Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


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.
We do not share your email address with others. It is only used to allow you to reset your password. For details read 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.

Remove Ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




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

PTA Cardio/Pulm Test

PT testing for cardio-pulmonary conditions

TermDefinition
Angina Pain Scale 1 - mild, barely noticeable 2- Moderate. bothersome 3- Moderately severe, very uncomfortable 4 - Most severe pain ever
Ankle-Brachial Index (ABI) - description AKA ankle-arm index; compares systolic BP of ankle and arm to check for peripheral artery disease; divide higher of ankle measurements by higher of arm measurements
ABI - Scale 1.3+ - calls for further testing, rigid arteries 1-1.3 normal 0.8-0.99 - mild blockage, begining PAD 0.4-0.79 - moderate blockage, claudication with exercise <0.4 - Severe; claudication at rest
Arterial BP - procedure -Use a pneumatic cuff and a sphygmomanometer -Use appropriate size cuff, when in doubt go bigger -Using brachial artery to measure BP -Deflate about 2-3mm Hg/sec -Listen for Korotkoff sounds
Arterial BP - Korotkoff Sounds Phase I - first sound, systolic BP # Phase II - softer and longer Phase III - crisper and louder Phase IV - muffled and softer Phase V - sounds disappear, Diastolic BP # at last audible sound
Auscultation of Heart Sounds - Description -Listening to intensity and quality of heart sounds through chest -Press bell of stethoscope against bare skin with enough pressure to create a seal
Auscultation of Heart Sounds - Locations Aortic area - 2nd intercostal space, R sternal border Pulmonic Area - 2nd intercostal space L sternal border Mitral Area - 5th intercostal space, medial to L mid-clavicular line Tricuspid Area - 4th intercostal space, L sternal border
Auscultation of Heart Sound - 1st and 2nd Heart Sounds S1 - lub - closure of mitral/tricuspid (atrioventricular) valves, ventricular systole S2 - dub - closure of aortic/pulmonic (semilunar) valves, ventricular diastole
Auscultation of Heart Sounds - 3rd and 4th Heart Sounds S3 - Vibrations of distended ventricles, filling/diastole; children = normal, "physiologic 3rd HS"; adults = heart failure," ventricular gallop" S4 - Vibration of ventricular wall during atrial contraction; "atrial gallop"; sign of HTN, stenosis, MI
Heart Murmurs Vibrations longer than heart sounds; disruption in blood flow due to stenosis or regurgitate valve; soft, blowing or swishing sound
Auscultation of Lung Sounds - Procedure -Make firm contact of stethoscope bell to bare skin -Start at apices and work downward symmetrically -Pt breaths in and out through mouth a little deeper than normal -Listen to at least 1 cycle of in/exhale at each pulmonary segment
Auscultation of Lung Sounds - Listening to Sounds - Compare intensity, pitch and quality from 1 side to the other - Identify breath sounds as vesicular (thorax), broncho-vesicular, bronchial (trachea) or absent -Note adventitious (extra) sounds
Auscultation of Lung Sounds - Normal Sounds - Tracheal/Bronchial: loud, tubular; inhale shorter than exhale, has a pause between NOTE: distal bronchial sounds = abnormal; compression of lungs -Vesicular: high pitched, breezy; usually distal; inhale longer than exhale, with no pause
Auscultation of Lung Sounds - Abnormal Sounds Heard outside of normal location or phase of respiration
Crackle/Rales - Abnormal Lung Sound Discontinuous, high pitched popping; more often with inhalation; Associated with restricted or COPD
Pleural Friction Rub - Abnormal Lung Sound Dry, crackling; during inspiration and expiration
Rhonchi - Abnormal Lung Sound Continuous low pitched sounds; snoring or gurgling quality; during inspiration and expiration
Stridor - Abnormal Lung Sound Continuous, high pitched, wheeze; inspiration or expiration
Wheeze - Abnormal Lung Sound Continuous, musical or whistling sound, variety of pitches; inspiration and expiration; very variable
BMI Weight divided by height; 18.5-24.9 - normal
Capillary Refill Time Time capillary bed refills after occlusion; indicator of perfusion in extremities; firm pressure to nail or skin until blanches, release, observe time of refill -Normal - full color in <2 sec - Abnormal - >2 sec; blood flow is compromised
Dyspnea Scales Uncomfortable awareness of breathing resulting from decreased O2, hypoventilation, hyperventilation, anxiety; many scales -Borg: 0 - no breathlessness to 10 - maximal
ECG Waves - P Wave Atrial Depolarization; first small bump
ECG Waves - PR Interval Time for atrial depolarization, conduction from SA to AV node; from beginning of first bump to beginning of first dip
Created by: ashleighobrien