LECTURE

GATHERING HEALTH RELATED INFORMATION

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● Snoring at night or there is a cessation of
period or she didnt breathe so that is your
COLLECTING AND apnea.
GATHERING HISTORY ● Associated with fatigue or excess tiredness
from the whole day of activities

CHEST PAIN
➢ So when the patient comes into the
● Chest pain also is associated with your
emergency room you will be assigned in a
tracheobronchial problems.
patient the subjective data that are related to
● And your cardiovascular problem.
thoracic and lung assessment.
● chest pain may be related to the aging
● When you are collecting the subjective data
use a follow-up question that is related to
COUGH
these signs and symptoms of your patient.
● You would describe if it’s with phlegm or
● And when getting respiratory problems is
without phlegm or productive or
associated with your diagnosis.
nonproductive.
● Avoid any judgemental approach
● Continuous coughing is usually associated
with infection and usually it occurs early in the
morning.
● Associated with your chronic inflammation
● Or the patient is smoker

WHEEZES
● Ask about the patient's experience.
● When the patient would cugh it would indicate
that there is narrowing.
● Airway flows due to spasm or obstruction
DYSPNEA ● or the patient may have heart failure or
● Aging process there is also what we call loss asthma.
electricity and loss of their productivity
● Ask the patient if there is difficulty breathing
or how may pillows he need when sleeping
● By this we can indicate the number of
problem which it would relate to the
respiratory system
● Gradual onset of difficulty of breathing that is
manifested is usually it indicate a lung
changes like your emphysema
● Also ask do you have any difficulties when WHITE- COLD, VIRAL, BRONCHITIS
the patient is at rest ● When the patient is coughing you would
determine or let the patient describe the color.
SNORE AT NIGHT ( SLEEP APNEA)
YELLOW/GREEN- BACTERIAL
 ● If it’s yellow to green or yellowish to greenish
that is your bacterial infection
● Cephalexin is one of the best medicine
● It would depend on how many days the
phlegm.
● Ask also of any previous diagnostic result,
because this information like your chest x-ray
if ever the patient has any tuberculosis tests

RED (HEMOPTYSIS)
● When the patient has your red in color it is TRAVEL
your hemoptysis ● Like for example your patient is from china,
● There's blood in sputum then probably the patient is high risk of
● Seen most likely in patient who has serious having a condition
respiratory condition

RUST COLORED- TUBERCULOSIS

● You would maintain specific distance because
the patient have your TB or tuberculosis

➢ By this you would know the different color of

the sputum. And you would ask the client if
it's excessive or tenacious secretion, by that
we could give a deeper or a relevant
intervention to our patient.
FAMILY HISTORY OF LUNG DISEASE
● The family history also would be a good part
of the respiratory because if someone in the
family is smoker probaby may acquire a
second-hand

SMOKE IN THE FAMILY

● smoke, this also the development of the lung
cancer

PRIOR RESPIRATORY PROBLEM
● We would also ask for the past health history
like any prior respiratory problem, because it
increases the likelihood of recurrence or it is
possible to come back again.
● Like asthma that is symptomatic could mimic
the symptoms of emphysema or heart failure.
SURGERIES
● Surgeries biopsies or chest trauma or
respiratory trauma
● It would cause a starling and a trauma to the
thorax and it would result in the less density
or a tissue changes
PULMONARY ILLNESS
● Half of the percentile could be genetic and
there is a certain history of asthma or
emphysema and it would be acquired
WORKPLACE
● Or the patient is exposed to any risk inside
their house, workplace and the activities that
the patient is performing.
MEDICATION
● Medication also because some of the
medication could cause a certain problem.
We all know that considering all medication
when determining respiratory problems could
have an adverse reaction.

ALLERGIES
● Allergies also may be manifested with
respirator symptoms like dyspnea or difficulty
of breathing like cough or it could turn into
hoarseness of voice because of the
vasoconstriction

DIAGNOSTIC RESULT (PREVIOUS)

 ● The leading cause of death for the thoracic
and lung assessment is having a risk of
developing lung cancer.
● With the predisposing and your precipitating
factor that could may be exposed by the
patient probably it would lead to your lung
cancer
● As health educators we should instruct the
patient to never smoke or if the patient has
someone that is a smoker he should avoid
him.
● Patients also would be instructed to earth low
cholesterol diet with adequate amounts of
fruits and vegetables.
● May be given a health pitching to limit
exposure to any hazardous pollution and
harmful substances.
● Encourage the patient to always wear a mask
● So that you would know that the renal is still
functioning because it would also help in the
development of the blood pressure and
maintaining the blood pressure.
DIZZINESS
● Dizziness also associated with the decrease
in your oxygen of your patient
EDEMA
● With your edema this signifies that the patient
is developing your congested heart failure.
● With this it would be associated to an renal
perfusion code, by this the doctor would get
your analysis
● Determining the glomerular filtration rate of
the patient because that is your ability of the
kidney to excrete.

ASSESSING FOR THE HEART AND NEXT

VESSEL CARDIOVASCULAR SYSTEM

CHEST PAIN AND PALPITATION

● First is you want to know if the patient is
HEALER AILMENT
having a chest pain or palpitation
● Any form of heart ailment ask together also if
● With this any forms of chest pain that is
there is heart ailment of the family because it
reposted by the patient should be addressed
would be hereditary
properly because it would lead to angina and
your myocardial
RHEUMATIC FEVER
● Ask if she always has tonsillitis because
ANGINA PECTORIS
rheumatic fever is ascending infection
MYOCARDIAL INFARCTION
● If she always has tonsillitis within a month
● Angina is that is your cardiac chest pain
then the patient would be subject to
● Usually the patient would describe as a
tonsillectomy because it would be difficult if
sensation of squeezing of the heart
there is an ascending infection that would go
● When the patient would report that there is
into the heart.
worsening of chest pain and the patient would
feel that an her chest is heavy then that is
SURGERY
related to your myocardial infarction
● Any surgeries in the heart because it would
● The pain of angina is steady
cause a scarring of tissues
● if its worsened and the patient would develop
diaphoretic and it is severe form of pain that
ECG
is your myocardial infarction
● and determine also for the conductivity of
conduit of the electrical impulse in heart
RENAL PERFUSION
which is your electrocardiogram
● Renal perfusion would describe the ability of
● The patient must know if they have an history
the kidneys to excrete within the normal ml
of the family of having heart problems
● Within per hour it would be 30 to 60 and it
● It is initiative of the nurse to encourage the
should be not highly concentrated or not
patient to do your electrocardiogram
highly osmolarized the urine
 ● If they have capacity so it is okay for to the
echo, that is your 3d heart form of to know
the different dimension of the functionalities
on her chest
LIPID PROFILING (DYSLIPIDEMIA)
● It may be the sedentary of the patient like
smoker and he loves consume hugh
biological meat product then it would case a
formation or increase cholesterol
● With this aluminum would become narrow
● for their test to determine if the patient may
be prone to developing such illness.
MEDICATION
● In medication use so once that the patient is
given anti-hypertensive or any drugs, the
patient must adhere to that
BLOOD PRESSURE
● Blood pressure monitoring should be within
the normal 120 to 80 in a normal healthy
adult millimeter per mercury.
SMOKE
● Smoking because it could cause constriction
and eventually it would cause an infection
STRESS
● Stress of the patient depending upon the
exposure to the workplace or personal life
LIFESTYLE
● Determine if the patient has any exercises
routine any stress-free lesions that would
help decreasing the stress that the patient
feeling
● So with this when there is a developing of
your atherosclerosis it would develop in to the
thick lumen and would decrease the blood
flow and thus it would be painful for the
patient
● it would cause your angina practice
● if the patient is uncontrolled it would bleed
into your myocardial cause it would crease
blockage
● We call that as your infarction because
without intervention it would cause an
obstruction and blockage
DETERMINE FOR THE PERIPHERAL
PERFUSION
CHANGES COLOR, TEMPERATURE, TEXTURE
● Ask the patient that do you notice any
changes of the color, temperature and the
texture of your skin specially on the foot
PAIN AND CRAMPS
● Any pain and cramps, especially upon
standing, sitting or walking
VARICOSE VEIN NOTES
● Varicose vein is an indication of less density
of the wall so once that it started it would
cause your varicose.
SORES/ULCERS
● It is still unhealed and your edema
SEXUAL ACTIVITIES CAHNGES
● You want to ask th esecual activity that is
exchanging if it diminished
DM, HPN HX
● take note if there s diabtic because it is one
cause of decrease in the erectile dysfunction
hypertension any history of the hypertension
of the family.
SMOKER
● Smoking and the lifestyle and vices specially
if smoker because it would develop into your
buerger's disease

MEDICATION
● Medication that is being prescribed but it
didn't adhere so you would ask this type of
question.

● So with this the common problem is

peripheral vascular disease in the lower end,
distal from the heart.
● This is a common cause, we have five
vascular disorders: your aneurysm
cerebrovascular disease, deep vein
thrombosis and your pulmonary embolism
and occlusion of disease.
● Because of the decreased in the circulation
● This is mainly a greater problem that would a
great a big problem that would develop if
there is an occlusion or obstruction into the
lumen
● It would lead into the lost functionality