Assessment by Ausculation
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| Assessment By Auscultation Normal Breath Sounds: Vesicular | show 🗑
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| Assessment By Auscultation Normal Breath Sounds: Bilateral Vesicular | show 🗑
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| show | normal sounds heard over the trachea or bronchi.
the sounds heard over lung periphery = lung consolidation
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| show | changes in the breath sounds will identify where the problem is.
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| show | patient is told to say "E" sounds like "A" = Pneumonia
= lung consolidation
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| Assessment By Auscultation Bronchophony/Whispered Pectoriloquy | show 🗑
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| Assessment By Auscultation Increased/Decreased | show 🗑
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| show | rales/ crackles = secretion/ fluid
coarse rales (rhonchi) = large airway secretions
Tx: patient needs suctioning
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| show | medium rales = middle airway secretions
Tx: patient need chest physical therapy
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| Assessment By Auscultation Abnormal Breath Sounds/Adventitious/ Fine Rales | show 🗑
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| show | due to bronchospasm
Tx: bronchodilator
unilateral wheeze = foreign body obstruction
Tx: bronchoscope
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| Assessment By Auscultation Abnormal Breath Sounds/Adventitious/ Stridor | show 🗑
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| Assessment By Auscultation Abnormal Breath Sounds/Adventitious/ Stridor Treatment | show 🗑
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| show | coarse or crunching sound
caused by inflamed surface of visceral & parietal rubbing
Association: TB, pneumonia, pulmonary infarction, cancer
Tx: steroids and antibiotics
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| show | sounds made by the closure of the heart valves
first sound S1= mitral and tricuspid valve at beginning of ventricular contraction
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| show | second sound S2
occurs when systole ends.
the ventricles relax the pulmonic and aortic valves close.
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| Assessment By Auscultation Heart Sounds/Abnormal/S3 | show 🗑
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| Assessment By Auscultation Heart Sounds/Abnormal/S3 &S4 | show 🗑
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| show | caused by turbulent blood flow.
heart valve defect
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| Assessment By Auscultation Heart Sounds/Abnormal/Heart Murmurs Occurs | show 🗑
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| show | are the sounds made in an artery or vein
that moves at an abnormal speed.
heard over stethoscope over the identified vessel
carotid
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| show | measure the systolic and diastolic pressures.
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| show | use a sphygmomanometer to measure cuff pressure.
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| show | Adult: 120/80
acceptable: 90/60 to
140/90
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| Assessment By Auscultation Blood Pressure/Increased | show 🗑
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| show | hypotension = indicates poor perfusion = hypovolemia, CHF
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Created by:
sukar
Popular Respiratory Therapy sets