Respiratory Symptoms | Risk Factors & Miscellaneous symptoms | Level of Consciousness | Hydration & Perfusion |
1. Respiratory rate 2. Grunting 3. Nasal flare 4. Recession 5. Accessory muscle use 6. Dyspnoea 7. Tracheal tug 8. Respiratory pattern 9. PaCO2 on blood gas analysis 10. Ph on blood gas analysis 11. Apnoea 12. Stridor 13. Head bobbing 14. Using stomach to breathe 15. Cyanosis 16. Effort of breathing 17. Air entry 18. Oxygen requirements 19. Oxygen saturation 20. See saw chest motion | 21. Day of illness 22. Personal concerns / ‘gut’ feeling 23. Parental concerns 24. General condition 25. Chronic lung disease 26. Congenital heart disease 27. HIV/ immunodeficiency 28. Gestational age (<37 weeks) 29. Low birth weight 30. Bacterial or viral co-infection | 31. Alertness 32. Irritability 33. Drowsiness 34. Responds to pain 35. Unresponsive 36. AVPU scale (alert, verbal, pain, unresponsive) | 37. Feeding 38. Urine output 39. Central capillary refill time measured over a given time 40. Peripheral perfusion 41. Mottled appearance 42. Sunken eyes 43. Sunken fonatanelle 44. Heart rate 45. Pallor |