PHM 326 – Principles of Physical Assessment and Medication

Lana Borno, PharmD, BCPS

Homework #4-
Jonathan Christophe[100591640]
Pulmonary Assessment and Pulmonary Medication Administration and
Lungs sounds and inhaler technique

Goals of lectures:
1. Describe the components of the lung examination
2. Explain the pulmonary function test
3. Describe the use of peak flow meter
4. Apply clinical information to an asthma action plan
5. Counsel on various types of inhaler devices used for respiratory diseases

Coughing Sounds:
Please indicate the possible cause for the description/feature of a cough. You can
indicate more than one letter per feature

Possible causes

A. Asthma
B. Chronic Bronchitis
C. Pneumonia

Description/Feature

1) __A__Wheezing Cough
2) __A__ Dry/Hacking Cough
3) __B__Symptoms in the morning
4) __B,C__Productive cough with sputum

Breath Sounds:
Please indicate if each breath sound can be heard during inhalation, exhalation or both

A. Inhalation
B. Exhalation
C. Both

Cough Sound

1) __C___Wheezes
5) __A___ Stridor
6) __A___Friction Rub
7) __B___ Rhonchi
8) __C___Crackles
Peak Flow Meter:
Please answer the questions related to this patient case.

LB is a 47 year-old female with asthma. When diagnosed with asthma, her peak flow
meter readings were: 470 L/min, 500 L/min and 485 L/min

1) Which of the readings would you use to determine the patients PEF?
500L/min

2) Determine the patients green, yellow and red.

Green: 400-500L/min
Yellow: 250-400L/min
Red: less then 250L/min

3) Today, LBs peak flow meter reading is 350 L/min. What would her plan of action
be at this time?
350L/min would be in the yellow zone, so her plan of action would consist of
taking SABA or ICS and calling an MD.