Respiratory assessment (done)

Question 1

what is pleuritic chest pain

Answer 1

sudden, intense sharp pain

Question 2

what is haemoptysis

Answer 2

coughing up blood

Question 3

what is syncope

Answer 3

fainting eposiodes

Question 4

what are the symptoms of a pulmonary embolism

Answer 4

pleuritic chest pain 
haemoptysis 
leg oedema 
hypotension 
syncope

Question 5

what are the risk factors to a pulmonary embolism

Answer 5

surgery 
pregnacey
recent MI 
limb problems 
above 60 years
previous PE or DVT 
immobablity

Question 6

what is a pulmonary embolism

Answer 6

blockage of artery in lungs by an embolism

occulsion due to a thrombosis or clot that breaks of and gets stuck in lungs

Question 7

what is hydrocorisone

Answer 7

glucocorticoid that restores blood pressure and suppresses inflammation and immune repsonse

Question 8

what is chlorphenamine

Answer 8

an antihistamine that blocks the effects of histamine

Question 9

what is the treatment for serve anaphylaxis

Answer 9

after you secured ABC

administer oxygen (high flow) to target sats
administer IM adrenaline (1:1000)
consider chlorphenamine
consider hydrocortisone

Question 10

what are the signs and symptoms of anaphylaxis

Answer 10

dyspnoea
hoarsness
stridor 
wheeze
throat 
chest tightness

Question 11

what is dysphagia

Answer 11

diffiuclt in swallowing

Question 12

what is anaphylaxis

Answer 12

serious allergic reaction with a rapid onset
inflammatory response to an allergion
leads to an airway obstruction

Question 13

when giving salbutamol or ibratropium bromide what must we ensure in COPD patients

Answer 13

limit nebulisation ot six minutes

Question 14

what to give to patients with an exubation of the copd if their is an expiratory wheeze

Answer 14

give bronchodilators

salbutamol
ibratopirm

Question 15

what are the symptoms of asthma

Answer 15

dyspnoea 
cough 
speaking in short sentences 
wheeze
tachypnoea 
tachycardia 
accessory muscle use

Question 16

what is asthma

Answer 16

long term inflammation disease of the airways in the lungs

it easily triggers bronchospasms

Question 17

how often can you give adrenaline 1 milligram in 1 ml

Answer 17

every 5 minutes

Question 18

what is the initial dose of adrenaline 1 milligram in 1 ml

Answer 18

500 micrograms

Question 19

what is the route of adrenaline 1 milligram in 1 ml

Answer 19

IM

Question 20

how does adrenaline 1 milligram in 1 ml work

Answer 20

opens up the airways and increases blood volume

Question 21

what are the indications of adrenaline 1 milligram in 1 ml

Answer 21

anaphylaxis

life threatening asthma

Question 22

what are the indicators of ipratropium bromide

Answer 22

salbutamol not worked

Question 23

what is the initial dose of ipratropium bromide

Answer 23

500microgrames

Their is no repate does

Question 24

what is the role of salbutamol

Answer 24

opens up the bronchioles (dilates)

Question 25

what is a wheeze

Answer 25

narrowing of airways due to constriction

Question 26

what are the indicators of salbutamol

Answer 26

acute asthma attack expiratory wheeze excabation of COPD

Question 27

what is the initial dose of salbutamol

Answer 27

5 milligrams

Question 28

when an individuals has a exabuation of copd a need oxygen what is the initial dose

Answer 28

below 88% intial does 4 liters in 28% venturi mask

Question 29

what are the normal levels of oxygen sats for a copd patient

Answer 29

88-92%

Question 30

what are the four types of oxgyen masks

Answer 30

non-rebreath Nebiliser mask 28% venturi nasal cannulae

Question 31

what can haemoptysis a sign off (coughing up blood)

Answer 31

PE, chest infection or lung disease due to damage of respiratory system

Question 32

what is yellow and green sputum a sign of

Answer 32

chest infection

Question 33

why can frothy white/ pink sputum be a sign of heart failure

Answer 33

due to damge be caused to the alveoli leading to bleeding

Question 34

what can frothy white/ pink sputum be a sign off

Answer 34

acute heart failure

Question 35

why can sputum be a sign of heart failure

Answer 35

because of fluid staying in alveoli

Question 36

what does bubbling sputum a sign of

Answer 36

infection or heart failure

Question 37

explain what a wet productive cough is

Answer 37

often brings up mucus | expels mucus out of respiratory system

Question 38

Explain what a dry (non-productive) cough could be

Answer 38

inflammation of the airways no sputum often caused upper respiratory infection

Question 39

what does hyporesonant sound like

Answer 39

low pitched- fluid

Question 40

what does hyper resonant sound like

Answer 40

high pitched- air

Question 41

what is stridor

Answer 41

blockage of the upper airway snoring nose may be a sign of a life threatening condition common in children with croup

Question 42

what do crackles sound like

Answer 42

low pitched, high amplitude, long duration

Question 43

what is bradypnea

Answer 43

slow breathing

Question 44

what is tachypnea

Answer 44

rapid breathing

Question 45

What is dyspnoea

Answer 45

Difficulty in breathing | Shortness of breath

Question 46

What’s the pneumonic to asses breathing

Answer 46

``` F-feel L-look A- Auscultâtes P- Percuss S-search ```

Question 47

What to consider when doing ‘feel’ as an assessment

Answer 47

Any instability of the chest wall Symmetry of the chest Depth and equality of chest movement Areas of tenderness

Question 48

What to consider when doing ‘look’ as an assessment

Answer 48

``` Resp rate Depth of chest movement Symmetry of chest movement Effectiveness of ventilation Cyanosis Position of patient Dyspnoea scale (a way of categorising how short of breath someone is) ```

Question 49

What to consider when doing ‘auscultate’ as an assessment

Answer 49

Altered breathing patterns Assess air entry and compare sides Additional sounds Absence sounds

Question 50

What does a high pitched percuss show

Answer 50

Air/ pneumothorax

Question 51

What does a low pitch identify when per cussing

Answer 51

Fluid in the lungs

Question 52

What are we looking for when we search a pt chest

Answer 52

``` Deformities Contusions Abrasions Penetrations Burns Tenderness Lacerations Swelling ```

Question 53

When do you give Salbutamol

Answer 53

Acute asthma attacks where normal inhaler doesn’t work Expiratory wheezing COPD pt

Question 54

When to give ipratropium bromide

Answer 54

Acute, serve or life threatening asthma Tend to be given after salbutamol

Question 55

When do we give adrenaline 1 milligram in 1ml

Answer 55

Anaphylaxis Life threatening asthma after salbutamol and ibtropium bromide don’t work