thorax and lung assessment

Thorax and lung assessment
 SUBJECTIVE DATA
- Health history
o Do you have a cough?
 When did it started?
 Is it gradual or sudden?
 How long have had it?
 How often do you cough?
 Does the cough wakes you up at night?
 Do you cough up any phlegm or sputum? How much? What colour is it?
 Do you cough up any blood (hemoptysis)?
 Can you describe your cough: hacking, dry, hoarse, congested, bubbling?
 What treatment have you tried (prescription or over the counter)?
 Does the cough bring on anything: chest pain, ear pain?
 Is it tiring?
 Are you concern about it?

o Any shortness of breath?
 What brings it on?
 Is it affected by a certain position, like lying down?
 Does it accurate any specific time of day or night?
 What do you do when you have SOB?
 Do you take a certain position?
 Do you use pursed-lip breathing?
 Do you use an inhaler, oxygen mask or medications?
 Is your SOB getting worse, better or is it staying about the same?

o Any chest pain when breathing?
 Can you please point to the exact location?
 When did it start? Is it constant or does it come and go?
 Can you describe the pain? Is it burning, stabbing?
 What have you done to treat it?

o Any history of respiratory infections or lung disease?
 Have you had unusually frequent or unusually severe colds?
 Do you have any family history of allergies, tuberculosis, or asthma?



o Do you smoke cigarettes, weed or do you vape?