components of a respiratory assessment
-tobacco pack per year Hx
-occupational Hx: some jobs have increased risk for resp
disorders
-sputum production
-SOB, dyspnea, cough, anorexia, weight loss, chest pain
-oral and inhalant resp meds: do they know how to take
the inhalant meds
,-OTC drugs
-allergies: meds and environmental
-last CXray and TB screen
compliance
-stretch determined by recoil/elasticity
-disease states like pulm fibrosis, ARDS, pulm edema,
COPD: lungs are less elastic
-pts must generate more work of breathing, more at risk
for resp failure, uses a lot more energy
-affects vent settings!!!
lung volume vs lung capacity
-volume: amount of air for inhalation or exhalation
-capacity: how much air can be inhaled from end of
maximal exhalation
,inspection resp assessment
-head, neck, fingers, chest, accessory muscles, sternal
retractions, nasal flaring, asymmetrical chest mvmnt,
open mouth breathing, gasping breaths
-assess rate and depth and altered patterns
percussion resp assessment
-resonance: normal lung sound
-dullness: denser than normal tissue
-flatness: air is absent
, -hyperresonance: increased amount of air
-tympany: air filled area
auscultation resp assessment
-assess breath sounds, presence of adventitious lung
sounds, voice sounds
-quiet environ
-systematic approach
cheyne stokes breathing
-cyclical w apneic periods
-CHF and NS disorders
kussmaul's breathing
-deep, reg, rapid without pauses
-DKA and other metabolic acidosis
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 WORLDNURSE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.99. You're not tied to anything after your purchase.
