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TL Atelectasis
Atelectasis LAG
Question | Answer |
---|---|
Define Parenchyma. | functional unit of any organ |
Lung disorders are classified as “Obstructive” or “Restrictive”. Which is atelectasis? | Restrictive |
What is a “Restrictive” lung disorder? | impairs lung expansion |
Define atelectasis. | Collapse of lung tissue due to interference with natural forces that promote lung expansion |
Who is at risk for atelectasis? | post surgery patients –especially upperabdominal/thoracic, elderly, obese, bedridden, or Hx of smoking |
How is Atelectasis diagnosed? | it can be diagnosed by physical exam, but usually by CXR |
What signs and symptoms are associated with atelectasis(ADTTCF)? | May be asymptomatic; if hypoxemia then dyspnea, tachycardia, tachypnea, cyanosis (later), Fever >101 (38.3) (Fever -not so much in the elderly) |
What might the nurse hear while auscultating the affected area of atelectasis? | bronchial or diminished breath sounds |
What signs may the nurse find on assessment of the client with severe atelectasis? | Tracheal shift, Affected area/side: decrease tactile fremetis (unless consolidation); dull to percussion; decreased movement/excursion |
What are some things the nurse can do to prevent atelectasis in the high risk client (fpc T ea is)? | Frequent position changes, TCDB, early ambulation, incentive spirometry, |
What interventions help the client with atelectasis? | fix underlying cause; administer O2 as prescribed; CPT, Postural drainage, tracheal suctioning for airway patentcy; If airway is obstructed, bronchoscopy to remove obstruction |