Objective Assessment

Question 1

Signs of a CR problem

Answer 1

SOB, sputum, wheeze, cough, pain, changes in exercise tolerance, functional ability, psychosocial changes

Question 2

What does an objective assessment typically look like?

Answer 2

Observation
Palpation
Auscultation
CXR's and imaging
PFT's
Pulse Oximetry
Arterial Blood Gases
Functional Ability
Exercise tolerance/tests
Charts

Question 3

What do you look for during observation?

Answer 3

General appearance, position, chest, skin colour, abdomen, use of accessory muscles, nasal flaring, lines and drains, o2 therapy, quality of voice.

Question 4

Tactile fremitus

Answer 4

Transmission of crackles felt on the outside of chest wall

Question 5

Vocal fremitus

Answer 5

Measures speech vibrations transmitted through the chest wall. It increases when the underlying lung tissue is solid (consolidation) in some way and decreases in patients with pneumothorax or effusions.

Question 6

Surgical Emphysema

Answer 6

Air in the subcutaneous tissue of chest, neck or face. Crackling on touch. Sign on pneumothroax.

Question 7

How can you assess functional ability/QOL

Answer 7

Questionnaires, occupation, SH, in-hospital independence

Question 8

Exercise Tolerance tests

Answer 8

6MWT, ISWT, 3 min SWT, Endurance shuttle test, chair-stand test, stair climbing test.

Question 9

Charts

Answer 9

BP, HR, Temp, O2 requirements and saturations, respiratory rate, weight, AVPU, Fluid balance, urine output, meds.