Stage 5- Video analysis

Question 1

What things are we looking for?

Answer 1

1. Respiratory accessory muscles involved
2. Work of breathing
3. Breathing rate, depth, pattern
4. Patient position
5. Colour
6. Attachments

Question 2

Respiratory accessory muscle groups involved

Answer 2

Inspiratory:
Sternocleidomastoid
Pec min/maj
Scalene group
Expiratory:
Rectus abdominis
External oblique
Transverse abdominis

Question 3

Work of breathing

Answer 3

Signs of increased work of breathing: 1. Increased breathing/respiratory rate
2. Accessory muscle use
3. Signs of distress- pursed lip, puffing cheeks

Question 4

Breathing rate, depth, pattern

Answer 4

• Increased breathing rate
• More shallow, less efficient breaths
• Abnormal pattern
• Inspiration:Expiration ratio

Question 5

Patient position

Answer 5

• Raised shoulder gurdle
• Fixed upper limbs
• Sitting, long sitting, supine, side lying
• Domed diaphragm, hunched over

Question 6

Colour

Answer 6

• Pale (hypotensive)
• Clammy or red - Infection (increased CO2 causes vasodilation)
• Blue around lips (deoxygenated blood near surface of skin)

Question 7

Attachments

Answer 7

• Nasal cannula
• Face mask
• Nebuliser (large mask around mouth)
• NG tubes (tube up nose)
• ECG lines (tubes coming out from ribs)
• IV lines (in hand)