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Paediatric Respiratory Assesment

Queensland Paediatric Emergency CareNursing Skill SheetsRespiratory assessment in childrenRespiratory assessment includes the assessment of airway patency and efficacy of in sentencesMildALL the following:Moderate accessorymuscle use andANY of the following:Severe accessorymuscle use andANY of the following:Life-threateningANY of the following:Occasional irritabilitySome limitation in ability to talk - talking in phrasesAgitated, restless, distressedMarked limitation to ability to talk - talking in words only Drowsy or unconsciousUnable to vocalise due to dyspnoeaCan walk or crawlLethargicTripod sittingLethargicTripod sittingCollapsed or exhaustedMild accessory muscle useModerate accessory muscle useSevere accessory muscle useSevere accessory muscle use or poor Respiratory effortNormal

• Obtain the respiratory rate. • Observe for equal rise and fall of the chest. • Without a stethoscope listen for any sounds such as coughing, nasal congestion, snoring, grunting, wheezing or stridor. Finish the respiratory assessment with the ‘hands on’ elements: • Ensure the trachea is centred with no deviation.

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