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resp disease interve
respiratory disease interventions
| Question | Answer |
|---|---|
| ards | assess resp, cardio, neuro, bed rest, PRONE, turn, chest physiotherapy, postural drainage |
| ARF | assess resp, admin O2, suctioning, turn, cough, deep breath, chest physiotherapy, postural drainage, bed rest |
| abestosis | chest physiotherapy, controlled cough, percussion and vibration (chest), O2 by cannula or mask or mech vent if arterial O below 40 mm Hg |
| asphyxia | assess cardiac, resp, put patient upright, suction , encourage deep breath |
| asthma | low flow humidified O2, assess resp., High Fowlers |
| atelectasis | cough, deep breath, pillow over incision, analgesics, IS, humidify inspired air, fluids, postural drainage, chest percussion, assess breath sounds and vent status |
| bronchiectasis | assess resp, chest physiotherapy, postural drainage, percussion in AM and HS, this is an irreversible lung damaged disease |
| chronich bronchitis | low flow O2, assess resp, ABG, pulse ox, assist w/ diaphragmatic and pursed lip breathing, watchcolor, amount, consistency of sputum, chest physiotherapy, postural drainage, incentive spirometry, suction |
| Cor pulmonale | limit fluids, low sodium diet, O2 therapy, pursed lip breathng, watch ABG levels, pulse rate changes, deep labored resp and increased fatigue on exertion |
| emphysema | assess resp, ABG's, pulse ox, assist w/ diaphragmatic and pursed lip breathing, watch color, amt and consistency of sputum, provide chest physiotherapy, postural drainage, IS, suction |
| legionnaires disease | watch resp, chest wall expansion, depth and pattern of respirations, cough, chest pain. watch vitals, pulse ox, ABG, LOC, mm, signs of shock (low BP, thready pulse, diaphoresis, clammy skin), replace fluid and electrolytes, possible dialysis, mech vent, |
| lung cancer | analgesics, suction, turn, cough, deep breath. watch for bleeding, infection, electrolye imbalance due to chemotherapy |
| pleural effusion and empyema | admin O2, antibiotics, chest tube care using sterile technique for changing dressings around tube insertion site in empyema, chest tube patency by watching for bubbles in underwater seal chamber, record amount, color, consistency of tube drainage |
| pleurisy | bed rest, antitussives, pain meds, cough, firm pressure at pain site when coughing |
| pneumocystis carinii pneumona | assess resp, ABG's Q4H. admin O2, ambulate, deep breath, IS, antipyretics, I & O's and weight, replace fluids, antimicrobial drucs (never give pentamidine IM, on IV slowly over 60 minutes), watch for adverse rxn to antimicrobial drugs, nutritional supple |
| pneumonia | I & O's, labs, pulse ox. Assess resp. Force 4L fluids/day and admin IV fluids |
| pneumothorax & hemothorax | watch vitas, chest tube drainage. Assess resp., cardio. Maintain chest tube to water-seal drainage. Waterseal chamber prevents air from entering chest tube on inhale |
| pulmonary embolism | assess resp and cardio, admin O2 |
| respiratory acidosis | watch blood pH, changes in resp., CNS, cardiovasc functions, ABG, electrolyte. Maintain hydration. If mech. vent then humidification. Tracheal suction, chest physiotherapy |
| respiratory alkalosis | watch neuroligic, neuromuscular, cardio function. Twitching and cardiac arrhythmias may be assic. w/ alkalemia & electrolyte imbalance. Watch ABG, serum electrolytes |
| sarcoidosis | Give nutritious, high calorie diet and ^ fluids. If hypercalcemia then low calcium diet. Get daily weights |
| tuberculosis | maintain infection control precautions, tell patient to cover nose and mouth when sneezing. Negative pressure room |
Created by:
bryantd9
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