The cardiovascular and peripheral vascular system affects the entire body. Report and document assessment findings and related health problems according to agency policy.Īccurate and timely documentation and reporting promote patient safety.ĭata source: Assessment Skill Checklists, 2014 Jarvis et al., 2014 Perry et al., 2014 Stephen et al., 2012 Wilson & Giddens, 2013įocused Cardiovascular and Peripheral Vascular System Assessment Figure 2.3 Anatomy of the heart Auscultate anterior chest blue dots indicate stethoscope placement for auscultation Auscultate posterior chest blue dots indicate stethoscope placement for auscultationĤ. Pleural friction rub (creaking) may indicate pleurisy. Low-pitched wheezing (rhonchi) may indicate pneumonia. Wheezing may indicate asthma, bronchitis, or emphysema. Auscultate (anterior and posterior) l ungs for breath sounds and adventitious sounds.įine crackles (rales) may indicate asthma and chronic obstructive pulmonary disease (COPD).Ĭoarse crackles may indicate pulmonary edema. With hypoxemia, cyanosis of the extremities or around the mouth may be noted.ģ. Patients in respiratory distress may have an anxious expression, pursed lips, and/or nasal flaring.Īsymmetrical chest expansion may indicate conditions such as pneumothorax, rib fracture, severe pneumonia, or atelectasis. Respirations for rate (1 minute), depth, rhythm pattern.Configuration and symmetry of the chest.For use of accessory muscles and work of breathing.Conduct a focused interview related to history of respiratory disease, smoking, and environmental exposures.Īsk relevant questions related to dyspnea, cough/sputum, fever, chills, chest pain with breathing, previous history, treatment, medications, etc. Complete necessary focused assessments.ġ.Apply principles of asepsis and safety.Use appropriate listening and questioning skills.Be organized and systematic in your assessment. Confirm patient ID using two patient identifiers (e.g., name and date of birth).Checklist 19: Focused Respiratory System Assessment Disclaimer: Always review and follow your hospital policy regarding this specific skill. The focused respiratory system assessment in Checklist 19 outlines the process for gathering objective data. Focused Respiratory System Assessment Figure 2.2 Respiratory systemĪ focused respiratory system assessment includes collecting subjective data about the patient’s history of smoking, collecting the patient’s and patient’s family’s history of pulmonary disease, and asking the patient about any signs and symptoms of pulmonary disease, such as cough and shortness of breath. Health care professionals do focused assessments in response to a specific patient health problem recognized by the assessor as needing further assessment of a body system or systems.
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