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Cardiorespiratory Assessment

Cardiorespiratory Assessment

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Published by: Pikachu on Sep 21, 2008
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02/20/2014

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CARDIORESPIRATORY ASSESSMENT
 Dr. Maulik Patel 
 
CARDIORESPIRATORY ASSESSMENT 
Dr. Maulik Patel, Dr. AnwarHassan, Sagar Naik,
 
PT
 
MEDICAL CHART READING:
 
Name, Age, Sex
 
H\O Present Illness
 
Past Medical History
 
Past Surgical History
 
Drug History
 
Social/Occupational History
 
Further Queries For Subjective Assessment
 
Investigation (same as Performa)
BED CHART READING
 
Vital Signs
 
 
Temperature >37.5? Source of temperature
 
PR >100 tachycardia & <60 Bradycardia? Cause
 
Tachy? Septic Brady? Medication
 
BP – varies with age, fitness, HT
 
SpO >95% normal unless respiratory impairment
 
Hb -- <8 (careful while mobilizing the pt)
 
Other Readings
 
Fluid Balance-Important Post Op, CRF, CCF & MI
 
Peak Flow Readings
 
Pain Scales- Post Op Cases
 
Medications
SUBJECTIVE ASSESSMENT
 
 
What is the main problem?
 
What brought them to hospital?
 
Cough - how much, when, triggering factor, productive/non-productive?
 
SOB/Dyspnoea -? Cause duration, aggravating factors
 
Sputum - colour, quantity, quality
 
CARDIORESPIRATORY ASSESSMENT
 Dr. Maulik Patel 
 
 
Pain - area, type, pain scale, relate to present condition
 
Ex Tolerance - distance, flat surface, stairs
 
Smoking History - no. of cigarettes/no. of years
 
Sleeping Position/Recovering Position
 
Home Program - airway clearance techniques, peak flows, medications,walking program.
OBJECTIVE ASSESSMENT
 
OBSERVATION 
 
Pt’s appearance/posture/position in bed
 
Effect on SOB while moving in bed/talking
 
Breathing Pattern - RR, resp ms use, accessory ms use, purse lip breathing
 
Colour/Cyanosis
 
Signs of distress
 
Audible Wheeze
 
Chest Shape - kyphosis, kyphoscoliosis, pectus excavatum, pectuscarinatum, barrel chest
 
Calf check - redness, swelling
 
Incision - length, pus, infection
 
Sputum
 
Lines, Tubes, Drains
 
CARDIORESPIRATORY ASSESSMENT
 Dr. Maulik Patel 
 
 
PALPATION 
 
Position of Trachea

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