Respiratory Status Assessment Flashcards
What are the aspects of the RSA?
Conscious state General appearance Speech Ventilatory Rate Ventilatory Rhythm Ventilatory Effort Skin Pulse rate Breath sounds
Normal conscious state?
Alert
Normal appearance?
Calm and quiet
Normal speech?
Clear
Fluent
Steady
Normal Adult Ventilatory Rate?
12-18b/min
Normal Paediatric 6-12yr Ventilatory Rate?
15-25b/min
Normal Paediatric 2-5yr Ventilatory Rate?
20-30b/min
Normal Paediatric
25-50b/min
Normal Ventilatory rhythm?
Regular, even cycles
Normal Ventilatory effort?
Minimal
With little chest or abdominal movement
Normal skin colour?
Pink
Normal Adult Pulse Rate?
60-80bpm
Normal Paediatric 6-12yr Pulse Rate?
70-120bpm
Normal Paediatric 2-5yr Pulse Rate?
80-140
Normal Paediatric
90-150
Normal breath sounds?
Clear and quiet
Abnormal conscious state?
Altered
Abnormal appearance?
Stressed
Anxious
Struggling to breath
Exhausted
Abnormal speech?
Difficult
Short sentences or phrases
Unable to verbalise
Abnormal Ventilatory Rate?
Increased
Or decreased
Abnormal ventilatory rhythm?
No respiratory pause
Prolonged exploratory phase
Abnormal ventilatory effort?
Increased chest movement
Accessory muscle use
Abnormal skin?
Pale and sweaty
Cyanosis (late and serious)
Abnormal pulse rate?
Tachycardia
Bradycardia (late sign)
Abnormal breath sounds?
Upper airway stridor
Bronchospasm = wheeze
Pulmonary oedema = crackles w/ possible wheeze