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1180 Holistic Health Assessment > Respiratory Assessment > Flashcards

Respiratory Assessment Flashcards

1
Q

Functions of Respiratory System

A
  • Ventilation
  • Diffusion
  • Perfusion
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2
Q

Ventilation

A
  • Air going in
  • Air coming out
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3
Q

Diffusion

A
  • Gas exchange
  • At capillaries
  • Movement of O2/CO2
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4
Q

Perfusion

A
  • Oxygenated red blood cells
  • Get to tissue
  • Delayed capillary refill
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5
Q

Anterior Respiratory Muscles

A
  • Sternocleidomastoid
  • Scalenus
  • Pectoralis minor
  • External intercostal
  • Abdominal rectus
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6
Q

Accessory Muscles Definition

A
  • Additional muscles used for breath
  • Outside normal respiration muscles
  • Sign of respiratory distress
  • Must document
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7
Q

Posterior Respiratory Muscles

A
  • Trapezius
  • Internal intercostal
  • Diaphragm
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8
Q

Asthma Triggers

A
  • Pollen
  • Bugs
  • Chemical fume
  • Cold air
  • Fungus spores
  • Dust
  • Smoke
  • Strong odors
  • Pollution
  • Ager
  • Stress
  • Pets
  • Exercise
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9
Q

Challenges to Respiratory System

A
  • Asthma
  • Smoking (1st, 2nd, 3rd)
  • Environment
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10
Q

Environmental Factors

A
  • Home
  • Occupational
  • Travel
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11
Q

3rd Hand Smoking

A

Smell lingering on walls/clothes

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12
Q

Subjective Data Collection

A
  • Cough
  • Dyspnea (SOB SOBOE)
  • Chest pain
  • Past medical history
  • Family history
  • Self-care activities
  • Lifestyle
  • Exercise levels
  • Allergies
  • Immunizations
  • Determinants of health
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13
Q

Cough

A
  • Inquire about mucus
  • Colour
  • Blood
  • Odor
  • Consistency (thick/thin)
  • Quantity
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14
Q

SOB

A
  • Shortness of breath
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15
Q

SOBOE

A
  • Shortness of breath on exertion
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16
Q

Chest Pain

A
  • Rib pain
  • Stiff intercostal muscle
  • Inflamed lung tissue
  • CV/respiratory
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17
Q

Chest Pain Objective Data

A
  • Inspection
  • Chest x-ray
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18
Q

Irregular Findings of Chest Pain

A
  • Irregular breathing
  • Cyanosis
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19
Q

Palpation of Chest Pain

A
  • Chest tenderness
  • Chest excursion
  • Tactile fremitus
20
Q

Anterior Stethoscope Placement

A
  • Mid clavicular line
  • 2nd intercostal space
21
Q

Posterior Stethoscope Placement

A
  • C7
  • Down 2 inches
  • Left 2 inches
22
Q

Chest Tenderness Areas

A
  • Sternum
  • Paravertebral muscles
  • Point tenderness
23
Q

Abnormal Findings in Chest

A

Crepitus (air in subcutaneous tissue)

24
Q

Indicators of Emergency

A
  • Dyspnea
  • Decreased consciousness level
  • Respiration rate 30+
  • SpO2 <92
25
Q

Respiratory Assessment Health Promotion

A
  • Avoid smoking
  • Occupational exposure to irritants
  • Recreational drugs
  • High risk travel
26
Q

Common Symptoms of Respiratory

A
  • Chest pain
  • Dyspnea
  • Orthopnea
  • Cough
  • Mucus
  • Wheezing
  • Change in functional ability
27
Q

Auscultation Landmarks

A
  • Suprasternal notch
  • Angle of Louis (sternal)
  • Costal angle
  • Scapular, clavicular, axillary lines
  • Cervical vertebra 7
28
Q

Normal Auscultation Sounds

A
  • Bronchial
  • Vesicular (most common)
  • Bronchovesicular
29
Q

Abnormal Auscultation Sounds

A
  • Diminished
  • Absent
  • Friction rub
  • Crackles
  • Wheezes
30
Q

Bronchial Sound Characteristics

A
  • Loud, hollow
  • High pitched
  • Distinct pause between in & exp
  • In to exp 1:2
31
Q

Vesicular Sound Characteristics

A
  • Soft
  • Low pitched
  • Rustling inspiration
  • Softer during expiration
  • Majority of lung sounds
  • In to exp 3:1
32
Q

Bronchovesicular

A
  • High pitch
  • Mid chest
  • In to exp 1:1
33
Q

Fine Crackles

A
  • Brief, discontinuous
  • Popping
  • High pitched
  • Atelectasis
34
Q

Course Crackles

A
  • Brief, discontinuous
  • Popping
  • Louder & longer than fine crackles
  • Low pitch
  • Pneumonia
35
Q

Friction Rub

A
  • Low pitched
  • Short, grating
  • Inflammation of pleural surface
36
Q

Promoting Respirations & Oxygenation

A
  • Lung expansion
  • Stasis of secretions
  • Maintain airway
  • Adequate O2/CO2 exchange
37
Q

Alveoli

A
  • Shrivel & deflate with immobility
  • Gas exchange
  • Air sacks
  • Keep inflated
  • Remove mucus
  • Deep breathing & coughing exercises
38
Q

Infants

A
  • Nose breathing
  • Bronchovesicular sounds heard
  • Primarily abdominal
39
Q

Bradycardia in Premature Babies

A
  • Slow heartbeat
  • Low blood oxygen
40
Q

Apnea in Premature Babies

A
  • Stopped breathing
  • Low blood oxygen
41
Q

Children Under 2 years

A
  • Bronchovesicular sounds
  • Irregular rhythm
  • Breath from abdomen
  • Abnormal respirations
  • Apnea 15 seconds max
  • Listen to apical (no radial)
42
Q

Children Over 2

A
  • Intercostal breathing
43
Q

Pregnancy

A

Increase tidal volume

44
Q

Later Pregnancy

A
  • Out of breath regularly
  • Diaphragm rises
  • Costal angle widens
45
Q

Elderly People Lungs

A
  • Fibrose alveoli
  • Decreased surface area for gas exchange
  • Decrease lung capacity
  • Muscle weakness
  • Less elasticity
  • Kyphosis (barrel chest)

1180 Holistic Health Assessment (9 decks)

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