Respiratory Exam Component | Western Sydney University - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

432

Pages:

2
Author:

Mariam A. A.

Respiratory exam Component What to do/look for and rationale • Wash hands • Introduce self. • Briefly explain purpose and obtain consent. • Begin by getting the patient to be positioned at 45 degrees. • Ask about pain before you begin. • Ask if there is pain anywhere. • Ask for vitals. General Inspection • Mobility aids. • Attachments, such as ventilators. • Looks for syndromes for example, Marfan’s syndrome. • Lines • Laboured breathing or use of accessory muscles. • Weight loss or muscle wasting -> cardiac cachexia. • Confusion. • Signs of anaemia. Hands. Face Posterior chest Anterior chest Heart assessment • Clubbing -> increase in soft tissues. - Cyanotic CHF, infective endocarditis, COPD, lung abscess, cystic fibrosis, asbestosis, celiac disease, IBS, pregnancy etc. • Pallor -> anaemia. • Peripheral cyanosis. • Radial pulse -> note volume, rhythm and regularity, frequency etc. • Breath rate and pulse. • Nicotine stains. • HPOA • Asterixis. • Check eyes and mouth of cyanosis. • Check nose for deformities. • Inspect for scars. • Palpate for chest expansion -> check for restrictive lung diseases such as pneumonia. • Percuss, at two sites laterally and at 6 sites on the posterior chest. • Asculate for breath sounds -> vestibular vs bronchial breath sounds. • Vocal resonance • Edema -> PE • Sacral edema Do same as posterior chest. • Check for JVP -> right heart failure or fluid back up. • Legs Extras Close the consultation Heart auscultation. - 1st heart sound: at apex for mitral valve and 4th intercoastal space for tricuspid. - 2nd heart sound left and right of sternum at second intercoastal spaces. • Pedal edema. • Chest X-Ray • Sputum cup • ECG Thank patient.

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