MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
When assessing for adequate breathing in a patient it is standard practice to look for
A
pneumonia, agonal respirations, wheezing, retractions
B
cyanosis, nausea, numbness, angina
C
rate, rhythm, quality
D
rate, auscultation, stridor, pneumothorax
Explanation: 

Detailed explanation-1: -SIGNS OF ADEQUATE VENTILATION: In most patients, your assessment of ventilation will be based on observing their respiratory rate (normal 12 to 20) and listening for clear breathing sounds in the left and right chest. Auditory confirmation of breathing sounds is the strongest sign of adequate ventilation.

Detailed explanation-2: -Observe the movement of the chest wall and count the respirations for a full 60 seconds. One inhalation (breath in) plus 1 exhalation (breath out) = 1 respiration. Rationale – The patient may have an irregular respiratory rate and pattern. Counting for one full minute will measure this accurately.

Detailed explanation-3: -Good Rate, Rhythm, Quality and Depth are all necessary for adequate respirations. All must be within normal limits to prevent hypoxia, or possible respiratory arrest. If any of these components are abnormal it should be considered inadequate respirations.

Detailed explanation-4: -The rate is usually measured when a person is at rest and simply involves counting the number of breaths for one minute by counting how many times the chest rises. Respiration rates may increase with fever, illness, and other medical conditions.

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