Name that Sounds
A Bit of a Mix
Out of Breath
Cardiac Detective Work
Its a true Emergency!
100
Name the sound, list two possible differential diagnoses, and state one treatment for each.
https://drive.google.com/file/d/1aUYac__3qSzM8_mIfH4H1FSVPdZIBDpo/view
What are wheezes and asthma (albuterol) or chronic emphysema?
100
Name 5 subjective data health history questions for the respiratory system
What is
• Cough
• Shortness of breath
• Chest pain with breathing
• Wheezing
• Stridor
• Hiccup
• Cyanosis
• Past history of respiratory
infections
• Smoking history
• Environmental exposure
• Self-care behaviors
100
Name three things when inspecting the chest
What is
• Facial expression and breathing effort
• Observe the rate, rhythm, depth, and effort of breathing
• Observe for signs of respiratory distress – color and rate or
respirations, clubbing
• Listen for audible signs of breathing
• Inspect the neck
• Observe shape of chest
100
These four common risk factors increase a patient's likelihood of developing cardiovascular disease and should be assessed during every cardiac evaluation.
What is
Hypertension
Hypercholesterolemia
Diabetes
Obesity
Smoking
Sedentary life style
100
Name a medication given and labs you would monitor for a patient in acute respiratory distress from a CHF exacerbation
What is Lasix and BMP with Mg and Phos?
200
Name the sound, list two possible differential diagnoses with treatment
https://drive.google.com/file/d/1TCqc6pOJR2qHsff74olUriZhMUvSOcne/view
What is coarse crackles and pneumonia (antibiotics), pulmonary edema (Lasix), atelectasis (pulmonary toileting)?
200
Breath pattern most linked to death and description of pattern
What is Cheyne-Stokes and an abnormal breathing pattern that involves a cycle of deeper, faster breathing that gradually decreases into a temporary pause, or apnea?
200
Name 5 things assessing for PHYSICAL respiratory
What is
1. Estimate diameter of chest wall
2. Inspect posterior chest
3. Respiratory excursion
4. Palpate for tactile fremitus
5. Percuss for symmetry
6. Diaphragmatic excursion
7. Auscultate posterior chest
8. Repeat inspection, palpation, percussion and
auscultation on anterior chest
200
This systolic murmur is best heard at the right upper sternal border and radiates to the carotids; it often indicates narrowing of this valve.
What is aortic stenosis?
200
When a patient initially presents with stridor and then becomes silent, these immediate actions must be taken to secure the airway and prevent respiratory arrest.
What are activate the emergency response, prepare for intubation, and initiate bag-valve-mask ventilation?
300
Name the sound, list two possible differential diagnoses with FIRST LINE treatment
https://drive.google.com/file/d/1LFx2JK7jJTn2bBWDXxHPeobypDjOVvG5/view
What is stridor and croup, acute epiglottis, and foreign body inhalation, and racemicepi?
300
2 Voice sounds that may indicate consolidation
What is Bronchophony (When you hear the patient’s voice clearly and distinctly over peripheral lung), Egophony (When patient says “eee,” it sounds
like “aye.”), and Whispered pectoriloquy (When you hear unusually clear whispered sounds over peripheral
lung)?
300
Medication that can cause dry hacking cough
What is an ace inhibitor (Lisinopril)?
300
This diastolic murmur is best heard at the apex with the patient in the left lateral decubitus position and is often described as a low-pitched "rumble" associated with this valvular disorder.
What is mitral stenosis?
300
These are the three cardinal signs that may indicate a pulmonary embolism and should prompt immediate evaluation.
What are untreatable tachycardia, hypoxia despite oxygen escalation, and a feeling of impending doom?
400
Name the sound, list one possible differential diagnoses
https://drive.google.com/file/d/1GJioGW1Fo8hotk7ch78Q8nBytFpc84zZ/view
What is Rhonchi and bronchitis and single bronchus obstruction?
400
Patient presents with cough and hemoptysis, two most COMMON RESPIRATORY possible diagnoses
What is Tuberculosis, Left heart failure, Lung CA, or Pulmonary embolism?
400
Possible diagnosis for hyperresonanat percussion of chest
What is pneumothorax or COPD?
400
This extra heart sound, often heard in early diastole with the bell of the stethoscope at the apex, is associated with increased ventricular filling pressure and may indicate heart failure.
What is an S3 gallop?
400
To evaluate the severity and response to treatment in a patient with status asthmaticus, you should monitor these three key parameters, which assess oxygenation, ventilation, and respiratory effort.
What are oxygen saturation, arterial blood gases (ABGs), and work of breathing (e.g., accessory muscle use, respiratory rate)?
500
Name this sound and possible cause
https://drive.google.com/file/d/1st_xoXLQGgOip1wP1dKXmQxuaeoQcByP/view?usp=sharing
What is Aortic Regurgitation and Heart valve disease present at birth, narrowing of the aortic valve, called aortic stenosis, inflammation of the inner lining of the heart's chambers and valves, rheumatic fever, and tear or injury of the body's main artery?
500
Name this condition and what abnormality it can cause
What is funnel chest (pectus excavatum) and can lead to heart murmurs?
500
During cardiac auscultation, this maneuver can help distinguish hypertrophic cardiomyopathy from other murmurs by increasing the intensity of the murmur when performed.
What is the Valsalva maneuver?
500
Name what is happening and treatment:
In a coding patient with unequal chest rise and tracheal deviation.
What is tension pnx and needle decompression?