220 lungs

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Author:
elevatedsound7
ID:
208882
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220 lungs
Updated:
2013-03-29 08:10:01
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220 lungs
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220 lungs
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  1. anterior thoracic landmarks for lungs
    • suprasternal notch
    • sternum
    • manubriosternal angle
    • costal angle
  2. posterior thoracic landmarks for lungs
    • vertebra prominenes C7 bump when head is down
    • spinous processes
    • inferior border of scapula
    • twelfth rib
  3. trachea splits at what superficial anatomical structure
    angle of louis
  4. which are floating ribs
    11th and 12th
  5. right lung has how many lobes
    left lung
    • 3
    • 2
  6. function of acinus =
    gas exchange at the alveoli
  7. most common place to have aspiration pneumonia
    right middle lobe
  8. mediastinum
    central compartment of heart and lungs
  9. lateral ausculatation of right lung =
    • RUL
    • RML
    • RLL
  10. areas of auscultaion posteriorly
    • LUL
    • LLL
    • RUL
    • RLL
  11. functions of respiratory system
    • supply O2
    • remove CO2
    • maintain homeostasis of arterial blood
    • maintain heat exchange
  12. muscles that control inspiration
    • diaphragm
    • intercostal muscles
  13. expiration =
    passive process
  14. what happens to respirtory muscle strength after 50
    decreases
  15. aging adult changes in lung include
    • costal cartilidge calcified
    • resp muscle strength decline
    • lung stiffer and harder to inflate due to decrease in elasticity of lung
    • small airway closure
    • decreased vital capacity
    • increased residual volume
  16. black asian and american indians have
    smaller chest size
  17. whites have
    larger chest size
  18. fremitus =
    vibration
  19. what happens to fremitus with lung collapse or fluid
    decrease or abcense
  20. what sound do you get when percussing over a bone
    over an organ
    • bone = flat
    • organ = dull
  21. if abnormal sound is heard toward the end of inspiration what does this mean
    probably a problem with alveoli
  22. vesicular breath sounds are where
    small airways
  23. brochial breath sounds heard
    over bronchi
  24. crackles =
    fluid in lungs
  25. atelectatic crackles =
    heard when someone has not been deep breathing
  26. bronchophony =
    • fluid in bronchi
    • can hear person speak clearly while litening to lungs (normally muffled)
  27. egophony
    • person says eeee and you hear eeee
    • if you hear aaaaa then potential fluid in lungs
  28. wheezes are
    musical sound
  29. subjective data health history data
    • cough
    • SOB
    • chest pain with breathing
    • hx of resp infections
    • smoking hx
    • environmental exposure
    • self care behaviors
  30. objective data for posterior chest =
    • thoracic cage
    • shape and configuration of chest wall
    • diameter
    • position of person
    • skin color and condition
    • PALPATE symmetric expansion
    • tactiel fremitus "99"
    • PERCUSS
    • note of lung fields
    • diaphragmatic excursion
  31. objective data anterior chest =
    • shape and configuration of chest wall
    • facial expression
    • level of consciouness
    • skin color
    • quality of resp
    • rib interspaces
    • accessory muscles
  32. anterior chest palpate
    • symmetric chest expansion
    • tactile fremitus
    • palpate anterior chest wall
  33. ANTERIOR CHEST PERCUSS
    predominant note over lung fields
  34. aging adult consideratios for lung assess
    • kyphosis
    • increased a-p diameter
    • decreased subcu fat
    • less mobile thorax
    • avoid hyperventilation
  35. pectus excavatum =
  36. pectus carinatum
  37. A-P diameter
    should be 2:1
  38. cheyne stokes respiration =
    shallow - deep - absent breath patern
  39. tactile fremitus =
    some type of blockage or decreased air flow
  40. fine crackles=
    • fluid in your alveoli
    • end of inspiration
  41. coarse crackles =
    up higher in the lung
  42. atelectasis crackles =
    clear after a couple of breathes
  43. pleural friction rub=
    pleural and parietal rubbing together
  44. stridor =
    • upper airway obstruction
    • heard on inspiration
  45. lobar pneumonia =
    one area of the lung developing consolidation and growth of bacteria in one area of the lung
  46. pleural effusion
    • hear dullness when percussed
    • diminished lung sounds
  47. tactile fremitus findings would increase when
    has advanced case of pneumonia
  48. consolidation =
    extra fluid in the tissues of the lungs
  49. lower lobes are heard best from
    the posterior
  50. middle lobe of lung heard best
    from the lateral portion of the chest
  51. inspiration you use which muscles
    diaphragm and intercostals

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