Inspect

Question 1

Respiratory Rate

Answer 1

Tachypnoea – Respiratory rate higher than the norm for the child’s age group
Bradypnoea – Respiratory rate lower than the norm for the child’s age group
Apnoea – a cessation in breathing

Question 2

Depth and pattern

Answer 2

Pattern should be regular with an equal pause between each breath

The depth of our breathing is also known as the
tidal volume

Question 3

Work of breathing

Answer 3

Young children have a soft and compliant chest wall, which in respiratory distress is easily ‘sucked in’

As a result you can see acessory muscles being used

Question 4

Examples of accessory muscles

Answer 4

Head bobbing
Nasal flaring
Mouth gasping
Shoulder shrugging
Tracheal tug
Sternal recession
Subcostal/intercostal recession
Abdominal breathing

Question 5

Oxygen Saturations

Answer 5

Hypoxia is a condition or state in which the supply
of oxygen is insufficient for normal life functions;

Hypoxemia refers to the low level of oxygen in
blood

Healthy patients- below 95% concerning

Question 6

Colour

Answer 6

Normal
Pallor
Cyanosis - centrally or peripherally

Question 7

Position

Answer 7

sometimes child positioning is important as it may aid the child to breathe more air in when they are struggling.

Most common is tripod position

Question 8

Auscultation- What sounds may you hear

Answer 8

Bronchial Breath Sounds
Crackles (coarse)
Crackles (fine)
Diminished breath sounds
Wheezing
Pleural Rub
Ronchi
Stridor
Vesicular breath sounds
Grunting