SOB subjective data
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-what brings it on?
-how severe is it?
-how long does it last?
-is it associated with night sweats?
-do episodes seem to be related to food, pollen, dust, animals, season, or
emotions?
-how does this affect activities?
coarse crackles
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, loud and low pitched (Pulm edema and pneumonia)
what should you use the diaphragm of a stethoscope for
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high pitched, normal sounds
modifiable factors in cardiovascular disease
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smoking, DM2, HTN, obesity, exercise
additional hx for aging adult subjective data
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-noticed any SOB/fatigue w daily act.
-for pt with hx of COPD, lung cancer, TB: How are you getting along each
day? Any weight change in last 3 months?
-energy level
-chest pain w breathing
-chest pain after coughing/after falling
self care behaviors subjective data
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-last time you had TB skin test, chest x-ray study, pneumonia/influenza
vaccination
acutely ill pt considerations (resp assessment)
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-use of 2nd examiner for pos. changes
-examiner may roll pt from side-side if no one else available for pos
change
-rolling technique may interfere w bilateral assessments of
inspection/percussion
murmur posture
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disappear/enhance with different pos.
abnormal respiration patterns
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-Sigh
-Tachypnea
-Bradypnea
-Hyperventilation
-Hypoventilation
, -Cheyne-Stokes respiration
-Biot's respiration
-Chronic obstructive breathing
use of accessory muscles and retraction shows
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increased inhaling effort and obstruction of resp tract
how to document murmur
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how it sounds, when it was heard, was it heard continuously, quality of
sound, low/high pitch, intensity (how loud, use grade I-VI), where it sounds.
Occurs when velocity of blood increases (exercise and thyrotoxicosis),
viscosity of blood decreases (anemia)
abnormal heart sounds
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S3 and S4 sounds, murmurs, and bruits
measurement of pulmonary function status
Give this one a try later!
-what brings it on?
-how severe is it?
-how long does it last?
-is it associated with night sweats?
-do episodes seem to be related to food, pollen, dust, animals, season, or
emotions?
-how does this affect activities?
coarse crackles
Give this one a try later!
, loud and low pitched (Pulm edema and pneumonia)
what should you use the diaphragm of a stethoscope for
Give this one a try later!
high pitched, normal sounds
modifiable factors in cardiovascular disease
Give this one a try later!
smoking, DM2, HTN, obesity, exercise
additional hx for aging adult subjective data
Give this one a try later!
-noticed any SOB/fatigue w daily act.
-for pt with hx of COPD, lung cancer, TB: How are you getting along each
day? Any weight change in last 3 months?
-energy level
-chest pain w breathing
-chest pain after coughing/after falling
self care behaviors subjective data
,Give this one a try later!
-last time you had TB skin test, chest x-ray study, pneumonia/influenza
vaccination
acutely ill pt considerations (resp assessment)
Give this one a try later!
-use of 2nd examiner for pos. changes
-examiner may roll pt from side-side if no one else available for pos
change
-rolling technique may interfere w bilateral assessments of
inspection/percussion
murmur posture
Give this one a try later!
disappear/enhance with different pos.
abnormal respiration patterns
Give this one a try later!
-Sigh
-Tachypnea
-Bradypnea
-Hyperventilation
-Hypoventilation
, -Cheyne-Stokes respiration
-Biot's respiration
-Chronic obstructive breathing
use of accessory muscles and retraction shows
Give this one a try later!
increased inhaling effort and obstruction of resp tract
how to document murmur
Give this one a try later!
how it sounds, when it was heard, was it heard continuously, quality of
sound, low/high pitch, intensity (how loud, use grade I-VI), where it sounds.
Occurs when velocity of blood increases (exercise and thyrotoxicosis),
viscosity of blood decreases (anemia)
abnormal heart sounds
Give this one a try later!
S3 and S4 sounds, murmurs, and bruits
measurement of pulmonary function status
