Do you count resps every time you do vitals? - page 4
This question is to find out how many nurses actually count resps every single time they take vitals.... Read More
Aug 3, '08From: US ; Joined: Jan '06; Posts: 13,193; Likes: 17,910I had a patient for the CPNE this weekend on heavy doses of opioids. She was drowsy and soporific and everyone had all of her resps at 20. I got 11 twice and notified her nurse.
I certainly always count the first time I assess someone and every single time if there is any reason at all to suspect that their breathing could be off.
Aug 4, '08Specialty: 5 year(s) of experience in ICU, telemetry, LTAC ; Joined: Apr '04; Posts: 1,483; Likes: 1,003Ahh... you said soporific... That always makes me smile. I think of the flopsy bunnies eating too much lettuce. :-)
Aug 5, '08Joined: Aug '08; Posts: 15; Likes: 2I think where you see repetitive numbers are when individuals only count the respirations over 10 seconds and multiply. In 10 seconds most people only breathe 3, 4, or 5 times and this would reflect certain caregivers charting their patients only seem to have respirations of 12, 16, or 20. If you counted the patient for he proper minute of course the tally is almost always different. Of course dependent on condition is when I take vitals but I always make sure on respiration to take full complete sets q4h. When viewing my patient from the station or charting areas I will reassess this occasionally as chest rise in most patients is easy to see from a distance. Just my two cents.