Term
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Definition
Onset
Location
Duration
Character
Alleviating/Aggravating
Radiation
Timing
Severity |
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Term
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Definition
Provocative
Quality/quantity
Region/Radiation
Severity
Timing
U-what do you think? (pt's perception) |
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Term
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Definition
| must be based on the S and/or O |
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Term
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Definition
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Term
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Definition
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Term
| capillary refill: ideally in ______ seconds |
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Definition
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Term
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Definition
| based on conclusions of the assessment |
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Term
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Definition
-6 pairs/12 ribs
-the last 2 are floating |
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Term
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Definition
-AKA the "angle of Louis"
-corresponds to the 2nd rib |
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Term
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Definition
-should be 90 degrees or less in a normal adult
-wider= barrel chest |
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Term
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Definition
-bony prominence on back, at base of neck/high on back
-everything below C7=thoracic vertebrae |
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Term
midsternal line
divides the anterior chest |
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Definition
| divides the anterior chest |
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Term
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Definition
| vertical line dropping down from axilla |
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Term
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Definition
| vertical line that touches the medial edge of the scapula |
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Term
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Definition
| the terminal respiratory gas exchange unit of the lung, composed of airways & alveoli distal to a terminal bronchiole |
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Term
|
Definition
the steps to describe a mole:
Assymetry?
Borders
Color
Diameter
Elevated? |
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Term
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Definition
| -should be midline & symmetrical-->if not something very serious could be occuring |
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Term
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Definition
-a serous membrane that enfold both lungs and is reflected upon the walls of the thorax and diaphragm
-visceral pleura: covers lung
-parietal pleura: covers chest wall
-in between: "pleural effusion" lubricates to reduce friction |
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Term
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Definition
| -has 3 lobes: upper, middle, lower |
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Term
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Definition
| -has 2 lobes: upper and lower |
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Term
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Definition
| -start 3-4 cm above inner 1/3 of clavicles-->don't forget to listen! |
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Term
| anterior chest: what lung lobes can you hear? |
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Definition
| very little of lower lobes, mostly upper lobes (and RML) |
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Term
| posterior chest: what lung lobes can you hear? |
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Definition
| almost entirely LLL & RLL!! (but some of the LUL and RUL above T3/T4) |
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Term
| How do you distinguish between cardiac and pleuritic/lung pain? |
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Definition
pleuritic pain will increase w/inspiration or cough
-cardiac pain is independent of inspiration/exhalation; caused by eschemia: a lack of oxygenation to the myocardial tissue |
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Term
| allergy vs. adverse effect |
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Definition
-an adverse effect is something such as vomiting, uncomfortable but not immediately life-threatening
-allergy=anaphylaxis, possibility of death |
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Term
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Definition
anteroposterior diameter, essentially the distance from front to back
-in a healthy adult should be less than the transverse diameter
Ideal ratio of A-P to transverse is 1:2 or 5:7
if equal= barrel chest *common in emphysema b/c lungs hyperinflated |
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Term
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Definition
-a postural position in which pt is leaning forward, leaning on arms
-common with emphysema |
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Term
| costodiaphragmatic recess |
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Definition
-a potential space formed by the extension of the pleurae 3 cm below the level of the lungs
-compromises lung expansion when it fills with air or fluid |
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Term
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Definition
| -an increase of CO2 in the blood; the normal stimulus to breathe |
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Term
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Definition
-a decrease of oxygen in the blood
-also increases respirations but not as effective as hypercapnia |
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Term
|
Definition
-you can confirm this by placing hands at T9 or T10 and sliding up medially to pinch a small fold of skin, then having the pt take a deep breath
-unequal chest expansion found with pneumonia, fx ribs, pneumothorax |
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Term
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Definition
-palpable vibrations sensed by the palmar base--> should be equal bilaterally
-pneumonia causes increased fremitus
-obstruction, thickening of lungs causes decreased fremitus |
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Term
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Definition
| a coarse crackling sensation palpable over the skin surface, occurring in subcutaneous emphysema, after surgery |
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Term
| pleural friction fremitus |
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Definition
| palpable sensation when pleura are inflamed and lubricating fluid reduced, causing a painful sandpaper like sound/feeling |
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