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Resp 3 II
Questions
| Question | Answer |
|---|---|
| State the pulse rate increase or % increase in pulse rate at which therapy should be stopped | when it increases by 20 or by 20% |
| What is the best position for chest auscultation | Fowlers |
| 5 important reasons for chest auscultation | 1. access for pt. for adequate ventilation 2. identify areas of lung that are abnormal 3. identify abnormal sounds 4. assess effectivness therapy 5. assess adverse reactions to therapy and change in condition |
| When should you perfrom chest auscultation | before, during, and after therapy |
| 3 normal breath sounds | 1. bronchial 2. bronchial vesicular 3. vesicular |
| Where is the bronchial breath sounds | over trachea |
| Where is the broncial vesicular breath sounds | upper half of sternum |
| Where is the vesicular breath sounds | lung peripheral area (majority of lung parenchyma) |
| Why is deep breathing helpful during auscultation | normal breath is soft and quiet |
| Why do you listen on the same location on opposite sides of the chest during ausultation | to compare |
| Define adventitous sounds | abnormal or foreign |
| What sound affect does fluid have on the chest wall | dull/flat decreased resonance |
| What sound affect does air have on the chest wall | tympany increased resonance |
| tactile fremitus | sense of vibration in hand when it is positioned on chest wall and patient speaks (99) (cat purring) |
| What diseases increase vibration with tactile fremitus | (solid tissue) pneumonia or tumor |
| What diseases decrease vibrations with tactile fremitus | obesity, pneumothorax, fluid, muscular, emphysema |
| Tymphany | MUSICAL DRUM LIKE, airfilled stomach, abnormal if found in chest, (Emyphysema, and pneumothorax) |
| flatness | dull, SHORT DEAD SOUND (large amount of solid material) |
| dullness | less dense, THUD, (pneumonia -consolidation from atelectasis) |
| resonance | normal lung tissue, easily heard low pitch sound |
| hyperresonance | low in pitch, BOOMING, heard in children |
| How to check level of consciousness | call by name, gently touch, shake, squeeze trapezius muscle, pressure on bone above eye, pressure of base of fingernal, rub sternum with knuckles, |
| Sensorium | Ask time, place, and person if asked 3 questions you can mark oriented x 3 |
Created by:
TnJFarrington12
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