Oxygenation
"normal" pulse ox reading
95%-100%
Name the three "normal" breath sounds
1. bronchial
2. bronchovesicular
3. vesicular
left-side lying
What is the pulse rating scale?
0= absent
1+= weak
2+= normal
3+= increased
What medication will you often see ordered for a pt with edema?
Furosemide (Lasix)
What flow rate should you use when administering a Nebulizer treatment?
Until you see the mist! 6-8 Liters (over 10-15 mins)
Give 3 examples of geriatric lung assessment variations
Kyphosis, loss of lung elasticity, increased RR, less effective cough, ribs more prominent, increased diaphragmatic/accessory muscle use, etc.
Where are S1 and S2 heart sounds best heard?
S1: mitral or cardiac apex
S2: pulmonic or cardiac base
What does CMST stand for in PV assessment?
Circulation, Movement, Sensation, and Temperature
What can a cardiac heave or lift indicate?
an enlarged left ventricle
At what flow rate should you provide humidification with oxygen therapy?
greater than 4 Liters
True or False? A fine crackle breath sound will clear with coughing?
False
Name the 5 areas of auscultation with a cardiac assessment
Aortic valve, pulmonic valve, Erb's point, Tricuspid valve, Mitral valve
(All People Enjoy Time Magazine)
What are the 6 P's of limb ischemia?
Pallor, pain, paresthesia, paralysis, pulselessness, and poikilothermia
Name a respiratory condition where you will often hear a sonorous wheeze?
Bronchitis
Name 2 benefits of pursed lip breathing
1. encourages relaxation
2. prevents collapse of small airways
What is Atelectasis
partial or complete collapse of the lung (when the alveoli are deflated or fluid filled)
In what pt population can S3 be "normal"?
In what pt population can S4 be "normal"?
S3 can be normal in children
S4 can be normal in older adults
Is Claudication a hallmark sign of Venous or Arterial Insufficiency?
Arterial!
What is the oxygen concentration of room air?
21%
True or False? You can use petroleum lubricant (ie Vaseline) for nasal irritation with O2 devices?
False! Petroleum is combustible!
Name 2 emergency findings in a pediatric lung assessment
1. Nasal Flaring
2. Grunting
What causes a heart murmur?
an extra sound caused by disrupted blood flow through the heart that sounds like blowing or swooshing
Does Venous Insufficiency improve with rest or activity?
Activity! Go for a walk after your already exhausting 12hr shift :)
What is a pulse deficit?
not all heart beats reach the periphery (radial pulse will be less than apical pulse) - assess for in pt with irregular HR