Initial Assessment of the Critically Ill Patient - Examination - Airway and Breathing
13 important questions on Initial Assessment of the Critically Ill Patient - Examination - Airway and Breathing
What effect does hypoxemia usually have on the cognitive functions?
What effect does hypercapnia usually have on the cognitive functions?
What does periodic breathing and apneas indicate?
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When can pulse oximetry be unreliable?
What indicates a partial airway obstruction?
And an inability to talk
What can cause an airway obstruction? (7)
- Direct trauma
- Blood
- Foreign body
- CNS depression (blockage of soft tissue or the tongue)
- Infection
- Inflammation
- Laryngospasm
What does an increase in the depth of respiration indicate?
What can you observe during inspection in A?
- Obvious signs of obstruction (vomitus, blood or a foreign object)
- Respiratory rate
- Pattern of breathing (shallow, asymmetric)
- Use of accessory respiratory muscles
- Cyanosis
- Paradoxical respiration
- Tracheal shift
What is the most important indicator of critical illness?
What is pulsus paradoxus and of what is it a sign?
It can occur in profound hypovolemia, pericarditis, cardiac tamponade, asthma and COPD>
What results in a palpable thrill?
In addition to ABC s, a quick external examination should focus on?
Clubbing is associated with: hypoxia ( trommelstokvingers)
- Lung disease:
- Heart disease:
How do you determine the patients physiological reserve?
Severe comorbidities
physiological abnormalitis
Cognitive dysfunction
( niet compleet )
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