Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

NR 302

Thorax and Lung

QuestionAnswer
Thoracic Cage Sternum, 12 pairs of ribs, 12 thoracic vertebrae, muscles(intercostal)& cartilage.
Mediastinum Contains Trachea, Esophagus, Heart. Located in center of thoracic cavity.
Pleural Cavity What the lungs lie in.
Lungs Apex (top of lung, extends above clavicle) & Base. Right- 3 lobes Left- 2 lobes
Thoracic Cavity Cone-shaped, elastic, suspended in the thorax.
Anterior Landmarks of Thoracic Cavity Suprasternal notch "U shaped", Sternum "breastbone", Sternal angle (angle of Louis) continuous w/ 2nd rib, Ribs & Intercostals, Costal angle (@ xiphoid) 90 degrees.
Posterior Landmarks of Thoracic Cavity Vertebra prominens C7, Spinous processes T1 is 1st rib, T3 seperates upper & lower lobes, Inferior border of the scapula 8th rib, Twelfth rib.
Parietal Pleura Lines inside of chest wall & diaphragm.
Visceral Pleura Lines outside of the lungs.
Pleural Space Pleural Cavity
Pleuralcentesis Needle/catheter placed in pleural cavity to remove fluid.
Trachea (dead air space) & Bronchi Bronchi, Bronchioles, Alveolar Sacs, Alveoli (oxygenation takes place)
External Respiration Exchange of gases between the alveoli and blood capillaries.
Inhalation Diaphragm moves down.
Exhalation Diaphragm moves up.
Subjective Data: Health History Difficulty breathing & sleeping, chest pain, cough & sputum, past history, family history, smoking, environment (asbestos, chemicals, ETS), last TB test, flu-vaccine.
Sputum Colors Rust=Tuberculosis Red, frothy=Chronic heart failure
Smoking: Calculating pack years # of cigarettes smoked per day x # yrs. smoked divided by 20.
Objective data: Inspection Nasal flaring, color, nails (clubbing, cap. refill), configuration of chest, accessory muscles, positioning.
Objective data: Palpation Tenderness, crepitus (cracking), lestions, tactile fremitus (vibrations), expansion.
Objective data: Percussion Resonance (normal), bone (flat), hyper-resonance (over-inflated alveoli), dull (fluid filled organs), diaphragmatic excursion (deep breath & hold).
Objective data: Auscultation Normal, adventitious & voice sounds.
Normal Findings Symmetric chest shape, AP diameter less than size of transverse diameter, normal chest shape w/o deformities, no muscle contractions when breathing, quiet unlabored resp., regular rythym & rate of 12-20, skin color matching rest of body.
Normal Breath Sounds Tracheal: Over trachea I<E. Bronchial: Over bronchus E>I. Bronchovesicular: Over major bronchi I=E. Vesicular: Peripheral over terminal bronchi I>E.
Voice Sounds Bronchophony: "ninety-nine". Egophony: "ee". Whispered. Pectoriloguy: "one-two-three".
Rales Crackles. Not clear with coughing. From fluid or consolidation.
Rhonchi Gurgles/rattling. Narrowing airway. Can be cleared.
Wheeze High pitched continuous.
Stridor Low high pitched/crowing. Upper. Croup.
Pleural Friction Rub Low pitched grating/rubbing. Inflammation.
Eupnea Normal Respirations
Tachypnea Rapid. >20
Bradypnea Slow. <12
Hyperventilation Fast, deep & rapid.
Hypoventilation Slow, shallow. (Immobility, narcotics)
Cheyne-Stokes Deep shallow breaths & apnea.
Biots Irregular. No cyclic pattern. Neurological problems.
Thoracic Deformities Barrel, Pectus Excavatum (funnel), Pectus Carinatum (pigeon), Scoliosis (decreased lung capacity), Kyphosis (excessive outward curve of spine).
Chronic Lung Disease (COPD) Wheezing, pursed-lip breathing, chronic cough, barrel chest, dyspnea, prolonged expirations. Don't over-oxygenate. 1st indicator: Confusion,change in mental state.
Created by: MeganZajac
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards