Dealing with the Patient
Card Set Information
Dealing with the Patient
Patient assessment, Patient Interview, Infection control
What are the two types of chest pain?
Type if chest pain
Made worse by breathing
Sharp in nature
Located laterally and posteriorly on chest wall
Associated with diseases that affect lining of the lung ( pheumothorax, pulmonary embolism, pneumonia)
Type of chest pain
Not affected by respiratory efforts
Dull pressure sensation
Located centrally in chest
Assiciated with ischemic heart disease
Noticible production is a sign of disease of airway
Most common cause is smoking (also caused by asthma and pheumonia)
How is sputum described?
Mucoid- clear/thick (airway diseases without infection
Fetid- foul smell
Purulent- pus (bacterial infection)
Copious- large amounts (most often seen in bronchiectasis)
Most frequent symptom (caused by stimulation of cough receptors from mechanical, chemical, inflammatory and thermal sources)
Usually associated with airway disease (found in acute upper respiratory infection, asthma, bronchitis)
What should you ask about a cough?
When and how often
What are the most common symptoms of patients with cardiopulmonary disease?
What to ask about dyspnea?
When, where and why?
Rate 1 to 10
History of disease
Stable or worsening
What to ask about sputum?
Recent changes in color and amount
Caused by infections disease
20-30% of the time cause is undetermined
Chronic hemoptysis can be caused by chronic disease
When associated with bronchitis- harmeless
When associated with carcinoma-life threatening
Abnormal rise in body temperature due to disease (usually due to an infection)
Common respiratory problem associated with fever (viral infection, bacterial bronchitis, bacterial pneumonia, fungal infections, tuberculosis)
Caused by narrow airways due to constriction or obstruction
Associated with SOB, cough, sputum
Commonly found in asthmatics, congestive heart failure, bronchitis
What are the four basic vital signs?
What is considered the fifth vital sign?
What are different breathing patterns?
Abdominal paradox due to diaphragm fatigue
Biot's respiration due to increased intracranial pressure
Cheyne-Stokes due to CHF or CNS disorder
Kussmal's due to metabolic acidosis
Apneustic due to brain damage
Paradoxical respirations due to chest trauma, diaphragm paralysis, muscle fatigue
Asthmatic due to obstruction of airflow out of lungs
Degree of symmetrical expansion
Other things to look for when assessing the patient
jugular venous distention
pursed lip breathing
Complete blood count:
leukocytosis (increased WBC)
leukopenia (decreases WBC)
Data collected via a lab
ABG (arteriole blood gas)
pulmonary function testing
types of patient records
problem oriented medical record (POMR)
what do traditional chars include?
physician's order sheet
history and physical examination data
respiratory care sheet
nurses' admission info
nursing care plans
Most common POMR
What does SOAP mean?
Subjective (feeling by the patient/nonmeasurable)
Objective (measureable tests like bp, rr, temp etc.)
What does IER mean in SOAPIER note?
Health care associated infections
infection that patients aquire during a course of recieving medical treatment
PPE for Concact
Gloves and gown
PPE for Droplet
Gloves, gown, mask
PPE for airborne
Gloves, gown, goggles, n95