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39 terms

110 Breath Sound fact sheet

rcp110
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Possible Mechanism: Rapid airflow through obstructed airway. What lung sound would you hear? What may be the cause
Wheezes, Caused by Asthma, CHF or Bronchitis
Characteristics: High pitched, usually expiratory. What lung sound might you hear? What is the possible Mechanism?
Wheezes; Rapid Airflow through obstructed airways
Asthma, CHF and bronchitis; what are the characteristics
high pitched and expiratory
Characteristic: high pitched and monophobic. What lung sound might you hear?
stridor
stridor can be caused by what 3 conditions; what is the possible mechanisms
croup, epiglottitis, post extubation. Rapid Airflow through obstructed UPPER airways
Coarse inspiratory and expiratory, Fine-late expiratory what lung sound may you hear? And what are the 5 possible causes?
crackles; bronchitis, infections, atelectasis, fibrosis, pulmonary edema
excess airway secretions moving suddenly through airways with breathing. What are the characteristics
coarse inspiratory and expiratory, fine, late inspiratory
what lung sounds indicate obstruction of the intrathorasic airways, such as that which occurs with lung disease? What conditions might be present
Expiratory wheezes and rhonchi; Bronchitis and Ashtma
Fine, late inspiratory crackles suggest what? and what disease might be present
restrictive lung disease; pulmonary fibrosis
what lung diseases cause loss of lung volume? How will the patient breath
pulmonary fibrosis, atelectasis; Rapid shallow breaths
With Pulmonary fibrosis and atelectasis the increase in respiratory rate is generally equal to the degree of
lung reduction
lung diseases that cause the intrathorasic airways to narrow are? And this will cause the patient to breath with
Asthma, bronchitis; prolonged expiratory phase
Croup and Epiglottitis causes the upper airway to narrow; how will this patient breath
prolonged inspiratory phase
what is a peak flow meter used for
monitor pulmonary function in Asthma patients; peak flow roughly correlates with the FEVI
how would you use the peak flow meter
1.ask pt to take a deep breath 2. ask them to exhale as fast as they can, 3. Repeat 3x and report average
Test used in certain situations, part of physical exam, largely been replaced by chest xray? These test become abnormal when?
Voice transmission test; Consolidation
palpation using the ball of your hand; you should feel vibrations transmitted through the airways of the lungs. This is called
tactile fremitus
increased tactile fremitus increased means
consolidation of the underlying tissue
with Tactile Fremitus, Bronchophony, Whispered Pectoriloguy; and Egophony you should ask the patient to say "ninety nine" several times however in one of these you ask the patient to say
Egophony "ee" continuously
With Voice Transmission test you should always ausculatate several symmetrical areas of each lung except during
tactile fremitus
Asking the pt to say "ninety nine" and during auscultation you may hear Loud, clearer sounds this is called
bronchophony;
when auscultating for bronchophony what sounds should you hear
muffled and indistint
asking the pt to whisper ninety nine several times, you are trying to auscultate what? and what should you hear
whispered pectoriloguy; faint sounds or nothing at all
If you don't hear faint sounds or nothing at all during auscultation of possible whispered pectoriloguy, what sounds will you hear
hear the sounds Clearly (not faintly)
Asking the pt to say "ee" continuously and auscultating several symmetrical areas over each lung means you are looking for ____? and what Normal sound should you hear
Egophony; you should hear a muffled "ee" sound
if you don't hear a muffled "ee" sound than the patient is said to have ____? and that sounds like what
Egophony aka "E->A"; sound is "ay"
A prolonged expiratory phase (E>I) indicates__? and is seen in pt w__?
airway narrowing; Asthma
A round or barrel chest is often a sign of
advanced emphysema
in what case would the trachea deviate to one side?
case of pneumothorax
decreased or asymmetric diaphragmatic excursion may indicate
paralysis or emphysema
a peak flow meter is to___, as a thermometer is to__?
asthma; fever
what are peak flow measurements used for
to gauge severity of asthma attacks and track the disease over time.
New readings of peak flow measurements are compared to the patients
current persons personal best.
peak flow measurement readings less than __% of "best" may indicate
a need for additional therapy
What peak flow measurement less than__% indicates an emergency situation?
50%
Increased fremitus indicates what?
fluid in the lungs
Decreased fremitus indicates sound transmission obstructed by
COPD
Fluid outside the lung indicated decreased fremitus seen with what condition
plueral effusion
Decreased fremitus with air outside the lung is seen with
pneumothorax