Ministry of Higher Education and Scientific Research

Sulimani Polytechnic University

Chamchamal Technical Institute
Nursing Department
Stage:1 Semester:2

Title: respiration assessment

Supervise by: Prepared by:

assistant Lecture 1. hogr nwraden
Ahmed Amin Mohammed 2. hndren wali
3. hevar
4. Mohameed Sherzad Aziz
 Outline
1. Definition.
2. Signs & symptoms
3. Classification of Blood Pressure
4. Measurement
5. Risk Factors
6. Nursing diagnosis & management.
7. Medical management .
8. Nursing consideration.
9. References
 Respiration assessment

A focused respiratory objective assessment includes

interpretation of vital signs; inspection of the patient's
breathing pattern, skin color, and respiratory status;
palpation to identify abnormalities; and auscultation
of lung sounds using a stethoscope.

Thomas Brack and Ulrich Silvia

 Classification of respiration assessment

• Inspection: (looking at the body)

• Palpation: (feeling the body with fingers or hands)

• Percussion: (producing sounds, usually by tapping on specific

areas of the body)

• Auscultation: (listening to sounds, usually with a stethoscope)

Chippewa Valley Technical College; 2021.

Signs & symptoms of respiratory difficulty

People having trouble breathing often show signs that they are having
to work harder to breathe or are not getting enough oxygen.

Huw Llewelyn
Signs & symptoms of respiratory difficulty for assessment

Breathing rate Color changes

Nose flaring

Retractions Wheezing Sweating

Measurement or(Laboratory tests )
• Spirometry measures airflow. By measuring
how much air you exhale, and how quickly you
exhale, spirometry can evaluate a broad range
of lung diseases. In a spirometry test, while
you are sitting, you breathe into a mouthpiece
that is connected to an instrument called a
spirometer. Heather Baid, 2016
 Risk Factors of respiration

• The risk factors for respiratory issues can vary widely depending on the
specific condition however some common risk factors include

• Smoking

• Air pollution

• Occupational exposures (like chemicals or dust) allergies

• Respiratory infection and underlying health conditions such as athama

(COPD)

• Additionally lifestyle factors like poor diet and lack of exercise can also
contribute to respiratory problems
Nursing Diagnosis & Management.

• Nursing diagnosis involves assessing a patient’s health status

identifying potential issues and formulating a plan for care.

• Ineffective breathing pattern

• Impaired gas exchange

• Risk for aspiration

Medical management

• They may include medications (bronchodilators,

corticosteroids, antibiotics, etc.), oxygen therapy, pulmonary
rehabilitation, lifestyle changes, allergen immunotherapy,
surgery, and management of co-existing conditions.

(physio-pedia.com, 2021)
Nursing consideration

• Inspection during a focused respiratory assessment includes observation of level

of consciousness,

• breathing rate (between 12–20 breaths per minute.)

• skin color (is a common, usually harmless condition in which patches of skin
become darker in color than the normal surrounding skin.)

• chest configuration (a coordinated movement of the chest wall and abdomen

moving outward on inspiration and inward on expiration. )

• symmetry of expansion.(capacity of the lungs related to age and (physio-pedia.com,

gender) 2021)
 References
• Baid, H. (February 2016). 4 Respiratory assessment and monitoring. Retrieved from
https://academic.oup.com/book/31781/chapter/265941169
• Llewelyn, H. (n.d.). 6 Respiratory symptoms and physical signs. Retrieved from
https://academic.oup.com/book/31795/chapter-abstract/266175638?
redirectedFrom=fulltext
• physio-pedia.com. (2021). Respiratory Assessment. Retrieved from
https://www.physio-pedia.com/Respiratory_Assessment
• Silvia, T. B. (n.d.). introduction of respiration assessment . In Self-Assessment in
Respiratory Medicine (p. 14).
• Valley, C. (2021). Nursing Skills [Internet]. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK593192/