Thorax and Lungs Flashcards
(55 cards)
How many pairs of ribs are there
12
ribs 1-7
Directly to sternum
ribs 8-10
costal carilage
ribs 11-12
Floating
What is the viphoid process used to for
NG tubes
What should the costal angle be
<90
Who has >90 costal angles
Pregnant, obese
What allows the chest to expan
costal cartilage
Where do you start listening for lung sounds on the anteror
Under the clavical
Which lobes do you hear on the anterior side
Upper
Where will you hear crackles the most
Lower lobes
Which lobes do you hear more on the posterior side
Lower
What could it mean if a patient could point to their chest pain
Pulmonary embolism
What should you ask your pt about their cough
PRODUCTIVE, CACO
What should you ask about your pts SOB
Describe the dyspnea and at what extent they get SOB
What do you need to ask your pt about their smoking history
Do you CURRENTLY of have you EVER smoked cigareetes, vape pens, ect.
Tell me about the changes of younger kids lungs
SMALLER, IMMATURE, more VULNERABLE to disease, SECONDHAND smoke, NOSE breathing till 3 MONTHS, can’t HANDLE illness
Tell me about the changes of older peoples lungs
Decreased MUSCLE strength, RIGID, less ALVEOLI, post OP COMPLICATIONS, slow RECOVERY, INCREASED AP DIAMETER (normal finding)
What do you need when listening to lungs
Stethoscope and alcohol wipes
What is the order of assessment for lungs
Inspect, palpation, ausculation
What is the difference between tachypnea and hyperventilation
Rapid, and rapid and deep
What is intercostal muscle retractions
Muscles go in when pt breathes in
Where will you see muscle retraction for respirations in pediatrics and adults
ABDOMINAL and NECK
What does using accessory muscles lead to
Increasing the work of breahting for the patient, TIRED
