1.Today you are assessing a 45 year old morbidly obese female who is a smoker an
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Question
1.Today you are assessing a 45 year old morbidly obese female who is a smoker and is post op laminectomy 48 hours ago. The post op notes stated that she had difficulty being extubated in the recovery room but has responded well in the last 24 hours with pulse ox at 99 % and vital signs stable at the last check 6 hours ago. She is sitting up when you enter the room but is lethargic and has a temperature of 100.4, pulse is 100, respirations are 22 and shallow. Pulse ox is 93%.
You listen to her lungs and determine that she has diminished breath sounds at the left base. What other assessment techniques would you use and why? What would you expect to find as you perform these techniques?
Explanation / Answer
The assessment techniques which can be used to assess the breath of a person include
By doing all these techniques we can assess the problems . Auscultation means hearing the breath sounds with the help of a stethoscope. It helps to hear the abnormal breathe sounds like crackles, murmur, wheezing, rhonchi etc
Inspection initiates nad continue throughout the patient care. it is done with eyes and intellect. i.e, clubbing, degree of discomfort etc can be detected.
Palpation:- by using palm of each hand on the chest .I.e, search for rib deformities, nodules, and areas of tenderness.
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