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14-12
6.
Boiling or bubbling sound when
breathing; cough. Breaths are
otherwise normal.
15-30 breaths/min.
7.
Breathes out slowly, with
difficulty. A wheeze or
whistling sound with each
breath.
20-40 breaths/min.
“What is it?”
(Bronchitis? WTND, p. 170)
Shortness of breath with wheezing.
Person breathes
8. better when
sitting up.
9.
and worse when lying
down.
“What is it?”
(Cardiac asthma? WTND, p. 325)
“What is it?”
(Asthma? WTND, p. 167, Chronic
bronchitis? WTND, p. 170.
Emphysema? WTND, p. 170)
Many coughs, one after another,
with no ability to breathe in. At
last a found ‘whoop’ as air enters.
Face and lips turn blue.
“What is it?”
(Whooping cough? WTND, p. 313)
Strunggles for breath;
Breathes through the
10.
lips and skin turn blue.
Does not breathe for
11.
nose more or less
normally. No fever.
barely breathes).
15-20 breaths/min.
“What is it?”
(Choking-something stuck in
the throat? WTND, page 79,
Diphtheria? WTND, p. 313)
“What is it?”
(A normal, healthy person?)
With practice, health workers can learn to imitate the various noises (wheezing,
rattling, whooping) and other signs (flaring nostrils, watering eyes, etc.) typical of
different respiratory problems. For choking or asthma, the demonstrator can, by not
breathing much, make his lips actually turn blue! Other signs can also be produced,
such as ‘sucking in’ of the skin behind the collar bone and between the ribs when
demonstrating asthma or emphysema.
Students should learn to notice and recognize all these signs. They should also
learn to imitate them, so that they can teach others when they return to their villages.
A GOOD TEACHER NEEDS TO BE A GOOD ACTOR!
Static
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