A | B |
Inspection | signs of distress like use of accessory muscles; equal chest expansion; steady rate and rhythm |
Auscultation | determines adventitious sounds |
mouth open with ausculation | helps enhance the sounds |
allow time to rest between breaths | prevents hyperventilation |
adventitious sounds | rales, rhonchi, wheezing, etc |
blood work | specifically Hgb |
Sptutm for C&S | determines presence of pathogens |
Sputum for AFB | determines presence of TB |
ABG's | determines acid-base balance |
pulse ox | determines how much oxygen is saturating the Hgb |
CXR | shows congestion, tumors, heart size |
Lung scan | also called ventilation-perfusion scan aor VQ scan |
IV radioactive substance during VQ scan | shows blood flow to lungs |
inhalation of radioactive substance during VQ scan | shows oxygen distribution in lungs |
Suspect PE (pulmonary embolus | If 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 angiography | shows pulmonary vessels |
bronchoscopy | scope into the bronchus |