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patient assessments

What does a PT look like if they are cachectic/ wasted in appearance
Increased A-P chest diameter (barrel chested) is seen in PT with what problem? chronic air trapping
When doing a PFT and the PT cannot stand to get an accurate height, what can you do? Measure the PT arm span
Hyperpnea - what does it sound like and what could it mean? increased rate and depth of breathing (exercise breaths) It may be associated with metabolic disturbances or disorders.
Kussmaul breathing is associated with what problems? diabetic ketoacidosis or metabolic acidosis
Biots breathing is similar to hyperpnea, except Biots has unpredictable periods of _______? apnea...associated with CNS problems
What is apneustic breathing? prolonged gasping inspirations followed by short insufficient expirations
Venous distension associated with what problem? CHF and COPD
Diaphoresis could present with what problems? CHF, TB, Myocardial infarction (order 12 lead ECG) feverish
What is ascites? Accumulation of fluid in abdomen generally cause by liver failure.
If a PT says "e", and it sounds like "a", (egophony), what could be the problem? consolidation of lung tissue (pneumonia like condition)
Pt has a unilateral wheeze, how would you treat it? rigid bronchoscope.... could be foreign body obstruction, or mass
PT has bilateral wheeze, how would you treat it? chest x-ray, then bronchodilator
Rhonchi (coarse rales) can often be remedied by _____ Secretions in large airways can be suctioned.
Rales (crackles) are _______. Secretions in the middle sized airways...treat with chest physiotherapy, including postural drainage
Moist crepitant rales indicate________ CHF ... treat with diuresis
Fine crackles or rales indicate________ atelectasis...treat with hyperinflation therapy
What is pulsus paradoxus and what is it associated with? BP rises and falls during inspiratory and expiratory efforts...associated with significant air-trapping such as severe asthma
Spontaneous Tidal volume ( VT ) should be at least______ 5ml/kg....Less than 5 they need ventilator assisstance...less than 3 EMERGENCY!!!
S3 and S4 heart sounds are called gallop sounds and indicate cardiac dysfunction.....need echocardiogram
What is Jim's pack years if he has smoked 20 years, 4 packs daily??? 80
What is orthopnea and what could it mean? inability to sleep flat ....related to fluid problems...CHF
The axis (general angle the electricity flows through the heart) may deviate for 2 reasons. What ae they? Hypertrophy (heart size has increased) and infarction (tissue is dead)
Myocardial ischemia means..... there is a current lack of oxygen (blood flow) to the cardiac muscle...will show flipped T wave on ECG
On PFT..if SVC is lower than FVC value, what should happen PT needs to take test again
during a PFT, the SVC and FVC values of less than 80% means the PT probably has restrictive disease
Created by: whiskers55