Frequent Respiratory Problems

Question 1

Name the five reasons that can cause respiratory problems

Answer 1

Increased WOB
Increased sputum retention
Decreased lung volume
Decreased exercise tolerance
Pain at fatigue

Question 2

What will a patient say during a subjective if suffering from increased WOB?

Answer 2

Finding it hard to breathe at rest/on exertion.
Tiring quickly
Not coping with ADL’s

Question 3

What will be seen in an objective Ax of increased WOB?

Answer 3

Increased RR, use of accessory muscles, decreased spo2, CXR(areas of hyperinflation, fibrosis, pneumothorax, atelectasis), ABG’s will show impairment/failure.

Question 4

What will a patient say during a subjective if increased sputum?

Answer 4

Coughing, but not clearing.
More secretions than normal.
Getting tired from coughing

Question 5

What will a patient say in a subjective of decreased lung volume?

Answer 5

Shortness of breath.

Cannot take a deep breath.

Question 6

What will be seen in an objective ax of increased sputum?

Answer 6

Increased RR, accessory muscle use, decrease spo2, audible secretions and crackles, low pitched wheeze, tactile fremitus, infection=increased temp, increased white cell count, increased HR, CXR (consolidation), AGB’s = impairment/failure

Question 7

What will be seen in an objective Ax of decreased lung volume?

Answer 7

Decreased/absent breath sounds, sounds of fire crackles, increased RR, accessory muscle use, decreased spo2, CXR(areas of collapse- pneumothorax/pleural effusion), ABGs-failure/impairment, percussion - hyper-resonant- dull, stony dull, unequal expansion.

Question 8

What will a patient say in a subjective of decreased exercise tolerance?

Answer 8

Finding it hard to do normal activities.
Shortness of breath going up stairs and walking.
What is normal for the patient?

Question 9

What will be seen in an objective Ax of decreased exercise tolerance?

Answer 9

Increased RR, decrease spo2, accessory muscle use, spirometry data, RPE scale, 6 min walk test.

Question 10

What will a patient say in a subjective of pain and fatigue?

Answer 10

pain= expected post op. Break through pain suggests they are not well recovered. Analgesia needs to be controlled to improve adherence. Infection/other pathologies can cause pain.

Fatigue= new pain onset/chronic pain.

Question 11

What will be seen in an objective Ax of pain and fatigue?

Answer 11

High VAS, increased RR, certain body position, increased HR and BP.