As a nurse, you know that positioning can be about so much more than just patient comfort. The right position can have a huge impact on patient health and recovery, and knowing the correct position for each patient care situation is crucial. Here is a cheat sheet of some common patient positions and their uses:
Respiratory Disorders NCLEX Points: Asthma
Want to know what the Respiratory Disorders Portion of the NCLEX® will be testing on? We’ll show you what to study, and what to look for.
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Respiratory Disorders NCLEX Points: Asthma
Want to know what the Respiratory Disorders Portion of the NCLEX® will be testing on? We’ll show you what to study, and what to look for.
Share This Cheatsheet with Someone Who Also Could Use Help
Adventitious Sounds in Respiratory Assessment Chart.
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ATLANTA, GA – Anesthesiologist and Pokémon Go addict Tobey Matthews was using augmented reality to explore life on the other side of the anesthesiology drape when he spotted Snorlax in an adjacent operating room. Joy turned to grief when he realized Snorlax was apneic and cyanotic. Thankfully, Matthew acted quickly and intubated Snorlax for airway protection.
“I must admit, I was nervous,” recalled Matthews. “I’ve never had to intubate a Pokémon, let alone The Big Fella.”
To those unfamiliar with this Pokémon, Snorlax is a morbidly obese (BMI of infinity) blue-green bipedal creature that is almost certainly diabetic and hypertensive due to his propensity to eat 400 kg of food at a time when not unconscious from a food coma. His lipids are uncontrolled despite max-dose therapy with a statin, fibrate, and niacin. Though he has been diagnosed with obstructive sleep apnea (OSA), he is notoriously noncompliant with his CPAP. His pointed ears are small such as to ignore dietary advice and his two sharp teeth in the lower jaw are key to devouring Big Macs. He uses his claws primarily to scratch areas afflicted with intertrigo.
Matthew says that when he spotted Snorlax, he did what any sensible human being or medical provider would do: try to awaken the oversized cartoon beast with a Poké Flute or Pokégear set to the Poké Flute Channel. That and slap him in the balls.
“When his respiratory rate dropped to 1 breath per minute despite those interventions, I knew something was up,” continued Matthews, noting he accidentally charted a respiratory rate of 16. “I called for help immediately and before all was said and done, we had thrown in an endotracheal tube.”
According to Matthews, Snorlax has been bucking the vent and has an “unsettling feeling” that this Pokémon will fail his spontaneous breathing trials. “This was my first time intubating a Pokémon, I don’t even wanna think about putting a trach.” Members of the ICU team are attempting to locate family members with their Pokémon Go apps. Snorlax is a full code.
ENDOSCOPY SUITE 9 – On the heels of Pokémon Go’s release on July 6 that signaled a comeback for the 1990s Nintendo franchise, GomerBlog is on hand to report that gastroenterologist Jonathan Wilcox has found Pikachu lodged in a man’s sigmoid colon during a routine augmented-reality colonoscopy today.
“This gentleman has been having bright red blood per rectum, iron-deficiency, and he just turned 50, so he was due,” said Wilcox, unable to suppress a smile, admitting this was the first Pokémon he has caught, either in real life or during colonoscopy. “He was the last case and I had heard about this Pokémon Go craze, so I figured I’d take a look and, well, what d’ya know? Freaking Pikachu is right there! In the sigmoid!”
Ever since its release, Pokémon Go has soared in popularity, with people exploring the real world trying to find these cartoon monsters lurking in parks, restaurants, even restrooms. However, Wilcox was the first to both look and find Pokémon in a patient’s colon. And boy was he glad.
“If there’s one thing I’ve learned in medicine, it’s to keep your differential diagnosis nice and long,” explained Wilcox, realizing this colonoscopy will change the course of video game history. “I was thinking maybe AVMs, diverticulosis, even colon cancer in this guy, but now I know better. Next time you have a patient with a GI bleed, think about Pokémon nibbling on intestinal mucosa.”
Wilcox opted against Poké Balls and relied instead on his years of endoscopic training. He captured Pikachu via snare polypectomy, a technique typically used to remove large pedunculated polyps. Wilcox did not report any other Pokémon in the transverse and ascending colon or cecum. Pikachu will be sent to pathology.
“This is going to be one weird but awesome procedure note,” Wilcox told us as he was about to dictate his endoscopy findings. “Do you think I should recommend EGD and pill endoscopy? There might be some rare Pokémon to uncover!” Wilcox is absolutely looking forward to searching more rectums for these fun little creatures. “But not hamsters though. That’s disgusting.”
UPDATE 7:05 PM ET:
News is spreading of the colonic Pikachu and hardcore Pokémon fans are demanding colonoscopies in record numbers. Stay tuned for more updates.
UPDATE 7:29 PM ET:
With the explosive new demand for augmented-reality colonoscopies to rule-out Pokémon, Nintendo and Braintree Laboratories are teaming up to create a special edition bowel prep called Pokémon GoLYTELY.
IOWA CITY, IA – Reports from the radiology reading room at Mercy Hospital indicate that veteran radiologist, John Hoskins, completely missed a Pokémon in the right lower lobe on a routine chest X-ray earlier this week.
The Pokémon, a Charmander, was sitting in plain sight of the radiologist, who witnesses claim had no excuse for such a crucial error. Tom Carter, a 26-year-old resident couldn’t believe the well-respected attending could make such a bone-headed mistake. “What the hell was he doing?” exclaimed Carter. “Not moments before he had diagnosed a ridiculously small lung cancer. Then he misses an obvious Charmander, just sitting there above the diaphragm? It’s got teeth and a flame on its tail for Christ’s sake.”
When informed that he had overlooked a readily apparent Charmander, the 62-year-old Hoskins responded, “I missed a what? Is that some kind of toilet paper brand? Did that patient aspirate toilet paper? Did anybody clinically correlate that?”
Hoskins isn’t the only radiologist who has overlooked in vivo Pokémon in recent days. A neuroradiologist missed a fully-evolved Golem in a patient’s 3rd ventricle, a mistake which nearly killed both the patient and the radiologists’ chances for a complete Pokedex. Another radiologist mistook a mature Dewgong for a stage I seminoma on ultrasound, resulting in an unnecessary orchiectomy when a simple Poké Ball would have easily captured the aquatic beast.
Some are frustrated by the Radiology Department’s complete ineptitude when it comes to diagnosing and capturing Pokémon on standard imaging modalities. “I sat here and watched one guy scroll right past a Diglett on an abdominal CT,” said Carter. “I said, ‘Hey! Did you not just see that Diglett?!’ He said it was an enlarged lymph node. Now that patient is getting radiation and chemotherapy.”
The problem appears to be spreading to other parts of the hospital as witnesses report seeing a pathologist miss a Jigglypuff on a peripheral blood smear.
Hypoxemic vs Hypercapnic Respiratory Failure CheatSheet
Respiratory failure – An easy way to remember
diff. between types of resp. failure
hypoxemic vs hypercapnic respiratory failure
The respiratory examination is one of the key ‘bread and butter’ examinations in medicine and as such should be mastered as soon as possible. As with all systems examinations it follows the basic format:
You need to understand what you are looking for and which diagnoses are suggested by the signs which you may elicit.
The four components of examining the lungs of a patient include inspection, palpation, percussion, and auscultation. This chart will explain to you what to expect when you have consolidation, pleural effusion, chronic obstructive pulmonary disease, or pneumothorax.
