RESPIRATORY ASSESSMENT

Question 1

Tachypnoea

Answer 1

Rate over 20 breaths in a minute

Question 2

Bradypnoea

Answer 2

Rate less than 12 breaths per minute

Question 3

Apnoea

Which can lead to ?

Answer 3

Absence of respiration’s for several seconds

Respiratory arrest

Question 4

Dyspnoea

Answer 4

Difficulty breathing gasping for air

Question 5

Cheyne strokes

Answer 5

Breathing shallow laboured

Question 6

Hyperventilation

Answer 6

Rapid breathing

Question 7

What are you looking for in a patients colouring that would be of note ?

Answer 7

If the patients lips or nail buds are blue or cyanosed

Question 8

Observe the breathing what are you looking for ? (6)

Answer 8

• use of accessory muscles
• purse lips
• flared nostrils
• regular rate
  _ chest movement equal bilateral
• pattern of breathing

Question 9

Use of stethoscope?

Answer 9

Chest auscultation

Question 10

What are you listening for when auscultations chest ?

Answer 10

Wheeze
Strider
High pitched notes
Difference between upper and lower thorax

Question 11

Things to consider PMH?

Answer 11

Previous smoking 
COPD 
Oxygen retainer 
Asthma 
Bronchiectasis

Question 12

Before administering sabultamol consider?

Could lead to ?

Answer 12

Previous inhaler use

Tachycardia

Question 13

F- further observations what would be the next steps you think about ?

Answer 13

Oxygen use 
Salbutamol 
Aminophylne administration 
IV ABX 
Cannula inserted 
Airway management 
Reassurance to calm breathing 
Bloods