Chap 30- Respiratory Assessment and Tests Flashcards
What should nurse observe in respiratory assessment?
Color
Breathing pattern, rate
Use of accessory muscles
Ability to talk
Inspect pt chest (size & shape)
low O2 levels through body, causes slow breathing; caused by anything that causes depresses breathing like anesthesia,
Hypoxemia
high CO2 levels, breathing faster; results from smoking, syx of COPD
Hypercapnia- breathing faster to rid body of excess CO2
Normal Pulse Ox-
Heavily Monitor Pulse Ox-
Needs Oxygen Pulse Ox-
Normal- >95
Monitor- 94
Needs O2- 93 or less
SpO2 aka
Pulse Oximeter
Diagnostic Tests for Respiratory Fx
Chest X Ray
Pulmonary Fx Tests
Sputum Culture (Sterile)
ABG
Bronchoscopy
test which is Most accurate way of identifying pt’s accurate oxygenation
ABG
Arterial Blood Gas
PaO2 in arterial blood normal levels (measured through ABG)
80-100 mm Hg
Low PaO2 - Hypoxemia
High PaO2- Hyperoxemia
PaCO2 in arterial blood normal levels ( measured by ABG)
35-45 mm Hg
Bicarbonate
22-26 mEq/L
pH
7.35-7.45
Stethoscope should be to skin when auscultating sounds on a pt. T or F
True
An outcome will always be to maintain a patent airway for patient. T or F
True
How to prevent respiratory infections
Vaccinations
Hand washing
Avoid Sick Ppl
Good Diet/ Good FLuid intake
Five Stages of Smoking Cessation
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
