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12 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Introduction
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-name and purpose
- states "apply facemask if tuberculosis is suspected" -wash hands/stethoscope |
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Gen. appearance
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-habitus, posture
-level of comfort -signs of distress and affect -signs of anxiety -inspects: nails for clubbing/cyanosis -inspects: lips for cyanosis -checks position of trachea (deviation) |
first four items: -anxiety -lip pursing -noisy breathing -nasal flaring (not bolded) |
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vital signs
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temperature-fever
-palpate radial pulse (15 seconds-rapid pulse) -Respirations (15 sec-rate,rhythm, depth) -blood pressure: right arm (pulsus paradoxus) |
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Posterior Inspection
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-Inspects for A-P Diameter(bold)
-palpate A-P diameter -vertebral column alignment -observes quiet/deep respirations |
Barrel Chest |
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posterior palpation
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-deep respiration symmetry
(both hands on lower rib cage) -tactile fremitus (apices to bases (side-side)) (posterolaterally) |
looking for symmetry and increased/decreased |
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posterior percussion
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-percuss lung fields: 7 places
(apices to bases) -percuss lung fields posterolaterally |
dullness/hyperresonance |
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posterior auscultation
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-instruct patient to take the breath through mouth
-warn patients about dizziness/stop -auscultates lung fields 7 places -auscultates lung fields posterolaterally |
character/duration of breath sounds: -crackles -ronchi -wheezes -rubs -distance/absent breath sounds |
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anterior inspection
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-adequately expose chest
-observed: quiet/deep respirations (BOLD) |
use of accessory muscles/rib retractions |
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Anterior palpation
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-Tactile fremitus Anterolaterally
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Anterior percussion
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-Pecuss Lung fields 7 places
(side-side) -percuss Anterolaterally |
Dullness, hyperresonance |
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Anterior Auscultation
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-Pt takes deep breaths thru mouth
-Pt gets dizzy Stop -Auscultation 7 places -Auscultation Anterolaterally |
Not Bold -crackles, rhonchi -Wheezes, Rubs, distant-absent breath sounds |
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Special Techniques
(to evaluate Consolidation) |
-Post tussive crackles
(cough-listen-cough) -auscultate whisper pectoriloquy Bilaterally -auscultate egophony E-A change Bilaterally |
(All Special Techniques are to evaluate for Consolidation) |
