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health assessment 2f
lung conditions
Question | Answer |
---|---|
atelectais (collapse) | cough, i rr, pr; d chest expansion, d TF, tracheal shift; dull over area; d breath sound; occassional crackles |
pulmonary embolism | chest pain, worse on deep ins, dyspnea; apprehensive, restless, anxiety, mental status change, cyanosis, tachypnea, cough; tachycardia; crackles, wheezes |
asthma (reactive airway disease) | ;i rr, SOB w/wheeze, cyanosis, apprehsions; d TF, tachycardia; resonant, hyperresonant if chronic; d breath + voice; prolonged exp; bilateral wheez on exp + i |
pleural effusion (fluid) or Thickening | may contain water cap fluid, protien, purulent, blood, milky i: i rr, dyspnea, dry cough, tachycardia, cyanosis; d TF, tracheal shift, d chest exp; dull to flat, no dia excur. |
acute respiratory distress syndrome (ARDS) | s: acute onset of dyspnea, apprehension; restlessness, disorientation, rapid shallow breathing, productive cough, frothy sputum; hypotension; tachycardia; crackles, rhonchi |
lobar pneumonia | i: I rr; d chest expansion, I TF (bronchus patent); dull; breath louder, voice I, b, e, whispered; crackles fine to medium |
heart failure | i: i rr, SOB exertion, orthopnea, nocturia, ankle edema, pallor; skin moist, TF; resonant; normal heart s3 + gallop; crackles at lung base |
pneumothorax | i: unequal chest exp, tachypnea, cyanosi, pa: d TF or absent, trachal shift, d chest exp, tachycardia, d BP pe: hyperresonance, d dia excersion a: d breath + voice sound |
Pneumonia | i: anxiety, SOB, dyspnea on exertion, tachypnea, fever, dry, nonprod cough, cyanosi pa: d chest expan pe: dull a: breath sound diminished ad: crackles |
bronchitis | i: hacking, rasping couh w/sputum; chronic dyspnea, fatigue, cyanosis; TF; resonant; chronic=prolonged exp.; crackles over defleated area, may wheeze |
Emphysema | i: barrel chest, use accessory muscle, tripoid, SOB, tchypnea; d TF + chest expansion; hypperesonant; d breath sounds, muffled; bilateral wheezing on exp |