<p> STUDENT LABORATORY EXERCISES </p><p>CHAPTER TWELVE: RESPIRATORY SYSTEM </p><p>Reading Assignment Jones: Patient Assessment in Pharmacy Practice, 2nd ed., Chapter 11, p. 191</p><p>Study Questions 1. Define the following: dyspnea, bradypnea, tachypnea, orthopnea, paroxysmal nocturnal dyspnea, wheezing, crackles, rhonchi. 2. Describe how a person’s cough would be characterized with a viral infection; bronchitis; asthma; croup. 3. Describe how a person would appear if he/she were in acute respiratory distress (what signs and symptoms would he/she have?). 4. List and describe 3 types of normal breath sounds. 5. What are adventitious breath sounds? 6. What is O2 saturation? What is the normal range? 7. Describe the significance of a patient having a “barrel chest.” 8. What is the tripod position? When is it used?</p><p>Audio-Visual Links Patient Assessment in Pharmacy Practice Physical Examination Video: Respiratory System</p><p>Skills Laboratory This lab session will help you learn the components of assessing the respiratory system. Please remember that if a patient presents with a specific problem/symptom or responds “yes” to any of the general assessment questions regarding the respiratory system, you will need to ask focused questions regarding the specific complaint (please see Box 3-1 in the Health and Medication History laboratory exercise). </p><p> Learning Objectives o Obtain a person’s history related to pertinent signs and symptoms of the respiratory system. o Inspect, percuss, and palpate the chest. o Auscultate breath sounds and voice sounds. o Demonstrate proper use and interpretation of a peak flow meter. o Document history and physical examination findings, assessment, and potential plan of care.</p><p> Equipment o Stethoscope; peak flow meter; documentation form. </p><p> Instructions Wash your hands. Clean the earpieces and endpiece of the stethoscope with an alcohol pad. Pair up with a peer. Practice obtaining subjective information and objective physical examination data regarding a person’s respiratory system. Perform the physical examination of the respiratory system. Obtain the person’s peak expiratory flow rate using a peak flow meter and interpret the results. Document your findings on the assessment form, assess the state of health, and develop a potential plan of care.</p><p>From Jones, Rospond. Patient Assessment in Pharmacy Practice. 2nd ed. Lippincott Williams & Wilkins, 2009. Form 12-1 RESPIRATORY ASSESSMENT</p><p>STUDENT NAME </p><p>Patient Name:______Date:______</p><p>Age:______Gender:______Occupation:______</p><p>History: Any problems with a cough? No If yes, please describe.</p><p>Any shortness of breath or problems with your breathing? No If yes, please describe.</p><p>Any problems with wheezing? No If yes, please describe.</p><p>Any chest pain or tightness when you breath? No If yes, please describe.</p><p>Any past history of lung disease? No If yes, please describe.</p><p>Do you smoke? No If yes, how many per day? How many years have you been smoking?</p><p>Any living or work conditions that affect your breathing? No If yes, please describe.</p><p>When was your last TB skin test?</p><p>When was your last flu shot?</p><p>When was your last chest x-ray?</p><p>What medical conditions do you have?</p><p>What medications do you take? </p><p>From Jones, Rospond. Patient Assessment in Pharmacy Practice. 2nd ed. Lippincott Williams & Wilkins, 2009. Objective: Vital Signs:</p><p>Temp:______HR: ______RR: ______Resp Pattern:______</p><p>BP: ______R arm ______L arm </p><p>Inspection: Facial expression: Skin color: Thoracic cage: Person’s position:</p><p>Palpation: Symmetrical chest expansion: Tactile fremitus</p><p>Percussion: Side-to-side comparison:</p><p>Auscultation of Breath Sounds: Posterior: Adventitious sounds: If abnormal breath sounds are detected, perform bronchophony, egophony, and whispered pectoriloquy.</p><p>Assessment:</p><p>Plan:</p><p>From Jones, Rospond. Patient Assessment in Pharmacy Practice. 2nd ed. Lippincott Williams & Wilkins, 2009.</p>