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20 Cards in this Set
- Front
- Back
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What do you examine when the patients is sitting?
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Posterior thorax and lungs
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What do you examine when the patient is supine?
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Anterior thorax and lungs
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How do you examine the thorax and lungs if patients cannot sit up without aid?
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If you can get assist, sit the patient up. If not possible, roll one side at a time.
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In initial assessment of respiration and thorax, what you inspect?
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inspect the pt for signs for respiratory difficulty
observe the shape of the chest |
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What do you assess when you inspect for signs of respiratory difficulty?
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assess pt's color for cyanosis
listen to pt's breathing for audible wheezing inspect neck for use of accessory muscles |
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When you examine the posterior chest, what do you inspect?
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Configuration
Accessory muscles use Positioning |
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When you examine the posterior chest, what do you palpate?
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Fremitus
Expansion of chest Crepitus Tenderness Surface |
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How do you assess for tactile fremitus?
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use ball or ulnar edge of one hand to feel for vibrations of air as pt says "ninety nine"
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How do you asses the chest expansion?
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put hands on posterior chest w/ thumbs on T9 T10 area. watch the movement of thumbs as pt inhale and exhale
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How do you assess for crepitus?
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Feel for crackling sensation ; it is abnormal if you feel it unless you hae trach, or chest tube
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When you examine the posterior chest, what do you percuss?
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Tone
Diaphragmatic excursion |
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What is the purpose of percussion?
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to see if underlying tissue is filled with air, fluid or solid.
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How do you percuss for tone?
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strike the middle left finger (pleximeter finger) with right middle finger (plexor finger) @ distal interphalangeal joint using the tip of finger
make sure no other finger is touching pt |
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What should you keep in mind when you percuss the lower posterior chest?
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stand at the side
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What should you keep in mind when you want to compare two areas?
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strike twice in each location
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features of flatness
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soft intensity, high pitch, short duration
thigh |
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features of dullness
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medium intensity, pitch and duration
liver |
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features of resonance
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loud intensity, low pitch, long duration
healthy lung |
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features of hyperresonance
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very loud intensity, lower pitch, longer duration
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features of tympany
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high pitch; gastric air bubles or puffed-out cheek
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