13.8 : 呼吸器評価: 目的と適応

The respiratory assessment is fundamental to the nursing assessment and must be a priority area of skill development.

The purpose of this assessment is to identify patients at risk of deterioration. Breathing is generally the first vital sign that varies in a deteriorating patient.

A respiratory assessment helps plan and start appropriate treatment to stabilize and enhance the patient's condition and outcomes and aids in preventing an unnecessary admission to critical care units.

A respiratory assessment should be performed and recorded regularly for all patients in the hospital. It must be carried out following surgery, procedures, trauma, or emergencies to compare and recognize any changes in baseline data.

In addition, conducting and recording the respiratory assessment before, during, and after the transfusion of blood or blood products is imperative.

These assessments are also performed before and during the administration of certain medications like opiates and bronchodilators to observe the patient's response to medications.

Finally, a respiratory assessment is necessary for the patient receiving oxygen therapy to ensure its efficacy.