CHEST

82問 • 1年前

問題一覧

General appearance includes jugular vein engorgement and level of awareness

true

General appearance includes

hypertrophy at use at rest: SCM and upper trapezius, supraclavicular or intercostal retraction during inspiration, peripheral edema, clubbig of digits, use of pursued lip breathing

Symmetry of chest and trunk

chest shape and dimension analysis

Level of awareness

general appearance

Supraclavicular or intercostal retraction during inspiration

general appearance

Hypertrophy or use at rest of accessory muscles of ventilation

general appearance

Peripheral edema

general appearance

Mobility of trunk

chest shape and dimension analysis

Funnel breast

pectus excavatum

Pigeon breast

pectua carinatum

Air=solid

resonant

Normal

resonant

Air<solid

hyporesonant

Dull, flat, thud-like sound

hyporesonant

Restrictive lung disease

hyporesonant

Air>solid

hyperresonant

COPD

hyperresonant

Tympanic

hyperresonant

Chest wall pain

palpation

Mediastinal shift

palpation

Same side of lesion

pneumonectomy, atelectasis

Away from side of lesion

hemothorax, pneumothorax

E > I

bronchial

I > E

vesicular

I = E

tracheal, bronchovesicular

Adjacent to trachea

bronchial

All lung fields

vesicular

Trachea

tracheal

Over the primary bronchi

bronchovesicular

Intermittent popping, may be coarse or fine

crackles or rales

Continuous, may be high or low pitch

wheeze or rhonchi

Harsh, coarse wheeze that may occur both during I and E

stridor

Low pitch creaking most often heard during I

pleural friction rub

Gurgling of saliva and bronchial secretion

death rattle

99 procedure

bronchophony, tactile fremitus

Muffled 99

bronchophony

Clear, crisp 99

bronchophony

E procedure and normal findings

egophony

A abnormal findings

egophony

Whispers E or 1,2,3

whispered pectoriloquy

Absent sound for normal findings

whispered pectoriloquy

Audible E or 1,2,3 for abnormal findings

whispered pectoriloquy

Customary vibration

tactile fremitus

Increased and decreased abnormal findings

tactile fremitus

Components of cough

deep inhale, inspiratory hold, forceful cough

Components of cough

cough assessment and production

Sputum assessment

cough assessment and production

Sputum assessment

color, consistency, amount, odor

Hemoptysis

red

Purulent

green

Infection with pus

green

Infection without pus

yellow

Neoplasm

purple

Emphysema

gray

Pulmonary edema

pink frothy

Pneumonia

rusty

Cystic fibrosis

fetid

White, foul smelling

fetid

Very viscous

thick tenacious

Highly viscous

fetid

Asthmatic bronchitis

thick tenacious

Carbon particle

flecked

Pneumoconiosis

flecked

Incentive spirometer

prob with deep inhale

Diaphragmatic breathing

prob with deep inhale

Stacked breaths

prob with deep inhale

Progressive volume breaths

prob with deep inhale

Facilitated segmental breaths

prob with deep inhale

Assisted coughs

secondary to muscle weakness

Positioning and compensatory strategies

secondary to muscle weakness

Secondary to pain

huff, splint, stacked cough, progressive force coughs

Expiratory focused exercises

pursued lip breathing, expiratory prompts

May be the only means of clearing the airways in patients who are unable to cough or huff voluntarily

endotracheal suctioning

Only clears the trachea and the mainstem bronchi

endotracheal suctioning

an expiratory impairment

COPD

Chronic (potentially productive) cough

COPD

Characteristic musculoskeletal changes

COPD

An inspiratory impairment

RLD

Emaciated appearance

RLD

COPD common pathologies

asthma, chronic bronchitis, emphysema, bronchiectasis, cystic fibrosis

RLD common pathologies

fibrotic diseases, sarcoidosis, acute respiratory distress syndrome, pleural effusion, pulmonary edema, pneumonia, tuberculosis, sequelae secondary to musculoskeletal and neuromuscular endurance

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Kyla Rafols · 71問 · 2年前

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