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PP - Patient Assessment > Respiratory > Flashcards

Respiratory Flashcards

1
Q

End of bed assessment
[critical]
RESPIRATORY

A 
Safety
Patients general appearance
Levels of consciouness
Age
Gender
Obvious pain/position
Environment
Obese/wasted
Time critical
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2
Q

Initial approach to patient
[critical]
RESPIRATORY

A

Greet patient

Gain consent

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3
Q

Taking a history
[critical]
RESPIRATORY

A

Presenting complaint

History of presenting complaint

Previous medical history - milkthreads

Drug history - including OTC

Allergies

Family history - milkthreads

Social history

Review of systems

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4
Q

JACCO

RESPIRATORY

A 
Jaundice
Anaemia
Cyanosis
Clubbing
Oedema
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5
Q

Inspection: Face/Neck
[critical]
RESPIRATORY

A 
Colour
Trachea
Jugular veins
Accessory muscle use
Audible sounds
Sputum
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6
Q

Inspection: Hands

RESPIRATORY

A 
Warm
Dry
Perfused
Tremor/asterixis - c02 retention, hepatic inj
Splinter haemorrhage - endocarditis
Nicotine stains
Cap refill
Oslars nodes - lessions on hands caused by endocarditis
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7
Q

Inspection: Chest
[critical]
RESPIRATORY

A 
Shape - measure with hands 1:2 ratio anterior/posterior:axilla
Symmetry - chest rise bi laterally
Rate
Scars
Recession
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8
Q

Palpation
[critical]
RESPIRATORY

A 
Lumps/lessions
Deformity
Tenderness
Skin temp/moisture
Chest expansion
Tactile fremitus
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9
Q

Percussion
[critical]
RESPIRATORY

A

Good technique
Correct locations - intercostal space not over bone

Knowledge of significant findings:
Dullness = consilidation
Hyperresonance = air
Other findings e.g ???

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10
Q

Auscultation
[critical]
RESPIRATORY

A 
Good technique - use diaphragm 
Correct locations
Front
Back - avoid scapula
Sides - check lower lobes

Knowledge of significance of:
Tracheal sounds
Vesicular sounds

Significance of findings:
Wheeze - bronchospasm
Stridor - high pitch wheeze
Pleural rub - pleurisy
Crackles - consolidation/fluid
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11
Q

Special Tests

RESPIRATORY

A

Listen only over effected area.

Egophony: say E, if sounds like A = consolidation

Whispered pectoriloquy: whisper 99, if sounds clear and distinct = consolidation

Bronchophony: say 99, positive if sounds clear = consolidation

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12
Q

Further Tests

RESPIRATORY

A

News2
Pathfinder
PRT

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13
Q

Give impressions of findings

A

Give 3 with rationale

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14
Q

Non-conveyed

RESPIRATORY

A 
On going care
Safety netting - advice to patient
Referral to another HCP
Accurate details
Structure - use SBAR
PRF signed
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15
Q

Conveyed

RESPIRATORY

A

Destination
On-going care
Reassessment of observations

Handover to HCP:
Accurate details
Structure - use SBAR

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16
Q

History taking: MILKTHREADS CA

RESPIRATORY

A 
MI
Liver
Kidneys
Thyroid
Hypertension
Rheumatic fever
Epilepsy
Asthma
Diabetes
Stroke
Cancer

PP - Patient Assessment (5 decks)

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