Cardiorespirtory Subjectove Assesement Flashcards
Why are some causes of wheeze?
Airway obstruction
Foreign material
Pulmonary oedema (fluid on the lungs)
When is a cough abnormal?
If persistent, painful or productive of sputum
What is a cough caused by?
Inflammation
Irritation
Habit
Excess secretions
What do you want to ask someone about a cough?
Is it dry or productive?
Can they control it?
Are they effective if they cough
Severity
Pattern
What do you want to ask someone about their sputum?
Colour
Volume
Viscosity
Smell
Name some quality of life measures for cardio respiratory patients
St George’s respiratory questionnaire (mainly used for asthma and COPD but can be used or bronchiectasis, interstitial lung disease, post tuberculosis lung, pulmonary hypertension)
Breathing problems questionnaire
name some cardiorespiratory dysfunction signs and symptoms
breathlessness
Wheeze
Cough
Sputum and haemoptysis
Chest pain
Decreased exercise tolerance
Loss of function
What are the special questions for cardiorespiratory?
Pain
Wheeze
Cough
Secretions
Breathlessness
Which drugs would you be asking about in a cardiorespiratory assessment?
Inhalers
Nebulisers
Steroids
Pain killers
Oxygen
What are some questions you could ask about HPC in cardiorespiratory?
When did it start?
Was it gradual or sudden onset?
Was it following illness or exposure to something?
Is it getting bette or worse?
What questions do you need to ask if someone says they are or were a smoker?
How much
How long
Smoking what
When did they give up?
What should you ask about someones breathlessness?
What makes it worse and better
How much can they do at their best/worst
What are they able to do now
How can you quantify breathlessness?
Using medical research council dyspnoea scale
VAS
The level of function that can be achieved by the patient
What questions can you ask about a cough?
Why started it
Why make it worse
Is it effective
Does it occur laying down or changing position
Is it worse when eating or drinking
Is it painful
What should you ask if someone has a wheeze?
What makes it worse and better
Does it vary/fluctuate with time of day
What do you need to establish when someone has chest pain?
Location
Onset
Quality
Intensity
aggs and eases
What outcome measure could you use for a cough?
Leicester cough questionnaire
