Lecture 3-Lungs and Thorax Assessment

Lecture 3-Lungs and Thorax Assessment -...

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Lung  and Thorax Assessment Cindy Fenske RN, MS, CNE Cindy Fenske RN, MS, CNE Laurie Fasbinder RN, MS
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Airways Upper airways Pharynx Larynx Conducting airways Trachea Bronchi Terminal bronchioles Transition  airways Respiratory  bronchioles sacs Alveoli
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Anatomy of the Anterior Lung Right lung 3 lobes Left lung 2 lobes Apex 1 inch above clavicle Base 6-8TH rib
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The posterior lung fields are  almost all lower lobes  Right and Left Lung 2 lobes posteriorly The upper lobes  Start @ the Apices (T1)  Extend to T3 or T4 The Lower Lobes Start @ T3-T4  Expiration T10 Inspiration T12 Anatomy of the Posterior Lung
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Left Lung Lobes LUL extends from the apex to  the sixth midclavicular line  (MCL) LLL extends from the eight rib to  the midaxillary line (MAL) Anatomy of the Lateral Lung
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Right Lobes Upper Lobe extends  From apex to the axilla To the fifth rib Middle lobe extends  from the Horizontal fissure to the sixth rib The lower lobe extends from the fifth rib to the  eighth rib Anatomy of the Lateral Lung
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Reference Lines Mid Sternal Line Mid Clavicular Line—right down the  nipple.  Scapular Vertebral A/P/Mid Axillary Line—line down the  middle of armpit.
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History Taking Cough Onset Frequency Aggravating factors Alleviating factors  Type (productive—produces sputum (phlegm), non-productive) Sputum production  Onset Frequency   Color  Amount  Consistency Shortness of breath (SOB) or  Dyspnea (DOE)  Onset  Frequency  Duration  Aggravating factors  Alleviating factors  Activity  History of respiratory disease Cigarette smoking Risk factors
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Lecture 3-Lungs and Thorax Assessment -...

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