The flashcards below were created by user
mckenzielarmstrong
on FreezingBlue Flashcards.
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Pericardial fiction rub is inflammation of
Parietal & visceral surfaces
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Pericardial fiction rub sounds like
sandpaper rubbing together
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Where is Pericardial fiction rub best heard?
Apex and left lower sternal border
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How can we differeniate btwn pericardial & plerual rub?
Have pt hold breath and listen
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How many heart sites should we auscultate?
5
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How are murmers graded?
I/IV to IV/IV
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how loud is a I/IV murmer?
faint
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How loud is a IV/IV murmur?
Very. Heard w/o stethoscope
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How long should cap refill be?
<3sec
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Edema of +1 is
nonpitting
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ABPI of <0.9 indicates
some arterial diseaase
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ABPI of between 0.5 and 0.9 indicates
Some claudication. Needs further evaluation
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ABPI of <0.5 indicates
severe arterial disease
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Thrill
Narrowed vessel vibration
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6 Ps of arterial occlusion
Pain, pallor, pulselessness, parasthesia, poikilothermia, paralysis
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How can wound drainage be described?
serous, purulent,s erosanguinous, sanguinous
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Stage 1 PU:
Intact skin, nonblanchable, localized redness
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Stage 2 PU:
Partial skin loss, Superficial
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Stage 3 PU:
Full thickness skin loss, SQ fat may show, can have tunnelling
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Stage 4 PU:
full-thickness tissue loss, exposed bone or muscle, often has tunnelling
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Breath sounds in Lateral thorax
vesicular
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Vesicular sounds like
soft, breezy.
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Where vesicular heard
over periphery of lung
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Bronchovesicular sounds like
blowing sounds. Medium intensity
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Bronchovesicular ratio
1:1
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Bronchovesicular heard
over Heart posteriorly btwn scapulae & anteriorly over bronchioles lateral to sternum at 1st and 2nd intercostal spaces
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Bronchial sounds like
loud and high pitched.
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Bronchial heard
only over trachea
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Bronchovesicular AND vesicular sounds are normally heard
over the posterior thorax
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Adventitious sounds caused by
air passing thru moisture, mucus, narrowed airways, alveoli suddenly reinflatting, inflammation between pleurl linings
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Crackles are found
in right and left lung bases
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Fine crackels sound like
high pitched fine, short, rackling noises
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Fine crackles are heard when during respiratory cycle
at end of inspiration
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Medium crackels sound like
lower, moister
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Medium crackels are herard when durign resp cycle
during middle of inspiration
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Coarse crackels sound like
loud, bubbly
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Coarse crackles are heard when during resp cycle
heard during inspiration
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Rhonchi are heard physically
over trachea and bronchi
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Rhonchi sound like
Loud rumbling noise.
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where are Wheezes heard physically
Over all lung fields
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What do wheezes sound like
High pitched, musical. Continuous
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When are wheezes loudest
expiration
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Pleural friction rub heard over (physically)
anterior lateral lung field
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PLeural friction rub sounds like
Dry, rubbing/grating
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