Flashcards in Clinical Skills Deck (138)
Target SaO2 for most people
What clues might exist there is a respiratory complaint?
peak flows, inhalers, IV drips
Where can tar staining also be seen?
around the hair line - yellowing in fringe area
Signs of finger clubbing (5)
Change in nail bed angle
Nail bed feels boggy
Sharper angle with cuticle
Distal ends of fingers may appear enlarged or bulging
Nail curves downward
When asthma is considered severe, the PEFR is...
What must you do before assembling and giving nebuliser?
polycythemic patients become cyanosed at ______ SaO2 because there is an increase in the level of the RBCs in the blood
How can JVP be assessed if not visible using conventional method?
pressing in the RUQ to circulated more blood from liver
What should you ask the patient to do when auscultating?
breath deeply but at a rate normal for them, ask them to take deep breaths when they feel the stethoscope move
You take the average of PEFR - true or false?
Take the best of all three as given
FiO2 of Reservoir mask
the nasal cannula prevents rebreathing of expired CO2?
Example of low pitched sound
When might a spacer be useful
when the patient technique is not great
When examining the posterior aspect of the chest for percussion and auscultation, what is best for the patient?
ask them to swing their legs round and sit over the side of the bed
What does oedema in the legs potentially indicate?
Pulmonary hypertension/R. Ventricular failure
Second step when visiting patient
introduce self, check you have the right patient and confirm details, explain plan and gain consent
What does palpation involve?
feeling for the trachea in the neck - should be in the middle of the notch above the sternum
Normal SaO2 range for healthy individuals
Where should you percuss and ascultate?
anteriorly, posteriorly and laterally
How loud are bronchovesicular breath sounds?
When asthma is considered moderate, the PEFR is....
When asthma is considered life-threatening, the PEFR is
Abnormal breath sounds are...
How loud are bronchial breath sounds?
Patients should bite down around the mouthpiece of their inhaler - true or false?
they should form seal with their lips and have the inhaler between their teeth
Moving on from hand exam what do you check?
pulse, resp rate, skin
bronchial breath sounds are
harsher than vesicular sounds