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Resp 3 IV
Own questions
Question | Answer |
---|---|
Where does the trachea shift when there is an affected lung (collapsed lung, like atelectasis) | Towards |
Where does the trachea shift when there is increased air (pleural effusion) | Away |
What is subcutaneous Emphysema | AKA crepitus. Air leaks from lung into subcutaneous layer of tissue. (feels like rice krispies) eventually have facial or upper extremity swelling |
What is brown sputum | old blood |
What is yellow sputum | infection |
What is green sputum | old, retained secretions |
What is green/foul smelling | pseudonomas/other anaerobic organism |
Capillary refill | If sluggish or abnormal, indicates that vasoconstriction is marked enough to reduce circulation (perfusion) to vital organs |
What does the patient assesment include | Observation,palpation, percussion -ausculation - temp - RR - Pulse -BP |
Tempature is controlled by what | hypothalamus (in brain) |
Hypothermia | decreased oxygen consumption decreased CO2 production |
Bradycardia | maybe caused by lack of oxygen (hypothermia) |
sighing respiration | normal RR and depth with periodic deep, audible breaths |
intermittent breathing | irregular breathing wtih periods of apnea |
What is the normal for pulse pressure | 30-40 |
What is the rationale or reason to do auscultation | -to assess patient for adequate ventilation -determine which areas of lung are abnormal -identify abnormal sounds -assess effectiveness of therapy -assess adverse reactions to therapy and changes in patient condition. |
Which ones transmits sound better? Air or fluid? | Fluid except in pleural space Ex. emphysema has lots of air so breath sounds are reduced |
Pectus carinatum | sternal protusion (pigeon breast) sticks out |
Pectus excavatum | depression of part or all of sternum (sucks in) |
kyphosis | abnomal A-P spinal curvature (hunch back) |
scoliosis | abnormal lateral curvature (S) |
Tactile Fremitus (cat purring) (99) What are factors that increase this | Solid tissue (pneumonia or tumor) |
Tactile Fremitus What are factors that decrease this | obesity, pneumothorax, fluid muscular, and emphysema |
Thoracic Expansion How far? and what inceases it | 3-5 cm normal bilaterally in COPD decreases with nueromuscular diseases |