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Cardio Assess Unit 2

SPC Cardiopulmonary Assessment Unit 2 Exam 1 (Palpation)

What is palpation? Touching the chest wall w/ fingertips o ulnar surface of the hand.
(Palpation) (Thorax) (Vocal Fremitus) Vibrations of the vocal cords
(Palpation) (Thorax) (Tactile Fremitus) Palpation to assess vocal fremitus patient repeats the number "99"
What increases tactile fremitus? Increased Density (Consolidation) 1. Pneumonia 2. Atelectasis 3. Fibrosis
What decreases tactile fremitus? Decrease Density (Air) 1. Pneumothorax 2. Emphysema
(Palpation) (Thorax) (Thoracic Expansion) 1. Anterior: Anterolateral lower chest w/ thumbs along costal margins pointing toward the xiphoid process 2. Posterior: Posterolateral chest w/ thumbs meeting at T-8 at end exhalation 3. At full inspiration movement is equal and 3-5cm
(Palpation) (Thorax) (Thoracic Expansion) (Lateral) 1, Bilateral Decrease: COPD, Neuromuscular Diseases 2. Unilateral Decrease: Lobar Consolidation, Atelectasis, Pneumothorax, Pleural Effusion
(Palpation) (Thorax) (Subcutaneous Emphysema) Air with in subcutaneous tissue 1. Noted w/ pneumomediastinum & pneumothorax 2. Feels like bubble wrap 3. Sounds like rise krispies when ausultated
Created by: Langhout1418