Bilateral vesicular sounds - ANS ✓normal breath sounds in both lungs
Bronchial breath sounds - ANS ✓normal breath sounds over the trachea or
bronchi- these breath sounds are abnormal over the lungs and indicates lung
consolidation
Coarse crackles - ANS ✓rhonchi that clear with a cough-large airway secretions
(suction or have the patient cough)
Medium crackles - ANS ✓middle airway secretions (recommend bronchial
hygiene or CPT)
Fine crackles - ANS ✓alveoli, fluid.
-associated with CHF/pulmonary edema.
-recommend oxygen, positive pressure therapy, positive inotropic agents
(digoxin, digitial), diuretics (lasix)
Unilateral wheeze - ANS ✓indicated a foreign body obstruction, aspiration
-recommend rigid bronchoscopy
Bilateral wheeze - ANS ✓bronchospasm
-give SABA
Stridor - ANS ✓caused by upper airway obstruction
NBRC EXAM
, 2
NBRC
-supraglottic swelling (epiglottis)-thumb sign
-give racemic
-subglottic swelling (croup, post extubation)-church steeple/hour glass
-give racemic
-foreign body aspiration (solids or fluids)
-suction and/or bronchoscopy
**intubation for severe swelling and epiglottits
Pleural fricition rub - ANS ✓-a coarse grating, raspy or crunching sound
-caused by inflamed surface of the visceral and parietal pleura rubbing together
-may be associated with pleurisy, TB, pneumonia, pulmonary infarction, cancer,
etc.
-recommed steriods and antibiotics (if WBC is high)
Croup Steps - ANS ✓1. start out with humidified oxygen
2. racemic epinephrine
3. corticosteriod
Normal Blood Pressure in Adults - ANS ✓90-140mmHg/60-90mmHg
*Perfect- 120/80mmHg
Lateral decubitis position - ANS ✓-verifying pleural effusions
-pleural effusionw ill accumulate on the side laying on
-pneumonia will not accumulate
NBRC EXAM
, 3
NBRC
End expiration image - ANS ✓-valuable for detecting a small pneumothorax
-can measure diaphragmatic excursion
Position of endotracheal or tracheostomy tubes - ANS ✓-2-6cm above the
carina
-at the level of the aortic knob or aortic arch
Mediastinum xray - ANS ✓area between the lungs where the heart, lympathics,
blood vessels and major bronchi are found. May shift with plueral effusion or
pnemothorax
Costrophrenic angles xray - ANS ✓these angles may be obilerated by pleural
effusions
Diaphragm xray - ANS ✓dome shaped normally
-flattened with COPD
Vascular markings xray - ANS ✓blood vessels, lymphatics, lung tissue
Ribs xray - ANS ✓normally curved and spaced out
-crowding of ribs (close together) is associated with atelectasis
-straight or horizontal ribs are characteristics of air trapping
Lateral neck xray - ANS ✓diagnositc tool for identifying upper airway
obstruction in children
Croup xray - ANS ✓steeple sign
hourglass sign
Epiglottitis xray - ANS ✓thumb sign
NBRC EXAM
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DoctorKen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
