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50 terms

Respiratory and Lungs Assessment

STUDY
PLAY
1:2
What is a normal AP to transverse diameter?
Resonance
What is the expected sound when one percusses above the lungs?
Anterior
The trachea is .... to the esophagus
Fremitus
This occurs when vibrations in the bronchial tubes occur.
Crepitus
This occurs when air passes through either fluid or exudate.
Right
Which bronchus is shorter and steeper?
Parietal Pleura
This lines the chest cavity.
Visceral Pleura
This lines the lungs.
3
How many lobes does the R. lung have?
2
How many lobes does the L lung have?
Less than 90
What angle is considered normal for the costal angle?
Hypercapnia
What is the primary drive for breathing?
Lung cancer
What is the leading cause of death in the US and Europe?
Suprasternal notch
This is a u shaped indentation on the superior border of the manubrium.
C7
Which vertebra is a spinous process called the vertebra prominens?
Apex
This part of the lung extends above the clavicle
Base
This part of the lung is at the level of the diaphragm.
Anterior
Where are the sounds of the upper lungs heard the best?
Posterior
where are the sounds of the lower lungs heard the best?
Dead space
This is what places such as the trachea and bronchi are called because no gas exchange occurs here.
Medulla and Pons
What structures in the brain stem are responsible for involuntary control of respirations?
African American Men
Which racial/gender group is most at risk for lung cancer?
Kyphosis
This is an increased curvature of the thoracic spine, occurs due to a loss of skeletal muscle. May be a normal finding.
Tripod position
This occurs when the client leans forward and uses his/her arms to support their weight, allows for increased breathing capacity.
ball of the hand
this part of the body is the best for assessing for tactile fremitus because it's especially sensitive to vibratory sensation.
5-10 cm apart
This is a normal amount for hands to move apart when performing a chest expansion test.
Hyperresonance
This sound can be heard when there is trapped air in such as cases as emphesema or pneumothorax.
Dullness
Present when fluid/solid tissue replace air in the lung such as lobar pneumonia, pleural effusion, or tumor.
Diaphragmatic Excursion
Tests the amount of distance between resonant sounds and dull sounds. Should be about 3-5 CM
Bronchial
This is a normal breath sound. Hear over the trachea and thorax. Has a high pitch, hollow quality, and loud amplitude.
Bronchovesicular
This is a normal breath sound. Heard over the major bronchi, posteriorly between the scapulae, anteriorly in the upper sternum between 1st and 2nd intercostal spaces. Moderate pitch, mixed quality, and moderate amplitude.
Vesicular
This is a normal breath sound. Heard in peripheral lung fields. Has a low pitch, breezy quality, and soft amplitude.
Fine Crackles
This an abnormal breath sound. Sounds like high-pitched, short, popping sounds heard during inspiration and not cleared with coughing. Can be associated with obstructive disorders such as bronchitis or asthma, or with restrictive disorders such as pneumonia or CHF.
Coarse Crackles
This is an abnormal breath sound. Sounds like low pitched bubbling, moist sounds. Can indicate pneumonia, pulmonary edema, and pulmonary fibrosis.
Pleural Friction Rub
This is an abnormal breath sound. Sounds like low-pitched, dry, and grating sound. Occurs due to pleuritis.
Wheeze (sibilant)
This is an abnormal breath sound. Its a high-pitched musical sound. Ocurs due to acute asthma or chronic emphesema.
Wheeze (sonorous)
This is an abnormal breath sound. Sounds like low-pitched snoring or moaning. Occurs due to bronchitis or single obsructions such as with sleep apnea.
Stridor
This is an abnormal breath sound heard in the trachea. Occurs due to severe broncholaryngospasm.
Cough
If you hear an abnormal breath sound you should always have the client do this.
99
What phrase should a client repeat to test for bronchophony?
E
What phrase should the client repeat to test for egophony?
One two three
What phrase should the client repeat to test for pectoriloquy?
Pectus Excavatum
This occcurs due to a markedly sunken sternum. It's often called a funnel chest.
Pectus Carinatum
This is when the sternum forwardly protudes causing adjacent ribs to slope backwards. Often called pigeon chest.
Barrel-chest
This occurs when there is a more horizontal position of the ribs and a costal angle of more than 90 degrees. Usually seen with long standing emphesema.
24
If a client breathes more than this many numbers of breaths in one minute they are considered tachypenic.
10
If a client breathes less than this number of breaths in one minute they are considered bradypenic.
Kussumaul's respirations
This is a type of hyperventillation associated with diabetic ketoacidosis.
Biot's respiration
This is a type of breathing seen with meningitis or severe brain damage.
Cheyne-Stokes respiration
Regular pattern characterized by alternating periods of deep rapid breathing followed by periods of apnea.