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Problems of Oxygenation VentilationMedical Surgical Nursing

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What sound would you expect to percuss over a pneumothorax?
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Tympany (drum-like, loud and empty sounding)
What sound would you expect to percuss over an area of pneumonia in the lungs?
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Dullness (you would hear this over a fluid filled pleural space as well)
_________ breath sounds are relatively soft, low pitched, gentle and rustling.
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Vesicular
Vesicular sounds are heard in all lung areas except for the _________.
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Major bronchi
___________ sounds are heard anteriorly over the mainstem bronchi on either side of the sternum and posteriorly between the scapulae.
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Bronchovesicular
Bronchovesicular sounds have a _______ pitch and intensity, with a 1:1 ratio (inspiration is equal to expiration).
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Medium
_______ sounds are loud, high pitched, and resemble air blowing through a hollow pipe.
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Bronchial
Where are bronchial sounds best heard?
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Alongside the trachea
Inspiration to Expiration ratios? Vesicular sounds: Bronchovesicular sounds: Bronchial sounds:
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Vesicular sounds 3:1 Bronchovesicular sounds 1:1 Bronchial sounds: 2:3, with a gap between Inspiration and Expiration
T/F Abnormal breath sounds are bronchial or bronchovesicular sounds heard in peripheral lung fields.
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True, you should hear vesicular sounds everywhere but over the scapulae and on either side of the sternum (bronchovesicular)
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Crackles, rhonchi, wheezes, and pleural friction rub are called _________ breath sounds.
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Adventitious
_______ is positive when a person says E but it sounds like A.
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Egophony
_________ is positive when a person says ninety-nine and the voice isn't muffled and indistinct, but is instead clear and loud (when listening to the chest with a stethoscope).
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Bronchophony
What is whispered pectoriloquy?
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When a patient whispers, "one-two-three" while you listen with a stethoscope. If you hear it clearly and distinctly, it is positive.
What condition would cause a positive egophony, bronchophony, or whispered pectoriloquy?
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Pneumonia
Pursed lip breathing is a common finding in people who have...
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COPD or asthma
The tripod position is associated with what respiratory conditions?
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COPD, exacerbated asthma, or pulmonary edema. Indicates moderate/severe respiratory distress.
What is considered tachypnea in the elderly population?
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Respirations above 25 breaths per minute
What are normal respiratory rates in adults? In the elderly?
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Adults: 12-20 breaths per minute Elderly: 16-25
Which takes longer, inspiration or expiration?
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Inspiration should take half as long as expiration
What are Biot's respirations?
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Irregular breathing with apnea every 4-5 breath cycles
  
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