effusion Decreased sounds over effusion May have pleural friction rub
53
pneumonia
May look ill, feverish ,erythema, sweating, may cough Fremitus increased over pneumonia Percuss dullness over pneumonia Decreased sounds over pneumonia, crackles over involved area
54
COPD
Barrel chest Decreased fremitus on palpation Hyper-resonant percussion Decreased/ distant breath sounds
55
pneumothorax
Shortness of air Fremitus decreased/absent over area Percussion hyper resonant over area in pleural space. Decreased or absent breath sound
56
what are the changes with aging
Decreased vital capacity Decreased rate of breathing Can have increased AP diameter-Kyphosis
57
site 1 auscultation
Rt upper and Lt upper lobes at midclavicular line
58
site 2 auscultation
Rt and Lt, 2nd intercostal space lateral to sternal border
59
site 3 auscultation
4th intercostal space lateral to sternal border, Rt Middle and Left Upper (Rt middle starts at 4th intercostal)
60
site 4 auscultation
5th intercostal space, lateral to sternal border, Rt middle, Lt upper
61
site 5 auscultation
5th intercostal space, Midaxillary line, Rt middle, Left lower
62
site 6 auscultation
6th intercostal space, midaxillary line, Rt lower, Lt lower
63
Suprasternal notch
look for retractions
64
anatomical locations
Suprasternal notch *Manubrium *Angle of Louis * Flush joint between manubrium and sternum *Sternum *Xiphoid
65
normal anterior -posterior
transverse diameter
66
increased diameter
posterior diameter
67
what does age increase
posterior diameter
68
what chest is a sx of COPD
barrel chest
69
wht cant hear sounds d/t too much air
COPD , pneumothorax
70
T10 hands on base of lungs. what does breathing in tell us about pt
are hands equal when pt is breathing in if not equal =blockage or pneumothorax

Health Assessment- Respiratory (6 decks)

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