I hear something
This sounds like blowing through a tube. it is high pitched with a expiratory phase lasting longer than the inspiratory phase. it includes a short pause inbetween phases.
What is bronchial breath sounds
This is the first thing done before entering a room
review physicians orders/ patient chart
These are things you look for during an inspection of the head and neck.
Nasal flaring, cyanosis of the oral mucosa, pursed lip breathing,Jugular venous distension.
How does Bone appear on an X-ray?
Very white and bright
what is the normal first line in o2 use and setting?
nasal canula- 2ml
This breath sound includes an expiration that is longer than inspiration. It has a harsh high picked sound
Tracheal breath sounds
Gown or mask which is first on/ which is first off?
gown goes on first, gloves come off first
this abnormal appearence is often associated with COPD and emphysema
Barrel chest
in reviewing an x- ray, how many steps are there to this process?
6- A, B, C, D, E, F
when using O2, what should be posted?
no smoking signs
This breath sound has equal phases with no pause in between. The sound is somewhat muted and is a combination of bronchial and vesicular sounds
What is Bronchovesicular
these are the times hands need to be washed
Before dressing in PPE. Before examining a patient when no PPE is worn. When leaving the room, and reentering it. After PPE is removed before leaving the room.
this abnormal condition feels like bubble wrap/ rice crispies under the skin and is caused by..
Subcutaneous emphysema is cause by air the is traped under the skin
The film is at your back but the camera is facing your front
Anterior posterior films
what color is used to identify O2 tanks
green
This sounds like leather rubbing together
Pleural Rub
I remove this after my gown and gloves.
Face mask or goggles, then last of all the mask is removed.
when noting Percussion the findings should be labled as
Normal, increased,or decreased reasonance
These are some of the reasons for seeing fluid abnormalities on imaging
Pleural effusion, CHF, Pulmonary edema, pulmonary inflitrate
orders require the patient to be put on 45% humidified air, this requires
The high flow nebulizer. hook it up and run the wall meter to flush
Crackles and wheezing are they same? what causes the sound?
Not the same. Crackles are caused from the alveoli popping open. Wheezing is caused from the airways being inflamed. this inflamation maked moving air through them difficult and the whistlingsoung of wheezing occurs.
duo removal. I like to do this in one swoop. explain the process of duo removal of PPE
removing the gown and gloves at one time includes carefully pulling gown down away from body, as the gown is pulled down the gloves are pulled off and rolled into the gown.
Decreased resonance can be caused by
pneumonia, pleural effusion (consolidation)
It would be increased by, Emphysema or pneumothorax ( air)
This is the only fissure that can be seen on a chest film
right horizontal fissure
a Emphysema patient is currently on 3.5 mL by simple mask. His saturation is at 92% . What would you do? and why?
Move him back to a nasal cannula because he is not getting enough O2 for a simple mask. He is will be gettin CO2 rebreathing as the simple mask acts as a dead space. patient must be on at least %ml to be on a simple mask.