NSG 3012 Week 3 Discussion – Breathing, Heart, and Lungs

The anxious patient seems to be hyperventilating. This is evidenced by the shallow and rapid breathing. This causes a decrease in Co2 in the blood, which makes the tingling sensation. Respirations that are between the ranges of 12-20 breaths per minute are normal. This is a normal assessment with an even breathing rate and rhythm. Rapid breathing is also called tachypnea. This is determined by a breathing rate of over 20 breaths per minute. A respiratory rate below 12 breaths per minute is called bradypnea.

African Americans are at a higher risk for developing heart disease due to cultural foods that are full of sodium. This was caused by the lack of dietary literacy while African Americans were enslaved and were given food that was not healthy and undesired by their oppressors.

To perform palpitation, the nurse should stand behind the patient and put their thumbs as close to the 10th rib. The nurse’s hands will be out. Next, ask the nurse’s patient to breathe in as you check for symmetry movement on the thumbs. Ask the patient to state a phrase to check the vibrations as you make your way down. Assess the bulges anterior and posterior. While using the tips of the fingers, gently palpate the area below the breast tissue. Percussing the anterior assessment, the patient should lie down and then strike the finger placed on the patient’s skin with the end of the middle finger of your dominant hand.

NSG 3012 Week 3 Discussion – Breathing, Heart, and Lungs

In my opinion, for someone who has a history of tobacco use, I would anticipate hyperresonance because tobacco use can cause emphysema or COPD (Sarkar et al., 2019). When percussing a patient with COPD and Emphysema, you will hear the hyperresonant. This is the strongest predictor of COPD(Sarkar et al., 2019).

The lungs have a negative pressure space that holds the lungs against the chest wall. While breathing, the lungs go up and down. This extends the lungs, making costodiaphragmatic recess. Compromises like air and fluid can cause lung expansion to cease (Jarvis [C.], 2020).

References

Jarvis. (2020). Physical Examination and Health Assessment (8th Edition). Elsevier Health Sciences (US).. https://digitalbookshelf.southuniversity.edu/reader/books/9780323510806/epubcfi/6/60[ %3Bvnd.vst.idref %3Did_chp00016]!/4/2/20/8[s0200]/14[t0050]/4/2/6/12/2[tcl1640]/3:23[etr%2Cy.]

Sarkar, M., Bhardwaz, R., Madabhavi, I., & Modi, M. (2019). Physical signs in patients with chronic obstructive pulmonary disease. Lung India, 36(1), 38. https://doi.org/10.4103/lungindia.lungindia_145_18

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