In: Nursing
A thorough respiratory assessment consists of an initial assessment, history taking, inspection,palpation, percussion,and auscultation in conjunction with comprehensive health history.A respiratory examination or lung examination is performed as a part of physical examination,in response to respiratory symptoms such as shortness of breath,cough,or chest pain and is often carried out with a cardiac examination. During this assessment follow a systematic approach and compare findings between left and right so the patient serves as his own control.
If possible, have him sit up. Uncover his chest and inspect the shape and configuration. Normally, the thorax is symmetrical and the anterior-posterior diameter is less than the transverse diameter. (Equel diametres may signal chronic obstructive pulmonary disease in adult).Note any structural deformity such as pigeon chest (Pectus Carinatum) or funnel chest (Pectus Excavatum).
Note his breathing, respiration should be even,unlaboured,and at a rate of 12 to 20 breaths per minute. Normally, inspirations is half as long as expiration and chest expansion is symmetrical. If your patient appears anxious or exhibits nasal flaring,cyanosis of the lips and mouth,intercostal retraction,or use of accessory muscle of respiration,he may be in respiratory distress.