Dyspnoea Flashcards
What is this dyspnoea
A high work of breath (WOB)
Difficulty breathing at a level where it is not expected
Different tools to measure breathlessness
New your heart association classification of breathlessness (1-5) Modified medical research Council score (0-4) Borg scale (0-10)
Name two types of dyspnoea
1) orthopnoea: breathlessness when lying down
2) paroxysmal nocturnal dyspnoea: breathlessness when patient wakes up
4 questions to ask when assessing a cough
Is it persistent/painful/ineffective that = abnormal
What type: dry/wet/parking
When does it happen
What aggravates/relieves the cough
What is sputum
Excessive secretion
3 questions to ask about sputum
Quantity
Colour
Consistency
What is a wheezing sound
It is a whistling sound produced by turbulence airflow through narrow airways
The patient can complain about a tight chest
4 places that pain can originate from/come from
Pleuritic
Tracheitis
Musculoskeletal
Angina Pectoris
Pleuritic symptoms
Inflammation of the pleura
Sharp/stabbing pain
It gets worse with inspiration
Symptoms of tracheitis
Burning
Central chest
Gets worse with deep breaths/cough
Symptoms of musculoskeletal
Muscle/bones/joints/nerves
Symptoms of angina pectoris
Cardiac pain
Pressure/constricting
Pain radiating to the Arm/jaw/neck
Name three other symptoms to keep in mind
Fever: could indicate infection
Malignancy or connective-tissue disorder
Night sweats could indicate TB
Fatigue: Could indicate breathlessness
Peripheral oedema: Right-sided heart failure
Caused: corticosteroids
Indication: imprints was finger stays
What causes dyspnoea
Cardiac and respiratory disease
Wha are the other origins for dyspnoea
Anaemia (check Hb)
Neuromuscular disorder (resp muscle dysfunction)
physiological (anxious)
