Unity 12: Respiratory Flashcards
Normal Respiratory Rates: Infant
up to 60/minute
Normal Respiratory Rates: Child
20-40/minute
Normal Respiratory Rates: adult
12-20/minute
How to obtain accurate respiratory rate?
place hand on chest, or abdomen, count rises, for 30 seconds, multiple by two
Abnormal Breathing: Factors
shortness of breath, difficulty breathing, slow breathing, abnormally deep, rapid breathing
Abnormal breathing: symptoms
gasping, too fast/slow breathing, too deep/shallow, wheezing, gasping, high pitched shrill sounds, unusual noises, dizziness, anxiety, thirst dilated pupils, chest pain, tingling feet
Obtain Breathing rate if the patient is aware
drap arm over the chest, take radial pulse for 15 seconds, then take respiration for 30 seconds.
How to obtain an accurate respiratory rate
use a stethoscope listen for air going in or out. under the clavicular line, and at the base of the lungs
Respiratory distress: Accessory Muscle use:
muscles in neck, chest, and abdomen aid in breathing
Respiratory distress: Paradoxical movement
breathing in reverse of normal movement. caused by blunt force trauma
Respiratory distress: Tracheal deviation
the trachea has been moved to either side, can be caused by tension pneumathorax
Respiratory distress:Intercostal Indrawing
retraction of the skin of the chest wall, mostly found in children
Respiratory distress: Stridor
sounds caused by blockage in the upper airway, tissue spasm, swelling, or objects
Tachypena:
Rapid breathing
Bradypena
slow breathing
Apena
absence of breathing
Hypoxia
inadequate oxygen supply to cells and tissues of the body
Hyperventilation:
breathing faster and harder the needed
Rate, Rhythm, Quality: Respiration Rate:
is it fast? Slow? absent?
Rate, Rhythm, Quality: Rhythm
Is it steady? Threading? Bounding? Irregular?
Rate, Rhythm, Quality: Quality
is it laboured? deep? shallow? gasping? rapid or slow?
How do you record respiration?
The time the rate was taken on a 24/hour clock
Respiratory rate, rhythm and quality
any other findings of the respiration assessment
Assessing Breathing: Look
for the rise and fall of the patients chest
Assessing Breathing: Listen
for air coming out of the patients nose or mouth
Assessing Breath: Feel
for breath against your cheek
Agonal respiration:
Reflex gasping, no pattern, common during cardiac arrest.
Inadequate breathing: Infant
<20/minute
Inadequate Breathing: Child
<10/minute
Inadequate Breathing: Adult
<8/minute
Inadequate Breathing: Cyanosis:
Blueish skin from lack of oxygen reaching skin cells
Inadequate Breathing: Mental status change
patient can become drowsy, disorientated, confused, or unconscious
Inadequate Breathing: increased work breathing
flaring nostrils, assessory muscle usage.
Inadequate Breathing: gasping and grunting
air is having difficulty flowing through the respiratory tract