TMC practice question s Flashcards
(34 cards)
When the RT should report to the Physician when the patient in on pain?
When on the scale from 0-10 the repient report more than 4, the RT should report it to the Physician.
Sensation of uncomfortable breathing when lying down, which is typically releave it when sitting or standing up?
Orthopnea
Most common method to quantify patient Dyspnea is?
The Borge Scale
Sputum production more than 30mL per day will indicate the need for?
Airway clerance
A patient has been smoking 1.5 pack per day for the last 20 years. How many packs does he smoked?
1.5 x 20 = 30 packs per year
- Indicate low Sao2 associated whith poor oxygenation of the blood by the lungs.
- Usually evident as bluish tint of the mucus membrane of the lips and mouth.
- With normal Hb content, genarilly first appears when Sao2 drops bellow 80% (Pao2 45-50 torr)
All these indicate indicate central or Peripheral Cyanosis?
Central Cyanosis
- Due to poor blood Flow
- Tent to appear only on the extremities
- Can occur with normal SaO2 saturation
All these is more consistent with Central or Peripheral Cyanosis?
Peripheral Cyanosis
Neck circunference > 43 cm (17 in) will have potential inplication on:
OSA = Obstructive Sleep Apnea
What type of patient can be severely hypoxic before cyanosis ever appears?
Anemic patients
When you suction a patient typically evaluat?
- Volume (mL, tea spoon)
- Color (pink, red, yellow, green)
- Consistency (thin/watery, frothy or thick/viscous)
- Odor
Apgar Score 7-10 is considred?
Normal
Apgar Score 4-6 is considered?
Abnormal, this babies will need intensive support.
Apgar Score 0-3 is considred?
Abnormal, This babies usuallu undergo resucitation.
Normal gestation last ?
38-42 weeks
After Birth, clinitians use what method to determine gestational age?
Dubowitz and Ballard
What is the technique used to detect pnemothoraces in infants?
Transillumination (uses high -intensity fiber-optic light applied to the chest wall)
Acessory muscles used during Inspiration include:
- Sternocleidomastoid
- Scalenes
- Upper trapezius
- Pectoralis major
Increased muscles activity at rest is most common on patients with:
- Emphysema patients
- IWB patients
- Impaired Diaphragm function
Bilateral reduction on chest expantion are seen in:
- COPD patients
- Neuromuscular Disorders
Unilateral chest movent occur on patients with:
- Lobar Pnemonia
- Atelectasis
- Pleural effusion
- Pneumothorax
- unilateral phrenic nerve paralysis.
What is Crepitus?
Is the sensation of crackles when we palpate a tissue with Subcutaneous Emphysema
If you are assesing the patient and you detect crepitus (subcutaneous emphysema), what alse you should assess for?
Pneumothorax, if the patient has subcutaneous emphysema this always come in conjuction with Pneumothorax, that’s why when you detect crepitus, most physicians order an X-ray to confirm pneumothorax.
Percusion over normal air filled lung tissue produces waht kind of sound?
A moderate low pitched sound
A hollow/loud and low pitched percussion is typically indicating:
- Hyperinflation (COPD, acute asthma)
- Pneumothorax