Respiratory Clinical Skills

Question 1

Which observations/tests should be carried out on the hands/arms in a Resp exam?

Answer 1

Inspection, Cap refill, peripheral cyanosis, Clubbing, pulse, RR, CO2 flap, beta-agonist flap, blood pressure

Question 2

Which observations/tests should be carried out on the face/neck in a Resp exam?

Answer 2

Cervical lymph nodes, Mouth, eyes and JVP

Question 3

After you have auscultated the chest, what should you do?

Answer 3

Check the legs for signs of DVT

Question 4

What aspects must be performed during a respiratory examination of the chest?

Answer 4

Inspection, Chest expansion, Percussion & auscultation

Question 5

Where should percussion and auscultation start?

Answer 5

Above the clavicle

Question 6

Where should percussion end?

Answer 6

Base of lungs (T11 level roughly)

Question 7

In which areas should percussion and auscultation occur?

Answer 7

Front, back and sides

Question 8

What is the normal range of O2 sats?

Answer 8

94-98%

Question 9

What is the oxygen target for a normal person?

Answer 9

94-100%

Question 10

What is the target O2 saturation for patients with Type II Respiratory Failure?

Answer 10

88-92%

Question 11

What is an advantage of nasal cannula?

Answer 11

Cheap and allows O2 to escape

Question 12

What percentage oxygen does a nasal cannula deliver?

Answer 12

24-50% - Variable

Question 13

What are the advatnages of a Hudson facemask?

Answer 13

Cheap and allows O2 to escape

Question 14

What % Oxygen does a Hudson facemask deliver?

Answer 14

Variable

Question 15

What is the main use of Venturi masks?

Answer 15

Used in Type II Respiratory Failure due to precise Oxygen %

Question 16

Which method of delivery of oxygen should be used for patients with Type II Respiratory Failure?

Answer 16

Venturi mask

Question 17

What rate should a nasal cannula be set up at?

Answer 17

2-5L/min

Question 18

What is the main use of a Non-rebreather reservoir mask?

Answer 18

Emergency/life-threatening situation

Question 19

What % Oxygen is delivered via a non-rebreather reservoir mask?

Answer 19

60-80% flow rate

Question 20

What flow rate should a non-rebreather reservoir mask be set at?

Answer 20

15L/min

Question 21

Which method of oxygen delivery should be used in emergency/life-threatening situations?

Answer 21

Non-rebreather reservoir mask

Question 22

Roughly what rate should a nebuliser be started on?

Answer 22

2L/min - check for mist

Question 23

Which things should be checked before carrying out peak flow?

Answer 23

If they’ve done it before and what their normal was

Question 24

How many times should peak flow be carried out?

Answer 24

3

Question 25

A peak flow of 80% of normal would suggest...

Answer 25

Mild asthma

Question 26

A peak flow of 63% of normal would suggest...

Answer 26

Moderate asthma

Question 27

A peak flow of 45% of normal would suggest...

Answer 27

Severe asthma

Question 28

A peak flow of 29% of normal would suggest...

Answer 28

Severe acute asthma attack

Question 29

Which acronym can be used for review appointments?

Answer 29

CLAMP

Question 30

What does CLAMP stand for?

Answer 30

Clarify condition, Last seen, Associated risks/factors, Medications, Plan

Question 31

In an acute situation, which details should be taken?

Answer 31

AMPLE and SOCRATES