Mastering the Physical Assessment Webcast Series Session #3 Mastering the Pulmonary Assessment – Cyndi Zarbano

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Session Description: 

Physical Assessment skills are the basis for critical thinking, diagnosis and treatment. Even the most experienced healthcare provider can misinterpret the variety of sounds and signs that are significant during a Pulmonary Assessment. This session of our Physical Assessment webcast series will teach you the in-depth Pulmonary Assessment Skills you need. Cyndi Zarbano will use real-life audio lung sounds in addition to her presentation to deliver the practical skills you will need on the job.

Session Topics:

• Respiratory Assessment Steps
• Common Adventitious Breath Sounds and the clues they are giving you!
  • What are the causes, when are they heard and what interventions can we take?
    1. Crackles/Rales: grasp the difference between wet and dry crackles
    2. Wheezes: not always airway obstruction!
    3. Rhonchi: learn how to tell coarse crackles from rhonchi
    4. Stridor: rapid treatment for this emergency!
    5. Pleural Friction Rub: What is this loud obnoxious sound telling you?
• Transmitted Voice Sounds – Advanced Assessment Skills
  • Hear Real Life Examples
  • Bronchophony
  • Whispered Pectoriloquy
  • Egophony
• Commonly dealt with Lung Diseases
  • Asthma: use of the peak flow meter to guide the plan
  • Bronchitis: acute or chronic? How do we know?
  • Emphysema: changes on chest x-ray and determining if a patient is a CO2 retainer
  • Obstructive Sleep Apnea: Understanding the long-term consequences of noncompliance!

Session Objectives

1. Understand the purpose and use of a Peak Flow Meter.
2. Identify adventitious breath sounds and recognize the significance of each.
3. Recognize the 3 sounds one may auscultate in a patient with pneumonia.

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