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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:
•relaxed posture
Inspection  •normal musculature
•rate 10 - 18 breaths per minute, regular
•no cyanosis or pallor
•anteroposterior diameter less than transverse diameter

Palpation  •symmetric chest expansion


•tactile fremitus present and equal bilaterally

Percussion 
•resonant

Auscultation •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

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