Palpate the anterior chest PDF

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Helps nurses understand the Palpate the anterior chest after reading chapter 2 of the textbook given in course....

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Palpate the anterior chest Palpate symmetric chest expansion Place your hands on anterolateral wall with thumbs along costal margi toward xiphoid process Ask person to take a deep breath; watch thumbs move apart symmetrically, a chest expansion with fingers Any limitation in thoracic expansion is easier to detect on anterior chest beca range of motion exists with breathing here Accessory muscles should not be used.

Assess tactile (vocal) fremitus Begin palpating over lung apices in supraclavicular areas. Compare vibration to another as the person repeats “ninety-nine”. Avoid palpating over female b because breast tissue normally damps sound. Palpate anterior chest wall Note any tenderness; normally none is present. Detect any superficial lumps again, normally none are present. Note skin mobility, turgor, temperature, and

Percuss the anterior chest Interspaces are easier to palpate on anterior chest than on back. Do not perc female breast tissue because this would produce a dull note; shift breast tiss using edge of your stationary hand In females with large breasts, percussion may yield little useful data .

Evaluate normal breath sounds, noting any abnormal breath sounds and any sounds If situation warrants, assess voice sounds

Auscultate the anterior chest Measurement of pulmonary function status Forced expiratory time (FE) is number of seconds it takes to exhale fro capacity to residual volume It is a screening measure of airflow obstruction Although tests are usually not performed in respiratory assessment, it is usef pulmonary function. !Ask person to inhale deepest breath possible then b hard, as quickly as possible, with mouth open. Listen with your stethos sternum; normal time for full expiration is 4 seconds or less

Measurement of pulmonary function status Pulse oximeter is noninvasive method to assess arterial oxygen saturation (S person with no lung disease and no anemia normally has an SpO2 !of 97% to every SpO2 result must be evaluated in context of person’s hemoglobin leve balance, and ventilatory status The 6-minute distance (6MD) walk is a safer, simple, inexpensive, clinic functional status! . Ask person to set their own pace and cover as much gro in 6 minutes, and assure person it is all right to slow down or to stop to rest a Person who walks 300 m in 6 minutes is more likely to engage in activities of

Chest cage commonly shows an increased anteroposterior diameter, giving a shape, and kyphosis or an outward curvature of thoracic spine. Person comp holding head extended and tilted back May palpate marked bony prominences because of decreased subcutaneous Chest expansion may be somewhat decreased with older person, although it symmetric Costal cartilages become calcified with aging, resulting in a less mobile thora The older person may fatigue easily, especially during auscultation when dee breathing is required Pectus excavatum and carinatum are usually young men. Structural and ma bracing if identified early or surgical interventions.

Hyperventilation-increase respiratory rate Hypoventilation-decrease respiratory rate Cheyne-Stokes respiration-death rattle Biot’s respiration-trauma or opioid overdose damage to the pons brain issue… Kussmaul respirations with DKA or metabolic issues Chronic obstructive breathing- pursed lips Increase Tactile fremitus increase tissue density, tumors, fluid, TB nodules Decrease tactile fremitus like pneumothorax, air in the pleural space Rhonchial Fremitus- vibration that can be palpated on the chest wall (usually

Stridor Atelectasis Lobar pneumonia Bronchitis Emphysema Asthma (reactive airway disease) Pleural effusion thickening Pneumothorax- Free air in pleural space causes parietal or complete lung co Congestive heart failure (CHF) Pneumocystis carinii pneumonia Tuberculosis (TB)= Pulmonary embolism (PE) Acute respiratory distress syndrome (ARDS) ______________________________________ exam 2 Thorax and Lungs percussion - 5-7cm depth ...at least2-3inch ride abnormality produces sound resonance - low pitched, clear, hollow tone in healthy lung tissue is adults. !hyper-resonance! - lower pitched booming sound found queen too much air (emphysema or pneumothorax)

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