PHM 326 MIDTERM EXAM
Upper respiratory system components
-nose
-nasal cavity
-pharynx
-sinuses
Lower respiratory system
-trachea
-brochi
-lungs
Lungs are covered with
- visceral pleura
Right lung has ___ lobes
-3
Left lung has ___ lobes
-2
Trachea divides into ____
- left & right main bronchi
Bronchioles divide into ____ with ____
- alveolar ducts, alveolar sacs
,Alveoli are responsible for
- gas exchange
Bronchioles are responsible for
- supplying air to the alveoli
Components of lung examination
- LOOK (1. inspection)
FEEL (2. palpation, 3. percussion)
LISTEN (4. auscultation)
Lung Exam: Inspection
-watch patient breathe
-rate & rhythm
-sounds heard while breathing
Lung Exam: Palpation
-palpate anterior and posterior chest walls
-examine for tenderness
Tactile Fremitus
-during palpation
-normal lung transmits palpable vibrations through the bronchopulmonary tree too chest
wall when patient speaks
Lung Exam: Percussion
-used to find if lungs are filled with, air, fluid, or solid materials
-normal sound: long, hollow, low pitched, resonant
, Lung Exam: Auscultation
-listen to different places on posterior chest for abnormalities during one full respiration at
each location
Vesicular Sounds
-heard over most lung fields
-soft and low pitch
-longer inspiration than expiration with no gap between inspiration and expiration
Bronchovesicular sounds
-heard over lower trachea and large main bronchi
-intermediate intensity and pitch
-equal inspiration and expiration
Bronchial sounds
-heard over trachea in neck
-loud and high pitch
PRIME is used for
- identifying drug-related problems
PRIME stands for
- P - pharmaceutical (incorrect drug regimen)
R - risks to patient
I - interactions
M - mismatch between medications and indications
E - efficacy issues
SBAR is used for
Upper respiratory system components
-nose
-nasal cavity
-pharynx
-sinuses
Lower respiratory system
-trachea
-brochi
-lungs
Lungs are covered with
- visceral pleura
Right lung has ___ lobes
-3
Left lung has ___ lobes
-2
Trachea divides into ____
- left & right main bronchi
Bronchioles divide into ____ with ____
- alveolar ducts, alveolar sacs
,Alveoli are responsible for
- gas exchange
Bronchioles are responsible for
- supplying air to the alveoli
Components of lung examination
- LOOK (1. inspection)
FEEL (2. palpation, 3. percussion)
LISTEN (4. auscultation)
Lung Exam: Inspection
-watch patient breathe
-rate & rhythm
-sounds heard while breathing
Lung Exam: Palpation
-palpate anterior and posterior chest walls
-examine for tenderness
Tactile Fremitus
-during palpation
-normal lung transmits palpable vibrations through the bronchopulmonary tree too chest
wall when patient speaks
Lung Exam: Percussion
-used to find if lungs are filled with, air, fluid, or solid materials
-normal sound: long, hollow, low pitched, resonant
, Lung Exam: Auscultation
-listen to different places on posterior chest for abnormalities during one full respiration at
each location
Vesicular Sounds
-heard over most lung fields
-soft and low pitch
-longer inspiration than expiration with no gap between inspiration and expiration
Bronchovesicular sounds
-heard over lower trachea and large main bronchi
-intermediate intensity and pitch
-equal inspiration and expiration
Bronchial sounds
-heard over trachea in neck
-loud and high pitch
PRIME is used for
- identifying drug-related problems
PRIME stands for
- P - pharmaceutical (incorrect drug regimen)
R - risks to patient
I - interactions
M - mismatch between medications and indications
E - efficacy issues
SBAR is used for
