Ise/ Respiratory Flashcards
0
Q
Step 2
A
4 bilateral anterior auscultate Trach 1-1 Chest 2-2 Breast 3-3 Under breast 4-4
1
Q
Step 1
A
Bed high fowlers/Sit on the edge of the bed Full inspiration & Expiration 5 bilateral posterior Shoulders 1-1 Back 2-2 Vesicular breast 3-3 Under 4-4 Sides 5-5
2
Q
Step 3
A
Breath sounds are clear anterior & posterior
Normal sounds
No crackles
3
Q
Step 4
A
Trach
Bronco vesicular
Vesicular
Unlabored w/o the use of accessory muscles
4
Q
Step 5
A
No central or peripheral cyanosis
5
Q
Step 6
A
Oximetry reading
6
Q
Step 7
A
Can you tell me about any shortness of breathe you have?
7
Q
Step 8
A
Bed in lowest position Call light in place Gloves off Wash hands Document