Class notes
Nur 212 Respiratory Assessment Notes
- Course
- NUR 212
- Institution
- Gwynedd Mercy University
This is a comprehensive and detailed note o. Respiratory Assessment for Nur 212. *Essential Study Material!!
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Introduction:❏ Hello My name is ________ I am going to be performing your respiratory assessment on
you today is that okay?
❏ Perform Hand Hygiene
❏ Can you please tell me your name and date of birth
❏ I'm going to start by asking you a few questions
❏ Ask 4 Questions
-Do you smoke, have you ever smoked, do you live with anyone who smokes?
-Do you have any shortness of breath?
-Do you have asthma?
-Do you exercise regularly, if so does it cause you shortness of breath?
-How oten do you have colds, and how long do they last?
-Do you get your lu vaccine and when was the last time you got it?
-How many pillows do you sleep with, is it for comfort or because you can't breathe?
-Do you have a cough, if so is it productive, is anything coming up?
❏ Could you please take your shirt of for me
Inspection:
❏ Now i'm just going to take a look
❏ Look at posterior and lateral diameter, should be 1-2, someone whose barrel chested, has
COPD or has emphysema would be 1-1 APA Lateral diameter
❏ Say: “AP Lateral Diameter is 1-2 which is normal”
❏ Check respiratory rate, count for 30 seconds then multiply it by 2
❏ Say: “ e number you got ,Normal respiratory rate, and normal depth, No use of
accessory muscles”
❏ Ask patient to swallow then state “Trachea was midline”
❏ Ask for ethnicity
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