OBS, respiratory assessment and X-ray

Question 1

Heart rate (normal range)

Answer 1

60-100 per minute

Question 2

Blood pressure (normal range)

Answer 2

80/60 mmHg to 120/80mmHg

Question 3

Respiratory rate (normal range)

Answer 3

12-18 breathes per minute

Question 4

A in ABCDE assessment

Answer 4

Airway

Question 5

B in ABCDE assessment

Answer 5

Breathing

Question 6

C in ABCDE assessment

Answer 6

Circulation

Question 7

D in ABCDE assessment

Answer 7

Disability – Level of consciousness; Alert, Voice, Pain, Unresponsive
Are they sedated?

Question 8

E in ABCDE assessment

Answer 8

Exposure

Question 9

What does exposure mean in respiratory assessment

Answer 9

Wound, surgical incision (contraindication for mobility)

Drains (O2? Catheter? how is it going to affect mobilizing them)

Question 10

Oximetry normal value

Answer 10

95-100%

Question 11

Oximetry normal range for COPD

Answer 11

88-92

Question 12

A in X-Ray

Answer 12

Alignment

Question 13

B in X-Ray

Answer 13

Bones

Question 14

C in X-Ray

Answer 14

Cardiac

Question 15

D in X-Ray

Answer 15

Diaphragm

Question 16

E in X-Ray

Answer 16

Expansion – diaphragm should be at 6th rib mid clavicular line

Question 17

F in X-Ray

Answer 17

Fields

Question 18

G in X-Ray

Answer 18

Gadgets

Question 19

Altered physiological function of the respiratory system after general anaesthesia

Answer 19

1. Lung volume
2. Mucociliary clearance
3. Respiratory muscle function / lower respiratory muscle tone

Question 20

Importance of FRC

Answer 20

• Affect lung elasticity
• FRC ↓ = small airway close
• Prevents complete emptying of lungs during each respiratory cycle – big fluctuation of PO2 &PCO2