● Thorax and lungs
● Respirations
○ Similarities in respiratory and cardiac issues
○ Basic assessment is respiratory status (ABCs priority)
■ Normal, tachypnea, bradypnea, apnea
○ Hyperventilation- increase both rate and depth of respirations
■ Causes:
● Exertion, fer, anxiety
● Diabetic ketoacidosis, alteration in blood gas concentration
○ Hypoventilation- irregular or shallow respirations
■ Causes:
● Overdose of narcotics or anesthetics
○ After surgery, have to check for this. Spiratometer, expand
their lungs and good gas exchanges
● Prolonged bed rest
● Respiratory pain
○ Pain when breathing, fracture? Hurting? May not get
enough gas exchange
● Subjective Data
○ Cough
■ Ask alot of questions, how long have you had it?
■ Acute or chronic
● Acute less than 8 weeks, more than chronic
● Some meds, BP meds, 20% patient develop dry cough
○ Sputum production
● Are you coughing anything up? What does it look like?
● Flu, cold, will be white and clear
● Bacterial infection, yellow, green
○ Not always the case if green or yellow, that it is bacterial
● Rust color sputum, tuberculosis
● Pink frothy sputum, pulmonary edema (lungs fill with fluid)
○ Shortness of breath
● Acute or chronic
○ Chronic- COPD, always have a cough and short of breath
■ Assessment questions change: is your cough
worse than it was last week?
○ Chest pain with breathing
● Cardiac vs pulmonary
○ Pain in chest everytime take a breath in? Prob related to
lungs
■ History of respiratory infections
● Asthma, COPD, pneumonia
○ Everytime they get sick, can develop into pneumonia more
susceptible
This study source was downloaded by 100000898058200 from nursinghero.com on 08-06-2025 19:10:55 GMT -05:00
https://www.nursinghero.com//study-files/4385044
● Respirations
○ Similarities in respiratory and cardiac issues
○ Basic assessment is respiratory status (ABCs priority)
■ Normal, tachypnea, bradypnea, apnea
○ Hyperventilation- increase both rate and depth of respirations
■ Causes:
● Exertion, fer, anxiety
● Diabetic ketoacidosis, alteration in blood gas concentration
○ Hypoventilation- irregular or shallow respirations
■ Causes:
● Overdose of narcotics or anesthetics
○ After surgery, have to check for this. Spiratometer, expand
their lungs and good gas exchanges
● Prolonged bed rest
● Respiratory pain
○ Pain when breathing, fracture? Hurting? May not get
enough gas exchange
● Subjective Data
○ Cough
■ Ask alot of questions, how long have you had it?
■ Acute or chronic
● Acute less than 8 weeks, more than chronic
● Some meds, BP meds, 20% patient develop dry cough
○ Sputum production
● Are you coughing anything up? What does it look like?
● Flu, cold, will be white and clear
● Bacterial infection, yellow, green
○ Not always the case if green or yellow, that it is bacterial
● Rust color sputum, tuberculosis
● Pink frothy sputum, pulmonary edema (lungs fill with fluid)
○ Shortness of breath
● Acute or chronic
○ Chronic- COPD, always have a cough and short of breath
■ Assessment questions change: is your cough
worse than it was last week?
○ Chest pain with breathing
● Cardiac vs pulmonary
○ Pain in chest everytime take a breath in? Prob related to
lungs
■ History of respiratory infections
● Asthma, COPD, pneumonia
○ Everytime they get sick, can develop into pneumonia more
susceptible
This study source was downloaded by 100000898058200 from nursinghero.com on 08-06-2025 19:10:55 GMT -05:00
https://www.nursinghero.com//study-files/4385044
