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assessment
patient assessments
| Answer | |
|---|---|
| What does a PT look like if they are cachectic/ | wasted in appearance |
| Increased A-P chest diameter (barrel chested) is seen in PT with what problem? | chronic air trapping |
| When doing a PFT and the PT cannot stand to get an accurate height, what can you do? | Measure the PT arm span |
| Hyperpnea - what does it sound like and what could it mean? | increased rate and depth of breathing (exercise breaths) It may be associated with metabolic disturbances or disorders. |
| Kussmaul breathing is associated with what problems? | diabetic ketoacidosis or metabolic acidosis |
| Biots breathing is similar to hyperpnea, except Biots has unpredictable periods of _______? | apnea...associated with CNS problems |
| What is apneustic breathing? | prolonged gasping inspirations followed by short insufficient expirations |
| Venous distension associated with what problem? | CHF and COPD |
| Diaphoresis could present with what problems? | CHF, TB, Myocardial infarction (order 12 lead ECG) feverish |
| What is ascites? | Accumulation of fluid in abdomen generally cause by liver failure. |
| If a PT says "e", and it sounds like "a", (egophony), what could be the problem? | consolidation of lung tissue (pneumonia like condition) |
| Pt has a unilateral wheeze, how would you treat it? | rigid bronchoscope.... could be foreign body obstruction, or mass |
| PT has bilateral wheeze, how would you treat it? | chest x-ray, then bronchodilator |
| Rhonchi (coarse rales) can often be remedied by _____ | Secretions in large airways can be suctioned. |
| Rales (crackles) are _______. | Secretions in the middle sized airways...treat with chest physiotherapy, including postural drainage |
| Moist crepitant rales indicate________ | CHF ... treat with diuresis |
| Fine crackles or rales indicate________ | atelectasis...treat with hyperinflation therapy |
| What is pulsus paradoxus and what is it associated with? | BP rises and falls during inspiratory and expiratory efforts...associated with significant air-trapping such as severe asthma |
| Spontaneous Tidal volume ( VT ) should be at least______ | 5ml/kg....Less than 5 they need ventilator assisstance...less than 3 EMERGENCY!!! |
| S3 and S4 heart sounds are called | gallop sounds and indicate cardiac dysfunction.....need echocardiogram |
| What is Jim's pack years if he has smoked 20 years, 4 packs daily??? | 80 |
| What is orthopnea and what could it mean? | inability to sleep flat ....related to fluid problems...CHF |
| The axis (general angle the electricity flows through the heart) may deviate for 2 reasons. What ae they? | Hypertrophy (heart size has increased) and infarction (tissue is dead) |
| Myocardial ischemia means..... | there is a current lack of oxygen (blood flow) to the cardiac muscle...will show flipped T wave on ECG |
| On PFT..if SVC is lower than FVC value, what should happen | PT needs to take test again |
| during a PFT, the SVC and FVC values of less than 80% means the PT probably has | restrictive disease |
Created by:
whiskers55
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