C/R subjective assessment

Question 1

What are the types of breathing problems?

Answer 1

SOBAR
SOBOE
Orthopnoea - when lying down
Paroxysmal nocturnal dysphnoea - at night
Hyperventilation - excessive ventilation of metabolic requirements
Tachypnoea - rapid breathing

Question 2

How do you measure breathlessness?

Answer 2

Modified Borg dyspnoea scale
0 =nothing
5 = severe
10 = maximal SOB

Question 3

What is wheeze and what can it be caused by?

Answer 3

Narrowing of airways particularly on expiration

Caused by either bronchi spasm, inflammation, foreign object or sputum

Question 4

What can a cough be caused by?

Answer 4

Inflammation
Irritation
Habit

Question 5

What is the apology of a cough?

Answer 5

Breath in
Breath hold
Glottis closure 
Increase in intrathoracic pressure 
Glottis opens
Explosion of air up to 500mph
= cough

Question 6

What should you ask about sputum?

Answer 6

Colour
Volume 
Viscosity
Taste
Smell

Question 7

What do the different colours of saliva mean?

Answer 7

Clear and watery = normal saliva 
Clear grey/white = mucoid - pollution
Yellow/green = infected
Rusty red = post pneumonia
White/pink and frothy = pulmonary oedema 
Frank blood = haemolytic

Question 8

What could chest pain be from?

Answer 8

Surgery 
Inflammation of pleura 
Muscle pain
Rib fracture 
Angina 
Pulmonary embolus

Question 9

How do you measure exercise tolerance?

Answer 9

Borg scale of perceived exertion
6 = very very light
12 = somewhat hard
20= very very hard

Question 10

What are the symptoms of dysfunction?

Answer 10

SOB
Cough
Sputum
Wheeze 
Pain