What would you look for in a respiratory assessment
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
Normal HR
0- 125 1-3: 130 3-6: 105 >6 - 85 adult: 70
Normal BP
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
Normal Temp
36-38 degrees
Normal Resp rate
0: 40-60 1-3: 20-30 3-6: 20-30 >6: 15-20 adult: 12-20
ABGs- ph
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
ABS- c02
0: 4-4.7 1-3: 4-4.7 3-6: 4.7-6 >6: 4.7-6 adult: 4.7-6
ABS- 02
0: 8-12 1-3: 10.7-13.3 3-6: 10.7-13.3 >6: 10.7-13.3 adult: 11-14
ABGS- BE
-2 - +2
ABGS- HC03
17-24
Respiratory acidosis
decreased PH
increased C02
causes: impaired respiratory drive, hypoventilation
Respiratory alkalosis
increased PH
decreased PC02
increased RR
Metabolic acidosis
decreased PH
decreased HC03
renal failure
Metabolic alkalosis
increased PH
increased HC03
vomiting
hypokalaemia
Xray- dark areas
air
X-ray white areas
consolidation
collapse
blood
pleural effusion
Measuring suctioning
nose to ear for NP
mouth to cheek for OP
Why is NP better for children and babies
airway goes straight down
What is your normal renal output?
1-2ml/ kg/ hr
can be a sign of your kidneys not working or dehydrated
GFR>90
What to look for in bloods
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).
