Medical-Surgery Respiratory
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Crackles
Wheezes (rhonchi)
Stridor
Pleural friction rub
Absent breath sounds
✓ ~:- Adventitious breath sounds
Collapsed alveoli
✓ ~:- Fine crackled lung sounds are due to this
Fluid in the lungs
✓ ~:- Coarse crackled lung sounds are due to this
Incentive spirometer and C&CD
✓ ~:- Treatment for crackles
Obstruction in airway
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✓ ~:- Wheezes (rhonchi) are due to this
Expiration
Inspiration
Both
✓ ~:- Rhonchi gets from bad to worse when heard on
C&DB
✓ ~:- Nursing intervention for rhonchi
Bronchodilator
✓ ~:- Treatment for rhonchi
Partial obstruction of the airway
✓ ~:- Stridor is due to this
Stridor is a constant pitch
✓ ~:- This is the way to tell the difference between wheezes and stridor
Suction
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✓ ~:- If a patient his stridor, they need to have this
Lungs grating on each other
✓ ~:- Pleural friction rub is due to this
48 hours
✓ ~:- This is how long a sputum culture takes
Morning care
✓ ~:- Sputum cultures have to be done after this
Mucous trap
✓ ~:- If a sputum culture is to be obtained, the patient should make use
of this
Bronchoscopy
✓ ~:- Putting a tube into the throat into the bronchi to obtain biopsies
Used to evaluate tissues, cells, and secretions
✓ ~:- A lung biopsy is used for this
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Transbronchial
Percutaneous/transthoracic needle aspiration
VATS (Video-assisted thoracic surgery)
Open biopsy (thoracotomy)
Thoracentesis
✓ ~:- Types of lung biopsies
Transbronchial
✓ ~:- This type of lung biopsy goes through the bronchiole
Percutaneous/transthoracic needle aspiration
✓ ~:- This type of lung biopsy goes through the skin and chest wall
VATS (Video-assisted thoracic surgery)
✓ ~:- This type of lung biopsy goes through the chest wall with the aid of
a camera
Open biopsy (thoracotomy)
✓ ~:- This type of lung biopsy opens the sternum to look at the lungs
Thoracentesis
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