Inspection(1) 1. Respiratory movement Abdominal breathing:male adult and child Thoracic breathing:female adult
11 Inspection(1) 1. Respiratory movement ◼ Abdominal breathing: male adult and child ◼ Thoracic breathing: female adult
Inspection(2) 2.Respiratory rate:16-18 f/min Tachypnea:>20 f/min Bradypnea:<12 f/min 12
12 Inspection(2) 2. Respiratory rate: 16-18 f/min ◼ Tachypnea: >20 f/min ◼ Bradypnea: <12 f/min
Inspection(2) Shallow and fast respiratory muscular paralysis,elevated intraabdominal pressure,pneumonia, pleurisy Deep and fast Agitation,intension ■Deep and slow Severe metabolic acidosis (Kussmaul's breathing) 13
13 Inspection(2) ◼ Shallow and fast respiratory muscular paralysis, elevated intraabdominal pressure, pneumonia, pleurisy ◼ Deep and fast Agitation, intension ◼ Deep and slow Severe metabolic acidosis (Kussmaul’s breathing)
Inspection (3) 3. Respiratory rhyhm/小nV ▣ Cheyne-Stokes'breathing Biot's breathing M Decreased excitability of respiratory center ▣Inhibited breathing Sudden cessation of breathing due to chest pain Pleurisy,thoracic trauma ▣Sighing breathing Depression,intens 小n
14 Inspection (3) 3. Respiratory rhythm Cheyne-Stokes’ breathing Biot’s breathing _____Decreased excitability of respiratory center Inhibited breathing ◼ Sudden cessation of breathing due to chest pain Pleurisy, thoracic trauma Sighing breathing ◼ Depression, intension
Palpation Thoracic expansion Massive hydrothorax,pneumonia, pleural thickening,atelectasis Vocal fremitus(tactil fremitus) Pleural friction fremitus Cellulose exudation in pleura due to pleurisy Holding breathing-disappeared Tuberculous pleurisy,uremia,pulmo em bolism
15 Palpation Thoracic expansion ◼ Massive hydrothorax, pneumonia, pleural thickening, atelectasis Vocal fremitus (tactil fremitus) Pleural friction fremitus ◼ Cellulose exudation in pleura due to pleurisy ◼ Holding breathing disappeared ◼ Tuberculous pleurisy, uremia, pulmo embolism