3 assessment cardiopulm pt

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3 assessment cardiopulm pt
2011-06-03 12:08:44
assessment cardiopulm pt

3 assessment cardiopulm pt
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  1. white and translucent
    normal mucus
  2. indicates infection and contains WBC called purulent sputum
  3. old, retained secretions
  4. indicates pseudomonas species infection
    green and foul smelling
  5. old blood
  6. foul smelling sputum that ofen settles into several layers is characteristic of
  7. what should you do if a pt cannot cough adequately
    nasotracheal suction for a sample with a sputum trap or lukens tube catheter
  8. pt's complaint of difficult or labored breathing
  9. dyspnea while laying down

    seen with heart failure and emphysema
  10. coughing up blood from the resp tract
  11. chest pain may originate from the heart as a result of an inadequate blood supply is called
    angina pectoris
  12. normal rate and depth of respirations
  13. increased rate and depth of breathing
    kussmals respirations
  14. irregular breathing patters/ short periods of deep, consistent vol with periods of apnea
    biot respiration
  15. deep, rapid, breathing followed by apnea
    cheyne-stokes respirations
  16. paradoxical respirations- chest moves IN on INSPIRATION and OUT on EXPIRATION/ result of chest trauma, fractured sternum, ribs
    flail chest
  17. an increased AP diameter is called a
    barrel chest- indicative of chronic disease
  18. signs of respiratory distress
    • substernal
    • suprasternal
    • intercostal retractions
    • nasal flaring
  19. abnormal sound heard over the heart, arteries, or veins that is caused by tubulent blood flow or an obstruction is called a
  20. mediastinal shift towards the AFFECTED side
    • atelectasis
    • pneumonia
  21. mediastical shift AWAY from the affected side
  22. ETT should rest about __ to ___ cm above the carina
    2 to 5
  23. on an inspiratory film, the carina is located at the level of the ____ rib or ____
    • 4th rib
    • 4th thoracic vertebra
  24. if the ETT is inserted too far, it has a greater tendency to enter the
    right mainstem bronchus
  25. provides 3D images of the thorax and is more accurate than v/q scanning
    computed tomography CT
  26. provides useful imaging technique of the thorax that provides accurate anatomic detail of the thorax
    Magnetic resosnance imaging MRI
  27. which imaging studies diagnose PULM EMBOLISM
    • CT
    • MRI
  28. new imaging technique that detects pathologic proesses, tumors of the thorax. can distinguise benign and malignant thoracic tumors
    position emission tomography PET
  29. pulse that becomes weaker on inspiration, decrease in systolic pressure of more than 10 mm hg during inspiration and may be seen in pts with severe COPD
    paradoxical pulse-- pulsus paradoxus
  30. life threatening condition in which blood collects in the pericardial sac and causes pressure that prevents the heart from pumping adequately
    cardiac tamponade
  31. alternating pattern of strong and weak pulses
    pulsus alternans
  32. pt with a fever is
  33. pt without a fever is