Drainage for the R lateral lung segment - L SL with legs raised 18 in
Lower lobe drainage - Prone with LE elevated 18 in
R middle lobe drainage - supine with LE raised 12 in
Ant segment drainage - supine with LE elevated 18 in
Leukocytosis - total WBC count of greater than 11,000-15,000/mm3 (above normal range)
Leukopenia - WBC count less than 4000
Normal range for WBC - 4500-11,000/mm3
Percussion posteriorly over the costovertebral angle of back = - Renal involvement if reproduction of
pain in the back or flank = murpheys test
Distention of the costal margin - Descriptive of an abnormal finding for the spleen, which is typically
palpated below the L costal margin. (looks like a bulge on the L side)
Positive = mononucleosis and trauma - warrants immediate medical attention
Ankle-Branchial Index - < 1.0 = decreased blood flow and ischemia in the limbs (with arterial aneurysm in
LE, the affected artery is dilated, arterial thrombosis, occlusive artery disease)
1.0 = normal, indicating similar blood flow in the ankle and brachial arteries
> 1.1 = arterial calcification, artery can't be fully compressed for valid measurement - most commonly
found in pts with diabetes
Sputum types - Asthma - eosinophilic
,Pneumococcal pneumonia - sputum is pinkish, blood-flecked or rusty. Treatment = antibiotics
-Pleural effusion: Voice sounds will NOT be present over the effusion
Partial pressure of O2 range & CO2 - 80-100 mmHg
35-45 mmHg
Hand placement for lung expansion - - Anterior first 4 ribs = upper lobe excursion
- Anterior chest with thumbs over costal margin and fingers at xiphoid process = diaphragm
- Posterior aspaect of thorax at upper trap = upper post lobes
- hands over lower anterior ribs = middle lobe
Cheyne-Stokes respiratory pattern - -Irregular respiration pattern characterized by a period of apnea
followed by gradual increasing depth and frequency of respiration.
-Coma, BG disease, and occasionally CHF
, Biot - irregular respiratory pattern characterized by highly variable respiratory depth and intermittent
periods of apnea.
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