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MS Resp - Assessment/Diagnostics

AB
Inspectionsigns of distress like use of accessory muscles; equal chest expansion; steady rate and rhythm
Auscultationdetermines adventitious sounds
mouth open with ausculationhelps enhance the sounds
allow time to rest between breathsprevents hyperventilation
adventitious soundsrales, rhonchi, wheezing, etc
blood workspecifically Hgb
Sptutm for C&Sdetermines presence of pathogens
Sputum for AFBdetermines presence of TB
ABG'sdetermines acid-base balance
pulse oxdetermines how much oxygen is saturating the Hgb
CXRshows congestion, tumors, heart size
Lung scanalso called ventilation-perfusion scan aor VQ scan
IV radioactive substance during VQ scanshows blood flow to lungs
inhalation of radioactive substance during VQ scanshows oxygen distribution in lungs
Suspect PE (pulmonary embolusIf an area on the VQ scan shows good ventilation but no blood supply
PFT's (pulmonary function test)shows volumes in of the pulmonary system
Pulmonary angiographyshows pulmonary vessels
bronchoscopyscope into the bronchus


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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