1
Q
Full respiratory assessment
A
1) S: SOB?
2) S: sputum (COCA)
3) O: respirations are regular , even and I labored
4) O: lungs clear ( no adventitious sounds) in all lobes bilaterally .- posterior and anterior
5) suction lung sounds: rhonchi , crackles
6) nail beds and mucous membranes are pink
2
Q
Signs of hypoxia
A
High
3
Q
What is hypoxia
A
Bj
4
Q
What is hypoxemia
A
Huh
5
Q
Signs of hypoxemia
A
Bin
6
Q
Assessment for auctioning
A
- Nursing history
- Baseline VS, incl pulse ox
- Good respiratory assess( ABC airway, breathing, circulation, lung sounds , signs and symptoms of hypoxia)
- Neurological assessment ( anxiety , restlessness, LOC)
- Signs that indicate need for suctioning
