Critical Questions

Question 1

What would you look for in a respiratory assessment

Answer 1

before you'd even listen to the chest
You would do cardio vascualar abs: HR and Bp
Temp
Respiratory rate, target sats and what the actual sats are, Fi02- how the patient is ventilating
ABGS
Bloods
Renal
Chest x ray
Medication

Question 2

Normal HR

Answer 2

0- 125
1-3: 130
3-6: 105
>6 - 85
adult: 70

Question 3

Normal BP

Answer 3

0: 60-90/ 30-60
1-3: 75-130/ 45-90
3-6: 90-14-/ 50-80
> 6: 90-140/ 50-80
adult: 120/80

Question 4

Normal Temp

Answer 4

36-38 degrees

Question 5

Normal Resp rate

Answer 5

0: 40-60
1-3: 20-30
3-6: 20-30
>6: 15-20
adult: 12-20

Question 6

ABGs- ph

Answer 6

0: 7.3-7.4
1-3:7.3-7.4
3-6: 7.35-7.45
>6: 735-7.45
adult: 7.35-7.45

Question 7

ABS- c02

Answer 7

0: 4-4.7
1-3: 4-4.7
3-6: 4.7-6
>6: 4.7-6
adult: 4.7-6

Question 8

ABS- 02

Answer 8

0: 8-12
1-3: 10.7-13.3
3-6: 10.7-13.3
>6:  10.7-13.3
adult: 11-14

Question 9

ABGS- BE

Answer 9

-2 - +2

Question 10

ABGS- HC03

Answer 10

17-24

Question 11

Respiratory acidosis

Answer 11

decreased PH
increased C02
causes: impaired respiratory drive, hypoventilation

Question 12

Respiratory alkalosis

Answer 12

increased PH
decreased PC02
increased RR

Question 13

Metabolic acidosis

Answer 13

decreased PH
decreased HC03
renal failure

Question 14

Metabolic alkalosis

Answer 14

increased PH
increased HC03
vomiting
hypokalaemia

Question 15

Xray- dark areas

Answer 15

air

Question 16

X-ray white areas

Answer 16

consolidation
collapse
blood
pleural effusion

Question 17

Measuring suctioning

Answer 17

nose to ear for NP

mouth to cheek for OP

Question 18

Why is NP better for children and babies

Answer 18

airway goes straight down

Question 19

What is your normal renal output?

Answer 19

1-2ml/ kg/ hr
can be a sign of your kidneys not working or dehydrated
GFR>90

Question 20

What to look for in bloods

Answer 20

CRP <5 (higher= inflammation, such as cancer, burns, heart attack, pneumonia, rheumatoid arthritis).
WCC 4-11 (white cell count, sign of infection).
Urea 2.5-7.1 (how well kidneys are working)
Creatine 0.6-1.2 (high levels of creatine are waste products, damage to the kidneys).