echnical Equipment and Uses:
a. Bell - for low pitch sounds
b. Diaphragm - is used for high pitch sounds
1. Parts of the Stethoscope
Stethoscope
a.
... [Show More] Ask the PT to say 99 while you listen with a stethoscope. If abnormal it will sound more distinct through the stethoscope then normal.
2. What is Bronchophony?
a. Ask PT to pronounce 'ee-ee-ee--ee" sound. If the noise changes, it is abnormal.
3. What is egophony?
Health Assessment:
Skills; inspection, palpation, percussion, auscultation
a. 1st inspect, 2nd auscultate, 3rd percuss, 4th palpate
i. Auscultate before percussing or palpating the abdominal
b. What step do you do first in physical exam of the abdominal?
1. Assessing Abdominal Tenderness
i. Palpation uses the sense of touch to assess the patient for these factors.
ii. Inspection involves vision
iii. Percussion assesses through the use of palpable vibrations and audible sounds
iv. Auscultation uses the sense of hearing
a. Inspection, Palpation, Percussion, Auscultation
i. Palpation
Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a
patient?
b.
temporal
external Carotids
Brachial
Radial
Ulnar
Aortic
Femoral
Popliteal
Dorsalis pedis
Posterior tibial
c. Where do you palpate the pulses?
i. Acronym is APETM
1. Aortic - 2nd intercostal space, right of sternal border
2. Pulmonic - 2nd intercostal space left sternal border
3. Erb's point- 3rd intercostal space at the left sternal border
4. Tricuspid- 4th or 5th intercostal space at the left lower sternal border.
5. Mitral- 5th intercostal space near the left midclavicular line, apex of the heart
d. How many steps and names to the steps of Auscultating HEART SOUNDS?
2. Skills in order
Pull the pinna up and back on adult or older child. Pull pinna down for child younger than 3.
a. Which way to you pull the ear for adult Vs. child?
b. What do you try to locate on the tympanic membrane?
1. Hearing/Ear
Other Assessments: hearing, skin, vision, balance
H [Show Less]