Approach to Lower Respiratory Complaint Flashcards Preview

ECOS 2 Post-Midterm > Approach to Lower Respiratory Complaint > Flashcards

Flashcards in Approach to Lower Respiratory Complaint Deck (45)
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1

What rib connects to the sternal angle?

Rib 2

2

Where does the neurovascular bundle run in between ribs?

Along the INFERIOR margin of each rib

3

Where should chest tubes and needles be placed between ribs?

Along the SUPERIOR margin of each rib

4

How many lobes does the right lung have?

3

5

How many lobes does the left lung have?

2

6

What is important to get from the patient's history?

Events leading up to the breathing complaint

7

Recent trauma may suggest?

Pneumothorax

8

Recent surgery may suggest?

Pulmonary embolism

9

A productive cough with fever suggests?

Pulmonary infection

10

What is the order of events to the respiratory physical exam?

Inspection
Palpation
Percussion
Auscultation

11

What is the order of events to the respiratory physical exam?

Inspection
Palpation
Percussion
Auscultation

12

What are things to look at during inspection?

Breathing rate, rhythm, depth, effort, accessory muscle
Skin color, cyanosis, finger clubbing
Chest wall appearance

13

What defines tachypnea?

R > 25/min

14

Describe Cheyne - Stokes Breathing

Fast breathing, then slow breathing, then a period of no breathing!

15

With what conditions is Cheyne-Stokes breathing often seen?

Heart failure
Hypoperfusion of the brain

16

Describe Kussmaul Breathing

Rapid and DEEP breathing

17

With what condition is Kussmaul Breathing often seen?

Diabetic Ketoacidosis

18

Primary muscle use for breathing?

Diaphragm

19

Pleural effusion

Pus that collects in pleural space

20

Empyema

Abscess in lung parenchyma

21

An empyema (abscess in lung parenchyma) requires drainage. If the fluid collects in the pleural space, what is that called?

Pleural effusion

22

List the normal breath sounds (4)

Vesicular
Bronchovesicular
Bronchial
Tracheal

23

Normal breath sounds differ by?

Location

24

Rhonchi

Low pitched wheezes

25

Absent or Decreased breath sounds unilaterally suggests?

Pneumothorax or fluid filled lung

26

Absent or Decreased breath sounds bilaterally suggests?

COPD or asthma

27

Stridor

Narrowing of airway or foreign body

28

When is stridor usually heard?

Inspiration

29

Wheezing

Continuous; due to rapid airflow through narrowed airway

30

When is wheezing usually heard?

Expiration