FULL REVIEW CRT/RRT (NBRC) Questions
and Correct Answers | Latest Update
Ascites
→ ~~> accumulation of fluid in the abdomen caused by LIVER FAILURE
Venous distention
→ ~~> -occurs with CHF
→ -seen with obstructive patients (seen in exhalation phase)
Capillary refill
→ ~~> -indication of peripheral circulation
-Normal < 3 seconds
Jaundice skin color
→ ~~> -increase in bilirubin.
-mostly in face and trunk
Bradypnea (oligopnea)
→ ~~> -decreased respiratory rate (<12bpm) variable depth and irregular rhythm
Hyperpnea
→ ~~> -increased rate, depth, with regular rhythm
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Cheyne-Stokes
→ ~~> -gradually increasing then decreasing rate and depth in a cycle lasting from
30 - 180 secs, with apnea up to 60 secs
-increased ICP, meningitis, overdose
Biots
→ ~~> -increased rate and depth with irregular periods of apnea
-CNS problem, head/brain injury
Kussmaul's
→ ~~> -increased rate, depth, irregular rhythm, breathing sounds labored
-Raspy voice
Apneustic
→ ~~> prolonged gasping inspiration followed by extremely short, insufficient
expiration
-respiratory center problems, trauma, tumor
cachectic
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→ ~~> muscle atrophy/loss of muscle tone
retractions
→ ~~> -chest moves inward during inspiratory efforts instead of outward
-blocked airway in adults = INTUBATE
-RDS in infants
Character of cough
→ ~~> -dry, non-productive cough may indicate tumor in the lungs or asthma
-productive cough may indicate infection
evidence of difficult airway
→ ~~> -short receding mandible (chin)
-enlarged tongue (macroglossia)
-bull neck
-limited neck range-of-motion
pulsus paradoxus
→ ~~> -pulse/blood pressure varies with respiration. may indicate severe air trapping
(status asthmaticus or cardiac tamponade)
tactile fremitus
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→ ~~> -vibrations felt by hand on chest wall
-vocal fremitus: voice vibrations on the chest wall
-pleural rub fremitus: grating sensation due to roughened pleural spaces
-Rhonchial fremitus(palpable rhonchi): secretions in airways
Crepitus
→ ~~> -bubbles of air under skin that can be palpated and indicates subcutaneous
emphysema
Resonant percussion
→ ~~> -hollow sound
-normal lungs
Flat percussion
→ ~~> -heard over sternum, muscles, or areas of atelectasis
Dull percussion
→ ~~> -heard over fluid-filled organs such as heart or liver (thudding)
-pleural effusion or pneumonia
Tympanic percussion
→ ~~> -heard over air-filled stomach.
-drum-like sound and when heard over lung = increased volume. Tension pneumothorax
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