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6 Cards in this Set

  • Front
  • Back
Auscultation: normal (2 types)
Vesicular: soft low pitched heard upon inspiration and first 1/3 of expiration, no pauses

Bronchial: harsher, higher pitched, exp last longer than insp sounds, slight pause
Auscultation: Adventitious
Crackles/rales: discontinuous sounds, intermittent, brief, and non musical; CHF

Wheezes/rhonchi: cont. sounds musical
wheeze: high pitched, asthma and COPD
rhonchi: lower pitched; secretions in large airways
Asthma: lab values & PE
DECR: FEV1, FEV1:FVC, PEFR, FEF, Normal or decr VC; INCR RV

PE: wheezes uses of acc muscles
COPD: values & PE
similar to asthma values but NORMAL or DEC VC, normal or INCR RV

PE: wheezes, rhonchi, barrel chest, acc muscles, cyanosis
Why & when to use peak flow meters
WHY? det severity of disease, det when to seek medical attn, monitor disease progression, det triggers in asthma

WHEN? before fast acting meds; every morning and night, when symptomatic
Peak flow meter zones
percentage of personal best!
Green >80% -- no addt treatment if asymptomatic
Yellow 50-80% -- treat reqd
Red <50% -- seek med attn