Big Sick Respiratory Status Assesment (RSA)

Question 1

What are the first two status of general appearance in the RSA

Answer 1

Stat 3. Mild distress
= calm or mildly anxious
Stat 2. Moderate distress
= distressed or anxious

Question 2

What are the last two status of general appearance in the RSA

Answer 2

Stat 1. severe distress
= fighting to breath, exhausted, agitated
Stat 1. Life-Threatening
= catatonic, semi-conscious, slumped

Question 3

What are the first two status of conscious state in the RSA?

Answer 3

Stat 3. Mild distress
= Alert
Stat 2. Moderate distress
= withdrawn, focused inward, closing eyes, consolable crying

Question 4

What are the two last status of the conscious state in the RSA

Answer 4

Stat 1. Severe distress
= not focusing Or responding appropriately, floppy, inconsolable or new high-pitched cry
Stat 1. Life-Threatening
= Responding to pain, unresponsive, quite

Question 5

What is that first two status of words per breath in the RSA

Answer 5

Stat 3. Mild distress
= 8+ (short sentences)
Stat 2. Moderate distress
= 5-8 (+/-recovery breaths between words)

Question 6

What are the last two status of words per breath in the RSA

Answer 6

Stat 1. Severe distress
=3-4(+/- recovery breaths between words), grunting
Stat 1. Life Threatening
= 0-2

Question 7

What are the first two status of Sp02 in the RSA

Answer 7

Stat 3. Mild distress
= 94-95 on room air
Stat 2. Moderate distress
= 92-93 on room air, Or 94 or higher with oxygen

Question 8

What are the last two status of SpO2 in the RSA

Answer 8

Stat 1. Severe distress
= 90-91 on room air 92-93 with oxygen
Stat 1. Life Threatening
= < 90 on room air < 92 with high-flow oxygen

Question 9

What are the first two status for resp rate in the RSA

Answer 9

Stat 3. Mild distress
= 18-20 RR
Stat 2. Moderate distress
= 21-24 RR

Question 10

What are the last two status of resp rates in the RSA

Answer 10

Stat 1. Severe distress
= 25-35, 5-8 RR
Stat 1. Life Threatening
= >35 or <5 (pre-terminal)

Question 11

What are the first two status for HR (Bpm) in the RSA

Answer 11

Stat 3. Mild distress
= 90-109 bpm
Stat 2. Moderate distress
=110-129, 45-50 bpm

Question 12

What are the last two status of the HR (BPM) in the RSA

Answer 12

Stat 1. Severe distress
= 130-140, 40-44 bpm
Stat 1. Life Threatening
= >140bpm < 40 bpm (pre-terminal)

Question 13

What are the first two status of skin in the RSA

Answer 13

Stat 3. Mild distress
= normal
Stat 2. Moderate distress
= pale and clammy

Question 14

What are the last two status of the skin in the RSA

Answer 14

Stat 1. Severe distress
= peripheral cyanosis diaphoretic
Stat 1. Life Threatening
= central cyanosis (pre-terminal)

Question 15

What are the first two status of work of breathing in the RSA

Answer 15

Stat 3. Mild distress
= slight increase in chest movement, minimal accessory muscle use
Stat 2. Moderate distress
=tripod position, auto-PEEP, in drawing, accessory muscle use

Question 16

What are the last two status of work of breathing in the RSA

Answer 16

Stat 1. Severe distress
Stat 1. Life Threatening
= mark or multiple indrawing ( supraclavicular, intercostal, subcostal, substernal), marked or multiple accessory muscle use nasal flare, grunting, trancheal tugging, head bobbing

Question 17

What are the first two status of chest auscultation in the RSA

Answer 17

Stat 3. Mild distress
=mild expiratory wheeze ( bronchoconstruction)
Maybe be fine crackles at bases, seal bark cough or stridor on exertion
Stat 2. Moderate distress
= expiratory wheeze +/- inspiratory wheeze (bronchoconstruction), crackles (fine or coarse) at the bases to mid-zone
Resting stridor

Question 18

What are the last two status of chest auscultation in the RSA

Answer 18

Stat 1. Severe distress 
=Expiratory wheeze +/- inspiratory wheeze reduced breath sounds crackles, full field, with possible wheeze resting stridor + distress 
Stat 1. Life Threatening 
= absent breath sounds 
Crackles, full field
Drooling