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Resp 3 II


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