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Details

Adults II - Respiratory
System Specific Assessment
41
Medical
Not Applicable
06/19/2008

Additional Medical Flashcards

 


 

Cards

Term

Mouth

Definition

swollen tongue

blood present?

fluid in the mouth?  suction #1 (turn head to side)

 

Term

What is the purpose of the nose?

Definition

warms, humidifies, filters

 

 

 

Term

Humidification results in _____ mL of insensible fluid loss per day.

Definition

250

Term

Primary purpose of sinuses

Definition

produce mucous for the nasal cavity and promote vocal resonance and timber

Term
#1 sign of laryngeal edema
Definition
hoarseness
Term
What to look for in the epiglottis
Definition

swelling (blocks lung airway)

thumbs sign (common with flu)

Term

The laryngeal nerve is responsible for?

Definition

cough reflex

 

Term

This contains the cough receptors

Definition

carina

Term
The part of the trachea between the cartiliginous rings is the potential site for?
Definition
T-E fistula
Term
Mucous particles are removed from the trachea by...
Definition
swallowing, coughing, or sneezing
Term

dyspnea

 

described as...

Definition

chest tightness

suffocation

not getting enough air

choking

smothering

 

Term
Assoc. factors with dyspnea
Definition

environmental irritants

anxiety

activity

body position

Term
orthopnea
Definition

sudden onset of dyspnea while sleeping in the recumbant position

Term
Number 1 priority in respiratory assessment
Definition

baseline vital signs

Term
How do you palpate for tactile fremitis?
Definition

hands parallel to 10th rib, pt inhale.

symetrical rise with inspiration

palpate with inspiration with ball of hand or ulnar

disappear at lower diaphram because there are no lungs there.

indicates pneumonia 

Term
Crackles on inspiration indicate...
Definition

pneumonia

heart failure

acetalectysis

emphysema

Term
Rhonchi on expiration during ausciltation indicates...
Definition

pneumonia

COPD

Term

Wheezes on inspiration/expiration indicates what?

Definition

asthma

pneumonia

COPD

Term

Friction rub in the lung base indicates what?

Definition
inflamed pleura
Term
Abnormal color around lips indicates what?
Definition
hypoxia
Term
Using accessory muscles to breathe indicates what?
Definition
possible collapsed lung
Term
Clubbing indicates what?
Definition
long term hypoxia
Term
What is the #1 sign of a complication of a thorensentesis?
Definition

pernicious cough

(could be due to pulm. edema)

Term

What catagory of meds can cause a cough?

Definition
ACE inhibitors
Term
What do you document when charting sputum?
Definition

color

consistancy

amount (ml, tsp, tbsp)

Term

Normal sputum looks like...

Definition

clear and thin

 

non-infectious

Term
Yellow or rusty sputum indicates
Definition
Staph infection
Term
Green sputum indicates
Definition
pseudomonas
Term
Blood tinged or bloody sputum indicates what?
Definition

epistaxsis

TB

Term
What bronchodilator is used for a pt that has a pre-existing heart condition?
Definition
Xopenex
Term
What is the bronchodilator of choice in a pt that DOES NOT have a cardiac condition?
Definition
Albuterol
Term

Hypoxia can be manifested in an elderly adult as...

Definition

confusion

agitation

Term
Dyspnea in the older adult is often described as
Definition
smothering, choking, or an inability to catch their breath
Term
What is used for sleep apnea?
Definition
CPAP
Term
Priority in respiratory
Definition

1. patent airway

2.  o2 (at least in the room)

3.  o2 sats

4.  reposition (sit up)

5.  change in mental status and v/s, NO FA

6.  contact MD if no relief with interventions

Term

A "barrel chest" indicates an increase in _______?

Definition
dead space
Term
You will not find a FA in these people...
Definition

Immunocompromised

Elderly

pts on steriods

Term

Deoxygenated blood is pumped to the __1__ ventricle, travels to the __2___ artery and then to the __3___ capillaries for diffusion.  O2 rich blood is then pumped to the __4__ veins, the __5__ atrium, the __6__ ventricle, the __7___ and finally to the circulatory system.

Definition

1.  right

2.  pulmonary

3.  aveolar

4.  pulmonary

5.  left

6.  left

7.  aorta

Term

Each aveolus is seperated from pulm. capillary by ______.

Definition
interstitual space
Term
Black flow happens here and a possible PE can develop
Definition
left ventricle
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