ABCDE Assessment For Every Topic Flashcards
ABCDE Assessment Asthma.
What is the first step of an ABCDE assessment for asthma?
- Assess the area for safety
- Early call for help
- Appropriate PPE
- Maintain dignity
ABCDE Assessment of Asthma
What do you conduct the Airway assessment in asthma?
Look, Listen and Feel Approach.
Lookโ> For chest + abdominal movements, use of accessory muscles ๐ช . Is there a presence if blood/ vomit or foreign bodies in the mouth ๐, presence of swelling and assess the patients colour.
Listen โ> listen for noises when when the patient is breathing such as wheezing, snoring, crowing, an inspiratory strider ( indicates collapse in tissue above vocal cords) or an expiratory wheeze.
Feel โ> For airflow at the mouth and nose.
How do you assesses if someone had a patient airway, semi occluded airway, or fully occluded/ blocked airway.
- Patent โ> patient has no issues communicating
- semi- occluded โ> Can cough and you can hear sounds such as wheezing, gurgling, snoring ๐ค etc
- Fully occluded/ Blocked โ> Patient appears to cough but you cannot hear any sounds.
ABCDE Assessment
In an Asthma attack what would you expect to observe during an airway assessment?
- wheezing
- Cyanosis of the lips
- Respiratory distress
- Use of accessory muscles
Donโt forget to go into detail in the exam about what causes these at a cellular level.
ABCDE Assessment for Asthma
How do you conduct the breathing assessment in asthma?
Look, Listen, Feel approach.
Look โ> Assess the resp rate, depth and pattern of breathing. Use of accessory muscles? Colour cyanosis of the lips ๐ and tongue ๐ . Ability to hold a conversation. Position of the trachea.
Listen โ> Ability to cough ๐ท, amount of sputum, odour, consistency of sputum.
Evidence of gurgling, snoring, crowing, inspiratory strider expiratory wheeze.
Feel โ> Chest Movement
ABCDE Assessment of Asthma
In an asthma attack what would you expect to observe during the breathing assessment?
- Respiratory distress due to acidosis
- Cyanosis
- Use of accessory muscles
Please explain these in detail when in the exam
ABCDE Assessment
How do you conduct a circulation assessment in asthma?
Can be done by working your way either up or down an arm
- Assess Heart โค๏ธ rate, rhythm ๐ถ, and amplitude
- Assess BP ( if low possible bleeding)
- Assess colour of hands + fingers (cyanosis)
- Assess limb ๐ฆต temperature ๐ค
- Assess capillary refill time
- Consider urine output ( if BP is low urine out put will be low)
- nausea or vomiting ๐คฎ ? ( low BP can cause vomiting ๐คฎ and nausea)
ABCDE Assessment of asthma
In an asthma attack what would you expect to observe during a circulation assessment?
- Expect them to be cardiovascular ๐ซ unstable due to a lack of O2
- I would expect them to have a low BP due to the lack of O2 effecting the function of the heart
- Due to the low BP I would expect them to have a low urine output
- cyanosis of the extremities such as the fingers or toes.
- if the patient is frightened I would expose the them to have a fast heart rate due to the adrenaline
ABCDE Assessment of Asthma
How do you conduct a disability assessment in asthma?
Assess using ACVPU A= Alert ๐จ C= newly Confused ๐คทโโ๏ธ V= responds to Vocal Stimuli P = responds to painful ๐ฃ stimuli U = Unressponsive
An assessment of blood ๐ฉธ glucose levels will be done also
ABCDE Assessment of Asthma
In an asthma attack what would expect to observe during a disability assessment?
- impaired level of consciousness due to a lack of O2 to the brain
- Really high blood ๐ฉธ glucose levels โ> Adrenaline can cause the liver to turn glycogen ( glucose stores) into glucose causing blood ๐ฉธglucose to rise
- Really low blood ๐ฉธ glucose levels โ> when you run out of Glycogen (the glucose store) blood ๐ฉธ sugar levels will fall rapidly.
ABCDE Assessment of asthma
How do you conduct an exposure assessment in asthma?
- Full exposure is required.
- Respect โ of patients dignity
- Minimise heat loss
- Assess for rashes, fractures, bleeding ๐ฉธ, swelling
- Assess for allergic reaction
ABCDE Assessment of Asthma
In an asthma attack what would you expect to observe in an exposure assessment?
- You would observe cyanosis.
- Potential allergic reaction.
ABCDE Assessment for Pneumonia
What is the first step of an ABCDE assessment for Pneumonia.
- Assess the area for safety
- Early call for help
- Appropriate PPE
- Maintain dignity
ABCDE Assessment for Pneumonia
How do you conduct the Airway assessment for Pneumonia
Look, Listen, and Feel approach..
Look โ> For chest and abdominal movements + abnormal movements, accessory muscle use, presence of blood ๐ฉธ, vomit ๐คฎ or other foreign bodies in the mouth. Assess presence of swelling and colour.
Listen โ> For noises when breathing (gurgling, snoring, crowing inspiratory strider expiratory wheeze.
Feelโ> For airflow at the mouth ๐ or nose ๐
ABCDE Assessment for Pneumonia
What would you expect to observe conducting an airway assessment on someone with pneumonia?
- Cyanosis - Lack of oxygen reaching the cardiovascular ๐ซ system. Due the alveoli being blocked with fluid.
- Green sputum. Caused by iron released from white blood cells with a free radical of O2 that has caused the cell to rupture.
ABCDE Assessment For Pneumonia
How do you conduct a breathing assessment for pneumonia?
Look, Listen, Feel approach.
Look โ> Assess the resp rate, depth and pattern of breathing. Use of accessory muscles? Colour cyanosis of the lips ๐ and tongue ๐ . Ability to hold a conversation. Position of the trachea.
Listen โ> Ability to cough ๐ท, amount of sputum, odour, consistency of sputum.
Evidence of gurgling, snoring, crowing, inspiratory strider expiratory wheeze.
Feel โ> Chest Movement
ABCDE Assessment for Pneumonia.
What would you expect to observe conducting a breathing assessment on someone with pneumonia
- Respiratory distress due to acidosis
- Fast resp rate to try and reduce the lactate levels and raise the Ph
- Use of accessory muscles
- Breathlessness
- Rhales
Please explain these in more detail in the exam
ABCDE Assessment for Pneumonia
How do you conduct a circulation assessment for Pneumonia?
Can be done by working your way either up or down an arm
- Assess Heart โค๏ธ rate, rhythm ๐ถ, and amplitude
- Assess BP ( if low possible bleeding)
- Assess colour of hands + fingers (cyanosis)
- Assess limb ๐ฆต temperature ๐ค
- Assess capillary refill time
- Consider urine output ( if BP is low urine out put will be low)
- nausea or vomiting ๐คฎ ? ( low BP can cause vomiting ๐คฎ and nausea)
ABCDE Assessment for Pneumonia.
What would you expose to observe when conducting a circulation assessment on someone with pneumonia?
- Expect them to be cardiovascular ๐ซ unstable due to a lack of O2
- I would expect them to have a low BP due to the lack of O2 effecting the function of the heart
- Due to the low BP I would expect them to have a low urine output
- cyanosis of the extremities such as the fingers or toes.
- if the patient is frightened I would expose the them to have a fast heart rate due to the adrenaline
ABCDE Assessment for Pneumonia
How do you conduct a disability assessment for pneumonia
Assess using ACVPU A= Alert ๐จ C= newly Confused ๐คทโโ๏ธ V= responds to Vocal Stimuli P = responds to painful ๐ฃ stimuli U = Unressponsive
An assessment of blood ๐ฉธ glucose levels will be done also
ABCDE Assessment pneumonia.
What would you expect to observe in a disability assessment on someone with pneumonia?
- Hypoxic confusion
- Impaired level of consciousness due to a lack of O2 to the brain due to the alveoli sacs being filled with fluid.
- Really high blood ๐ฉธ glucose levels โ> Adrenaline can cause the liver to turn glycogen ( glucose stores) into glucose causing blood ๐ฉธglucose to rise
- Really low blood ๐ฉธ glucose levels โ> when you run out of Glycogen (the glucose store) blood ๐ฉธ sugar levels will fall rapidly.