Flashcards in Respiratory Exam Deck (6)
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1
Q
What sections are in a respiratory exam?
A
Initial Assessment Introduction and Consent General Overview Hands Head Neck Front of Chest Back of Chest Closure
2
Q
What do you do in the initial assessment and introduction of a respiratory exam?
A
Initial assessment
- does patient need life-saving intervention?
- are they well enough to proceed with examination?
- inspect environment (oxygen, vomit, sputum, medication)
Introduction
- Clean hands
- My full and role
- Check patient’s full name and date of birth
- Confirm with wristband
- Explain procedure and obtain informed consent
- Position bed at appropriate height and patient at 45deg
- Check charts if available
3
Q
What are you looking for in the hands during a respiratory exam?
A
Tar staining Peripheral cyanosis Clubbing CO2 retention - flapping tremor - warmth/pinkness
Pulse and respiratory rate
4
Q
What are you looking for in the head and neck during a respiratory exam?
A
Central cyanosis in tongue
Conjuctivae for pallor
Assess tracheal position
Nodes if asked
Distance from laryngeal prominence to sternal notch
5
Q
What is the procedure for inspecting the front of the chest during a respiratory exam?
A
Inspection
Palpation
Percussion
Auscultation
Inspection
- scars
- abnormalities
- lesions, dilated veins
Palpation
- Apex beat
- expansion (upper and lower)
Percussion
- clavicle + 3 + axilla
Auscultation
- breathing in same areas as percussion
- deep breaths through mouth
- vocal resonance in same areas
- listening for vesicular vs bronchial
- sound intensity
- added sounds (rub, wheeze, crackles)
- inspiratory or expiratory sounds?
6
Q
What is the procedure for inspecting the back during a respiratory exam?
A
Same as front
- scars
- upper and lower expansion on palpation
- percuss/auscultate each lobe
