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    SDL3

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    Matt Aseo
    The document summarizes the steps for assessing a patient's thorax and lungs, including inspection, palpation, percussion, and auscultation of the posterior and anterior chest. The clinical instructor found the patient's thorax and lungs to be normal, with symmetric expansion, no pain on palpation, resonant lung sounds, and an absence of adventitious sounds upon assessment. The breast and axillary exam was also normal.

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    SDL3

    Uploaded by

    Matt Aseo
    19 views2 pages
    The document summarizes the steps for assessing a patient's thorax and lungs, including inspection, palpation, percussion, and auscultation of the posterior and anterior chest. The clinical instructor found the patient's thorax and lungs to be normal, with symmetric expansion, no pain on palpation, resonant lung sounds, and an absence of adventitious sounds upon assessment. The breast and axillary exam was also normal.

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    The document summarizes the steps for assessing a patient's thorax and lungs, including inspection, palpation, percussion, and auscultation of the posterior and anterior chest. The clinical instructor found the patient's thorax and lungs to be normal, with symmetric expansion, no pain on palpation, resonant lung sounds, and an absence of adventitious sounds upon assessment. The breast and axillary exam was also normal.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views2 pages

    SDL3

    Uploaded by

    Matt Aseo
    The document summarizes the steps for assessing a patient's thorax and lungs, including inspection, palpation, percussion, and auscultation of the posterior and anterior chest. The clinical instructor found the patient's thorax and lungs to be normal, with symmetric expansion, no pain on palpation, resonant lung sounds, and an absence of adventitious sounds upon assessment. The breast and axillary exam was also normal.

    Copyright:

    © All Rights Reserved
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    of 2

    Matt Josh Eurick L.

    Aseo
    Name of the Student ______________________________ A-17
    Section______ 13/04/2022
    Date__________________ Score _______
    Diane Vince Igot Lim
    Name of Clinical Instructor _____________________________________

    ASSESSING THE THORAX AND LUNGS

    BEFORE PROCEDURE
    1. Identify the patient.
    2. Explain the purpose of the respiratory system
    examination and answer any questions to the patient.
    3. Perform hand hygiene
    4. Assist the patient to undress if needed and provide a
    patient gown. Assist the patient to a sitting position and
    expose the posterior thorax.
    ASSESSING THE THORAX AND LUNGS(POSTERIOR) NORMAL FINDINGS DEVIATION FORM NORMAL
    1. Inspect the posterior thorax. Examine the skin, bones, -The skin color is brown
    and muscles of the spine, shoulder blades and back as -Chest is symmetrically equal
    well as symmetry of expansion and accessory muscles -Respiration is at 17 cpm, even, and unlabored
    use during respirations.
    2. Assess the anteroposterior and lateral diameters of the -The anteroposterior and lateral diameters of the thorax is 2:1
    thorax. ratio.
    3. Palpate over the spine and posterior thorax. -Skin is warm to touch.
    A. Use palmar surface of the hand to palpate for temperature, -No pain or tenderness elicited upon palpation.
    tenderness, muscle development and masses. -No masses
    B. Instruct patient to take a deep breath. Assess for tactile fremitus
    by using the ball of the hands to palpate over the posterior thorax
    -There is an equal and moderate vibrations as the patient
    and while the patient says “ninety-nine” says ninety-nine
    -Vibrations are decreased over periphery of the lungs
    4. Assess the thoracic expansion by standing behind the -The distance of each mark is 4cm which is within the normal
    patient, placing both thumbs on either side of the range.
    patient’s spine at the level of T9 or T10. Ask the patient
    to take a deep breath and note movement of examiner’s
    hands.
    5. Percuss over the posterior and lateral lung field for tone -Diaphragmatic excursion is 5-6cm
    using a zig zag pattern , starting above the scapulae to -Rest of the lung fields are resonant. It has a loud, low, long
    the bases of the lungs. Note intensity, pitch, duration and hollow sound produced.
    and quality of sound produced. -No signs of hyperresonance

    6. Auscultate the lungs across and down the posterior -Absence of adventitious sound
    thorax to the based of lungs as the patient breathes
    slowly and deeply through the mouth.
    ASSESSING THE THORAX AND LUNGS (ANTERIOR)
    1. Examine the anterior thorax. With the patient sitting, -Skin color is brown
    rearrange the gown so the anterior chest. Inspect the -Symmetry of chest wall is equal.
    skin, bones, and muscles as well as symmetry of lungs -No visible external signs of respiratory function
    expansion and accessory muscle use. -No scars, wounds, or lesions
    2. Palpate the anterior thorax. Palpate for tactile fremitus -No pain and tenderness elicited upon palpation
    (as the patient repeats the word “ninety-nine”) -no moisture, masses, swelling, or deformities
    -equal tactile fremitus.
    3. Percuss over the anterior thorax. -Rest of the lung fields are resonant. It has a loud, low, long
    and hollow sound produced.
    -No signs of hyperresonance
    4. Auscultate the lungs through the anterior thorax as the -Absence of adventitious sound
    patient breathes slowly and deeply through the mouth.
    5. Inspect the breasts and axillae with the patient’s hands -Chest size and symmetry are even
    resting on both sides of the body, placed on the hips -Even in color
    and then raised above the head.
    6. Palpate the axillae with the patient’s arm resting against -No signs of lesion
    the side of the body. Assist the patient into a supine -No signs of discoloration and edema
    position. Place a small pillow or towel under the patient’s -Smooth
    back . Palpate the breast and nipples. Wear gloves if -No retractions and dimpling in his breast
    there is any discharges from the nipples or if a lesion is
    present.
    AFTER THE PROCEDURE
    1. Assist the patient in replacing the gown.
    2. Perform hand hygiene
    3. Document the findings of the results of the assessments

    RATING RATING

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