Week 2- CR Objective Assessment Flashcards
What do you look for when observing breathing pattern?
Resp Rate Depth Chest movement Indrawing/ recession of IC space Paradoxical/ Hoovers' sign Flail rib Tracheal tug Assymetry
What is Hoovers’ sign?
Diaphragm already flattened so slides across and pulls ribs in
What are three things you might observe about skin colour?
Pale
Ruddy
Cyanosis
How would you palpate the abdomen?
In a reclined, not slumped, posture
Apply a flat hand and palpate gently below rib cage
What are you looking for when palpating the abdomen?
Does it feel soft and mobile?
Would diaphragm be able to descend properly?
What are the muscles of inspiration in normal and forced breathing?
Normal - diaphragm, External IC
Forced - scalene, SCM, pecs, serratus anterior, lats
What are accessory muscles of expiration?
Rectus Abdominus Ext/Int Oblique Transversus Abdominus Lowest fibres of Iliocostalis Longissimus Serratus Posterior Inferior QL
What is nasal flaring and what does it mean?
Dilation of nostrils
Attempt to decrease airway resistance
What are you looking for during palpation?
Abdomen Chest expansion Trachea Sputum - tactile fremitus Pain Body temp Skin - key hole surgery/ scars Surgical emphysema Response to touch
What is tactile fremitus?
Transmission of crackles felt on outside of chest wall
What is surgical emphysema?
Air in the subcutaneous tissue of the chest, neck or face
Crackles on touch
Give 3 Exercise Tolerance Tests
6 MWT Incremental shuttle walk test 3 minute SWT Endurance shuttle test Chair stand test Stair climbing test
What might you be looking for on a patients chart (inpatient/ care home)?
BP HR Temp O2 requirements/ sats RR Weight AVPU Fluid balance Urine Output Medications
What might you be looking for on a patients’ chart (critical care)?
Mode on ventilation Fi02 Heart rhythm/rate Pressure support Airway pressure Tidal volume PEEP CVP GCS/ AVPU ABGs Blood chemistry
