A-E Respiratory Assessment: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
== A-E Respiratory Assessment == | |||
The A-E assessment; Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach is a systematic approach to the immediate assessment and treatment of critically ill or injured patients<ref>Thim T, Krarup NH, Grove EL, Rohde CV, Løfgren B. Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. ''Int J Gen Med''. 2012;5:117-121. doi:10.2147/IJGM.S28478</ref>, it has become widely adopted as a way of documenting the assessment of respiratory patients. | The A-E assessment; Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach is a systematic approach to the immediate assessment and treatment of critically ill or injured patients<ref>Thim T, Krarup NH, Grove EL, Rohde CV, Løfgren B. Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. ''Int J Gen Med''. 2012;5:117-121. doi:10.2147/IJGM.S28478</ref>, it has become widely adopted as a way of documenting the assessment of respiratory patients. This systematic approach should allow you to determine if the patient has one of the following problems: | ||
▫Sputum retention | |||
▫Loss of [[Lung volumes|lung volume]] | |||
▫Increased work of breathing (breathlessness) | |||
▫Respiratory failure | |||
=== Airway === | === Airway === | ||
| Line 7: | Line 15: | ||
Occluded/Obstructed: indicated by stridor, hoarse voice, orthopnoea, drooling, dysphagia | Occluded/Obstructed: indicated by stridor, hoarse voice, orthopnoea, drooling, dysphagia | ||
Are they self ventilating? | Are they self ventilating? If not, what is the mode of ventilation? CPAP, BiPAP, Ventilated | ||
=== Breathing === | === Breathing === | ||
What is their respiratory rate? | What is their respiratory rate? Is it regular? | ||
Work of breathing | Work of breathing, are they using their accessory muscles? | ||
What are the saturation levels? Are they on any oxygen? How is it delivered. | What are the saturation levels? Are they on any oxygen? How is it delivered. | ||
Have they had | Have they had [[Arterial Blood Gases|ABG]]<nowiki/>s? what are the PaO2 and PaCO2 levels? | ||
What did their chest Xray show? | What did their chest Xray show? | ||
| Line 22: | Line 30: | ||
Chest expansion: is it even | Chest expansion: is it even | ||
Auscultation: Are there breath sounds throughout? Are there any added sounds | [[Auscultation]]: Are there breath sounds throughout? Are there any added sounds e.g. crackles, a wheeze crepitation? | ||
Palpation: What can you feel? secretions? tactile fremitus | Palpation: What can you feel? secretions? tactile fremitus. Do they feel hot/cold? compare centrally to peripherally. Is there any Oedema? | ||
What is their cough like? Strong or weak? Dry or Wet? productive or unproductive. | What is their cough like? Strong or weak? Dry or Wet? productive or unproductive. | ||
Are they able to expectorate their secretions? | Are they able to expectorate their secretions? | ||
Percussion: | |||
=== Circulation === | === Circulation === | ||
Heart Rate | Heart Rate | ||
Blood Pressure | [[Blood Pressure]] | ||
Skin colour | Skin colour | ||
| Line 49: | Line 59: | ||
Injuries | Injuries | ||
Attachments: Catheter, Arterial line, NG tubes, <references /> | Are there any surgical wounds? Are these contraindications for any interventions? | ||
Do they have any drains? Are they swinging and bubbling | |||
<ref>Harden, B. Cross, J. Broad, M A. Quint, M. Ritson, P. Thomas, S. Respiratory Physiotherapy; An on call Survival Guide. Churchill Livingstone Elsevier 2009</ref><ref>Respiratory Physiotherapy 2002 98;23 58 Available at https://www.nursingtimes.net/clinical-archive/respiratory-clinical-archive/respiratory-physiotherapy-21-03-2002/ Accessed 26 August 2020<article> | |||
</article></ref> | |||
Attachments: Catheter, Arterial line, NG tubes, | |||
=== References === | |||
<references /> | |||
[[Category:Respiratory]] | |||
Revision as of 16:07, 26 August 2020
A-E Respiratory Assessment[edit | edit source]
The A-E assessment; Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach is a systematic approach to the immediate assessment and treatment of critically ill or injured patients[1], it has become widely adopted as a way of documenting the assessment of respiratory patients. This systematic approach should allow you to determine if the patient has one of the following problems:
▫Sputum retention
▫Loss of lung volume
▫Increased work of breathing (breathlessness)
▫Respiratory failure
Airway[edit | edit source]
Is the airway patent? is it their own?
Occluded/Obstructed: indicated by stridor, hoarse voice, orthopnoea, drooling, dysphagia
Are they self ventilating? If not, what is the mode of ventilation? CPAP, BiPAP, Ventilated
Breathing[edit | edit source]
What is their respiratory rate? Is it regular?
Work of breathing, are they using their accessory muscles?
What are the saturation levels? Are they on any oxygen? How is it delivered.
Have they had ABGs? what are the PaO2 and PaCO2 levels?
What did their chest Xray show?
Chest expansion: is it even
Auscultation: Are there breath sounds throughout? Are there any added sounds e.g. crackles, a wheeze crepitation?
Palpation: What can you feel? secretions? tactile fremitus. Do they feel hot/cold? compare centrally to peripherally. Is there any Oedema?
What is their cough like? Strong or weak? Dry or Wet? productive or unproductive.
Are they able to expectorate their secretions?
Percussion:
Circulation[edit | edit source]
Heart Rate
Skin colour
Sweating
Urine Output
Blood Sugar levels (BMs)
Disability[edit | edit source]
Level of consciousness; Alert, Voice, Pain, Unresponsive
Exposure[edit | edit source]
Injuries
Are there any surgical wounds? Are these contraindications for any interventions?
Do they have any drains? Are they swinging and bubbling
Attachments: Catheter, Arterial line, NG tubes,
References[edit | edit source]
- ↑ Thim T, Krarup NH, Grove EL, Rohde CV, Løfgren B. Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. Int J Gen Med. 2012;5:117-121. doi:10.2147/IJGM.S28478
- ↑ Harden, B. Cross, J. Broad, M A. Quint, M. Ritson, P. Thomas, S. Respiratory Physiotherapy; An on call Survival Guide. Churchill Livingstone Elsevier 2009
- ↑ Respiratory Physiotherapy 2002 98;23 58 Available at https://www.nursingtimes.net/clinical-archive/respiratory-clinical-archive/respiratory-physiotherapy-21-03-2002/ Accessed 26 August 2020<article> </article>
