-
white and translucent
normal mucus
-
indicates infection and contains WBC called purulent sputum
yellow
-
old, retained secretions
green
-
indicates pseudomonas species infection
green and foul smelling
-
-
foul smelling sputum that ofen settles into several layers is characteristic of
bronchiectasis
-
what should you do if a pt cannot cough adequately
nasotracheal suction for a sample with a sputum trap or lukens tube catheter
-
pt's complaint of difficult or labored breathing
dyspnea
-
dyspnea while laying down
orthopnea
seen with heart failure and emphysema
-
coughing up blood from the resp tract
hemoptysis
-
chest pain may originate from the heart as a result of an inadequate blood supply is called
angina pectoris
-
normal rate and depth of respirations
eupnea
-
increased rate and depth of breathing
kussmals respirations
-
irregular breathing patters/ short periods of deep, consistent vol with periods of apnea
biot respiration
-
deep, rapid, breathing followed by apnea
cheyne-stokes respirations
-
paradoxical respirations- chest moves IN on INSPIRATION and OUT on EXPIRATION/ result of chest trauma, fractured sternum, ribs
flail chest
-
an increased AP diameter is called a
barrel chest- indicative of chronic disease
-
signs of respiratory distress
- substernal
- suprasternal
- intercostal retractions
- nasal flaring
-
abnormal sound heard over the heart, arteries, or veins that is caused by tubulent blood flow or an obstruction is called a
bruit
-
mediastinal shift towards the AFFECTED side
-
mediastical shift AWAY from the affected side
pneumothorax
-
ETT should rest about __ to ___ cm above the carina
2 to 5
-
on an inspiratory film, the carina is located at the level of the ____ rib or ____
- 4th rib
- 4th thoracic vertebra
-
if the ETT is inserted too far, it has a greater tendency to enter the
right mainstem bronchus
-
provides 3D images of the thorax and is more accurate than v/q scanning
computed tomography CT
-
provides useful imaging technique of the thorax that provides accurate anatomic detail of the thorax
Magnetic resosnance imaging MRI
-
which imaging studies diagnose PULM EMBOLISM
-
new imaging technique that detects pathologic proesses, tumors of the thorax. can distinguise benign and malignant thoracic tumors
position emission tomography PET
-
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
-
life threatening condition in which blood collects in the pericardial sac and causes pressure that prevents the heart from pumping adequately
cardiac tamponade
-
alternating pattern of strong and weak pulses
pulsus alternans
-
pt with a fever is
febrile
-
pt without a fever is
afebrile
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