N326Assessment of Thorax and Lungs

N326Assessment of Thorax and Lungs - Assessment of Thorax...

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Assessment of Thorax and Lungs N326
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Thorax and Lungs Landmarks Thoracic cage – bony structure Sternum 12 pair ribs 12 thoracic vertebrae Diaphragm Costochondral junction
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Thorax and Lungs Anterior Landmarks Suprasternal Notch Sternum Manubrium Body Xiphoid Manubriosternal Angle: Sternal angle, where manubrium and body of sternum meet Costal Angle: margins meet at xiphoid
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Anatomy
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Anatomy
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Thorax and Lungs Posterior Landmarks Vertebra Prominens – C7 Spinous Process Scapula
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Thorax and Lungs Reference Lines Midsternal Midclavicular Vertebral Scapular Anterior Axillary Posterior Axillary Midaxillary
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Reference Lines
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Lateral view
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Thorax and Lungs Thoracic Cavity Mediastinum Pleural Cavities Lung Borders Anterior: Apex 3-4cm above inner third of clavicle; Base – lower border at diaphragm- 6 th rib MCL Lateral: Apex at axilla; base 7-8 th rib Posterior: Apex at C7: base T10, T12 with deep inspiration
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View from the left
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View of right side
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Posterior view
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Trachea Lobes of Lungs 3 lobes right 2 lobes left Alveoli
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Mechanics of Respiration Supply oxygen to the body Remove CO2 Maintain Acid Base balance Stimulus to breath* Hypercapnia (C02) Hypoxemia Less effective
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Thorax and Lungs Subjective Data Cough Timing Productive - hemoptysis Quality Aggravating/Relieving SOB Orthopnea Paroxysmal Nocturnal Dyspnea Chest pain with breathing
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Thorax and Lungs Subjective Data History of respiratory infections Smoking history - # packs, # years Smoking cessation Decrease environmental exposure Self-care behaviors Healthy lifestyle Weight loss Excercise
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Thorax and Lungs Subjective Data Infants and Children Frequent, severe colds Allergy history in family Cough Measures to childproof home Smokers at home/car Aging Adult SOB/Fatigue with ADL’s Usual physical activity Hx COPD, TB, Lung CA Chest pain with breathing
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This note was uploaded on 05/31/2011 for the course NUR 326 taught by Professor Meneghini during the Fall '10 term at St. Xavier.

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N326Assessment of Thorax and Lungs - Assessment of Thorax...

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