Transcript Darren Hird`s Respiratory Assessment Presentation

Respiratory Assessment
DARREN HIRD – NURSE PRACTITIONER
 History Taking
 Clinical Assessment
 Interpretation of
Findings
 Implantation of a Plan
Respiratory Assessment
 The respiratory
system is essential
for life.
 Normal lung function
requires a balanced
interrelationship
among the
respiratory, nervous,
and cardiovascular
systems.
Six important respiratory
symptoms
Cough
Sputum production
Dyspnoea
Wheezing
Haemoptysis
Chest pain
Anatomical Presentation
Gross Presentation
Thoracic Kyphoscoliosis
Pectus Carinatum
(Pigeon Chest)
Pectus Excavatum
(Funnel Chest)
Thoracic Operations
Landmarks
 Inspection
 Palpation
 Percussion
 Auscultation
General Appearance
(Dilated veins, Cyanosis)
Finger Clubbing
 Cervical Lymphadenopathy
Respiratory Rate and Expansion
Palpation
 Palpation is an
assessment
technique in which
the examiner uses
the surface of the
fingers and hands to
feel for
abnormalities.
Percussion
 Technique
Comparison
Practice
Auscultation
Quality of conducted voice
sounds
Type and number of added sounds
Type & Amplitude of Breath Sounds
Summary of Findings
Assessment findings include:
Inspection
Palpation
Percussion
Auscultation
•relaxed posture
•normal musculature
•rate 10 - 18 breaths per minute, regular
•no cyanosis or pallor
•anteroposterior diameter less than transverse diameter
•symmetric chest expansion
•tactile fremitus present and equal bilaterally
•resonant
•vesicular over peripheral fields
•bronchovesicular over sternum (anterior) and between
scapulae (posterior)
•infant and child - bronchovesicular throughout
Further Investigations
Culture & Sensitivity
Chest X-Ray
Lung Function Test
DOCUMENTATION