Term
| Angle of Louis/sternal angle |
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Definition
manubrium and sternum of body meet
-second rib is right off of that |
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Term
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Definition
space between ribs
the number-ABOVE the rib |
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Term
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Definition
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Term
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Definition
should be less than 90 degrees
-if more, may be chronic pulmonary disease |
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Term
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Definition
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Term
# of ribs
true=__
have cartilage attached=__
floating=__ |
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Definition
12 ribs
true=1-7
cartilage attached=8-10
floating=11&12 |
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Term
lung fields
(right & left) |
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Definition
2 on left (because of the heart) and 3 on the right
expand 3-5 cm on inspiration |
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Term
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Definition
highest lung tissue
3-4 cm above inner 1/3 of clavicles |
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Term
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Definition
| rests on diaphragm at about 6th rib MCL |
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Term
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Definition
2nd leading cause of death
90% r/t smoking
it is a preventable cancer! |
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Term
| white or clear sputum indicates... |
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Definition
| colds, bronchitis, and viral infections |
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Term
| yellow or green sputum indicates... |
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Definition
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Term
| rust colored sputum indicates... |
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Definition
| tuberculosis, and pneumococcal pneumonia |
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Term
| pink or frothy sputum indicates... |
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Definition
pulmonary edema
some sympathomimetic medications have a side effect of pink-tinged mucus |
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Term
| hacking cough indicates... |
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Definition
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Term
|
Definition
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Term
| barking cough indicates... |
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Definition
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Term
| congested cough indicates... |
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Definition
| colds, bronchitis, and pneumonia |
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Term
| diaphragm or bell for lung assessment? |
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Definition
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Term
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Definition
lateral curvature of the spine
Check: scapula, hips, vertebral curve
When it is severe: can possibly hinder respiratory function |
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Term
Normal curves
cervical:
thoracic:
lumbar: |
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Definition
“normal” curves: (lateral view)
cervical: concave
thoracic: convex
lumbar: concave |
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Term
|
Definition
abnormal curve
exaggerated-hunchback (impaired repiratory function) |
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Term
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Definition
abnormal curve
exaggerated lumbar curve (least/no respiratory problems) |
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Term
respiratory rate
neonate
1yr
2yr
8-10yr
12-14yr
16yr
adult |
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Definition
respiratory rate (breaths per minute)
neonate: 30-40
1yr: 20-40
2yr: 25-32
8-10yr: 20-26
12-14yr: 18-22
16yr: 12-20
adult: 10-20
-just showing that children's RR is higher than adults |
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Term
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Definition
T>AP=2:1
Transverse>anterior to posterior
(side to side>front to back) |
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Term
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Definition
hole in chest
doesn’t cause much respiratory distress |
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Term
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Definition
protrusion of chest, may lead to kyphosis
not much respiratory distress |
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Term
|
Definition
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Term
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Definition
| (tactile=vocal)-palpable vibration, tell them to say something (use bony parts of the finger and feel higher and closer to the trachea) of its lower, its worse and abnormal |
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Term
| respiratory excursion/expansion or symmetric chest expansion at T__ or T__ |
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Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
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Definition
abnormal unless in children under 6
hear it in emphysema |
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Term
|
Definition
drum-like sound
hollow organs and intestines |
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Term
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Definition
percuss posterior chest
mark when it goes from tympany to dullness
nl range-3-5 or 6 cm
do bil. |
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Term
|
Definition
Location: base of chest
Characteristics: soft, quiet, low pitched, fine rustling
Diagram:long inspiration short expiration |
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Term
| Bronchovesicular Breath Sounds- |
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Definition
Location: either side of sternum and right apex anterior chest and interscapular area of posterior chest
Characteristics: medium pitched, medium intensity, muffled blowing quality; inspiration heard as long as expiration
Diagram: inspiration=expiration (I=E) |
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Term
|
Definition
Location: over major bronchus (manubrium)
Characteristics: loud, high pitched, less harsh, and less tubular than tracheal breath sounds
Diagram: Expiration is longer and a break in between the 2 (I |
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Term
|
Definition
Location: anteriorly over trachea and posteriorly over cervical vertebrae
Characteristics: high pitched, loud, harsh & tubular
Diagram: louder expiration than inspiration with a break (I>E) |
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Term
| abnormal breath sounds: ________ _________ and ___________ or ___________. |
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Definition
| abnormal breath sounds: incorrect location and diminished or absent |
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Term
Adventitious Sounds
(3 types) |
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Definition
superimposed on breath normal breath sounds (hear over the breath sounds
-crackles/rales, wheezes/rhonchi, & friction rub |
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Term
|
Definition
-Fine-soft pitched, brief (like moving hair in your ear)
-Coarse-loud, poppy, more audible (kind of like you need to clear your throat sound) |
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Term
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Definition
-Sibilant (musical) wheezes-more pleasant sounding-not too loud, whistle sound
-Sonorous wheezes-snoring sounding, really loud expiratory wheeze
-Stridor-means airway is collapsing, EMERGENCY, sounds like rooster crowing, inspiratory weeze; life threatening; associated with croup and whooping cough |
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Term
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Definition
| grating sound, inflammation of the pleura, surfaces rub together, on inspiration. Can be in other organs (heart and liver) can determine where the location is by telling them to hold their breath. |
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Term
Abnormal voice sounds
(3 types) |
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Definition
| Bronchophony, egophony, and whispered pectoriloquoy |
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Term
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Definition
Auscultate symmetrical areas of A, L, & P
Client says “99” when stethoscope placed on chest
Nl: muffled, indistinct “99”
Abnl: clear, distinct “99” |
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Term
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Definition
Auscultate symmetrical areas of A, L, & P chest
Client says “e” when stethoscope is placed on chest
Nl: “e” sound heard through stethoscope
Abnl: “e” to “a” change (sounds like a) |
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Term
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Definition
Auscultate symmetrical areas of A, L, & P chest
Client whispers “123” when stethoscope is placed on chest
Nl: faint, muffled, almost inaudible sound of 123
Abnl: clear and distinct 123 |
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Term
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Definition
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Term
|
Definition
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Term
| infant up to 3-6 mo.-breathing |
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Definition
| obligatory nose breathers! |
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Term
| at what age is flaring nostrils and sternal retraction normal? |
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Definition
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Term
| kyphosis is seen normally in... |
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Definition
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Term
|
Definition
posterior
put thumbs at T10
make sure their ribs expand bil. sym. |
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Term
| when is hyperresonance normal? |
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Definition
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