Stethoscopy Flashcards Preview

I & M II > Stethoscopy > Flashcards

Flashcards in Stethoscopy Deck (20):
1

Who invented the stethoscope?

René-Théophile-Hyacinthe Laennec 

2

What is used for high pitch sounds?

What is used for low pitch?

diaphragm

bell

A image thumb
3

What depth should the esophageal stethoscope be placed for good heart sounds?

30 cm 

4

What is this?

Q image thumb

skin temperature probe

5

What area will give core temperature?

nasopharynx

6

At what temp is autoregulation lost and is the lower limit of survival?

24 - 28*C

74 - 82*F

7

Skin temperature contributes about ___% control for both shivering and vasodilation.

20

8

No thermoregulatory response is initiated when the core temp is between sweating and active vasodilation.  This is known as what range?

interthreshold range which is about 0.2*C

9

What are major complications of hypothermia?  (6)

SSI
Morbid cardiac events
Myocardial damage
Duration of post recovery
Adregeneric response
Mortaility after major trauma

10

What are the benefits after mild hypothermia?

Neuroprotection
Glasgow outcome score 1 year after trauma (1-3/4-5)
Good neuro outcome after cardiac surgery

11

Spinal anesthesia _____ sweating threshold but _____ thresholds for shivering and vasoconstriction.

increased

reduced

12

How much can anesthesia decrease temp within the first hour?

Half hour?

1.25 hours?

1.6*C

1*C

2*C

13

Placing a thermal blanket over the patient immediately after induction results in only_____ Watts of heat loss.

60

14

How much can esophageal temp vary?

How far below the central incisors should the probe be placed for monitoring temp?

4*C

38 - 42 cm

15

Label

Q image thumb

A image thumb
16

Cooling and rewarming occurs most rapidly in the ____.

Rewarming occurs most rapidly in the _____.

esophagus

nasopharynx

17

2 L of fluid at 21*C changes temp by how much?

0.5*C

18

4 L of fluid at 21*C changes body temp by?

1*C

19

4 L at 4*C changes body temp by?

2*C

20

General anesthetics decrease thresholds for vasoconstriction and shivering by 2-3*C.  True or false?

True