So, let's talk about some common factors that influence the character or quality of respirations.
Because we need you to be very clear on what normal is.
That way, it's easier for you to recognize what's abnormal and what's a sign of real impending trouble.
So, here's some things that will impact your respiratory assessment. If the patient's in pain.
Think about what you do when you're in pain. You may breathe faster, they may breathe more shallow.
If they've had abdominal surgery or have abdominal pain, any injury or trauma
that causes them to experience more pain if they expand that wall very much, this will be impacted.
So, an abdominal surgery, gastric distention, a late pregnancy.
Those poor women that are late in pregnancy
when they have the baby is really taking up a lot of their body space,
they don't have much room for their lungs or their diaphragm to move.
So, that will impact their respiratory assessment.
After you've had significant exercise or you've exerted yourself. You have anxiety, a panic attack.
Certain medications will impact your respiratory assessment.
The position of the body. Now, the best position to facilitate good breathing
if someone who's having trouble is High Fowler's.
Have them sitting pretty close to straight up in bed that would facilitate their ability to breathe.
Also, fever will impact your respiratory assessment.
Fever, hyperthermia in the body, increases metabolic demands.
That's why their respiratory rate will also increase. Okay, we've gave you this big list here.
So, what do you do with this when you're studying?
Kind of look at how you're gonna chunk information together.
When you're thinking through these options,
make sure that each one of them makes sense to you
on how they're going to impact your respiratory assessment.