CRT TMC RRT
Extra pulmonary air suggests: - ANS-pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. Emphysema
Epiglottitis: - ANS-above glottis
-confirm with lat. Neck cxr; supraglottic narrowing with enlarged flattened epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis) - ANSinfection of upper airway characterized by way of a
barky cough seen in kids
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket fence, pencil point,
hour glass)
Treatment: racemic epi and O2
ETT Placement: - ANS2-6 cm above carina-- stage of aortic arch
To verify- first pay attention to breath sounds, then CXR
AP radiograph: - ANSfront to lower back
PA radiograph - ANSback to front
Lateral radiograph - ANSsides
Oblique CXR - ANSstanding/diagonal- lesions
Lateral decubitus - ANSlying on AFFECTED aspect-- pleural effusions
Apical lordotic - ANStops of lungs used to verify TB
End exp. Image - ANSdetect small pnuemos
Confirming excellent of CXR photo - ANS- clavicles are level
- penetration- vertabrae seen just in the back of heart
-mediastinum- region among lungs, coronary heart, blood vessels and bronchi are observed
-vascular markings
Enlarged Heart in CXR - ANScardiomegaly--- CHF- pericardial effusion
, Normal CXR - ANS-hemidiaphragms
-R diaphragm increased (liver beneath)
-L diaphragm at stage of 6 anterior rib
-trachea midline
-bilateral radiolucent look
-sharp costophrenic angles
- heart not eating 50% of photo
Blood Pressure - ANS120/eighty
90-one hundred forty systolic perfect
60-ninety diastolic applicable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds: - ANSS1- ventricles settlement
S2-ventricles relax
(LUB-DUB)
S3 & S4 not top; suggest echo
pleural friction rub - ANSCoarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
stertor: - ANSsnoring sound produced when sufferers are unable to cough up secretions
from the trachea or bronchi
adventitous breath sounds: - ANSabnormal breath sounds
coarse crackles: - ANSloud, bubbly noise heard at some stage in suggestion; now not
cleared via a cough
medium crackles - ANSmiddle airway- clear with CPT
great crackles - ANSalveoli/fluid
indicative: CHF, pulm. Edema
Tx: o2, ppv, inotropic therapy, diuretics
Bronchial breath sounds - ANSnormal breath sounds over trachea or bronchi
vesicular breath sounds - ANSNormal breath sounds made through air moving inside and
outside of the alveoli.
Percussion - ANStapping on surface
resonant- normal
flat/stupid- much less air
Extra pulmonary air suggests: - ANS-pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. Emphysema
Epiglottitis: - ANS-above glottis
-confirm with lat. Neck cxr; supraglottic narrowing with enlarged flattened epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis) - ANSinfection of upper airway characterized by way of a
barky cough seen in kids
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket fence, pencil point,
hour glass)
Treatment: racemic epi and O2
ETT Placement: - ANS2-6 cm above carina-- stage of aortic arch
To verify- first pay attention to breath sounds, then CXR
AP radiograph: - ANSfront to lower back
PA radiograph - ANSback to front
Lateral radiograph - ANSsides
Oblique CXR - ANSstanding/diagonal- lesions
Lateral decubitus - ANSlying on AFFECTED aspect-- pleural effusions
Apical lordotic - ANStops of lungs used to verify TB
End exp. Image - ANSdetect small pnuemos
Confirming excellent of CXR photo - ANS- clavicles are level
- penetration- vertabrae seen just in the back of heart
-mediastinum- region among lungs, coronary heart, blood vessels and bronchi are observed
-vascular markings
Enlarged Heart in CXR - ANScardiomegaly--- CHF- pericardial effusion
, Normal CXR - ANS-hemidiaphragms
-R diaphragm increased (liver beneath)
-L diaphragm at stage of 6 anterior rib
-trachea midline
-bilateral radiolucent look
-sharp costophrenic angles
- heart not eating 50% of photo
Blood Pressure - ANS120/eighty
90-one hundred forty systolic perfect
60-ninety diastolic applicable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds: - ANSS1- ventricles settlement
S2-ventricles relax
(LUB-DUB)
S3 & S4 not top; suggest echo
pleural friction rub - ANSCoarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
stertor: - ANSsnoring sound produced when sufferers are unable to cough up secretions
from the trachea or bronchi
adventitous breath sounds: - ANSabnormal breath sounds
coarse crackles: - ANSloud, bubbly noise heard at some stage in suggestion; now not
cleared via a cough
medium crackles - ANSmiddle airway- clear with CPT
great crackles - ANSalveoli/fluid
indicative: CHF, pulm. Edema
Tx: o2, ppv, inotropic therapy, diuretics
Bronchial breath sounds - ANSnormal breath sounds over trachea or bronchi
vesicular breath sounds - ANSNormal breath sounds made through air moving inside and
outside of the alveoli.
Percussion - ANStapping on surface
resonant- normal
flat/stupid- much less air
