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Chap 29 Nursing Assessment (Diagnostics Studies (Radiology (Computed…
Chap 29 Nursing Assessment
ABGs
PaCO2- 35-45
PO2- 35-45
Ph- 7.35-7.45
HCO3- 22-26
MEH
Metabolic, Equals, HCO3
Rocko
Respiratory, Opposite, Rocko rhymes with PACO
Control of Respirations
Chemoreceptors respond to changes in PaCO2 and pH
Mechanical receptors respond to a variety of physiologic factors
Physiology of Respiration
Ventilation, Compliance, Diffusion
Respiratory Defense Mechanisms
reflex bronchoconstriction
Alveolar macrophages
cough reflex
mucociliary clearance system
Filtration of air
Elderly Considerations
Defense mechanisms diminished
Respiratory control diminished
Structural changes
Assessment
Subjective Data
Important Health Information
Past medical history; medications; surgery and treatments
Functional health patterns
Health perception–health management pattern; Nutritional‑metabolic pattern; Elimination pattern; Activity‑exercise pattern; Sleep‑rest pattern; Cognitive‑perceptual pattern; Self‑perception–self‑concept pattern; Role-relationship pattern; Sexuality‑reproductive pattern; Coping–stress tolerance pattern; Value‑belief pattern
Objective Data
Physical Examination
Mouth and Pharynx
Neck
Nose
Thorax and lungs
Inspection, Palpation, Percussion, Auscultation
Abnormal Findings
Abnormal breath sounds
Adventitious Sounds
Course Crackles
Rhonchi
Fine crackles
Wheezes
Stridor
Pleural Friction Rub
Diagnostics Studies
Sputum studies
spontaneous
induced
Skin Test
Allergies
TB
Bronchoscopy
Lung Biopsy
Percutaneous/transthoracic needle aspiration
(TTNA)
Video-assisted thoracic surgery
(VATS)
Transbronchial
Open biopsy
Pulmonary Function Tests
Spirometry (measures lung capacity)
Exercise Testing
6-minute walk test
Radiology
Computed tomography (CT)
Magnetic resonance imaging (MRI)
Chest X-ray
Ventilation-perfusion (V/Q) scan
Pulmonary angiogram
Positron emission tomography (PET)
Respiratory Inadequacy
Unevenly developed muscles
Skin & mucous membrane changes
Weight loss
General appearance
Clubbing
Endurance
Egophony
Bronchophony
Whispered pectoriloquy