linda s. williams / paula d. hopper copyright © 2011. f.a. davis company understanding medical...

Linda S. Williams / Paula D. Hopper

Copyright © 2011. F.A. Davis Company

Understanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition

Chapter 29

Respiratory System Function, Assessment, and Therapeutic

Measures


Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition

Review of A&P



Acid-Base Balance

Respiratory Acidosis Hypoventilation

Respiratory Alkalosis Hyperventilation



Effects of Aging



History

Upper Respiratory Symptoms Lower Respiratory Symptoms Exposures/Smoking Current Treatments Family History



WHAT’S UP? Where Is It? How Does It Feel? Aggravating and Alleviating Factors Timing Severity Useful Other Data Patient’s Perception




Inspection

Symmetry Dyspnea Use of Accessory

Muscles Color




Inspection (cont’d)

Respiratory Rate and Rhythm

Chest Shape




Palpation

Sinuses Respiratory Excursion Crepitus



Percussion

Resonance Hyperresonance Dull Flat




Auscultation

Normal Breath Sounds

Adventitious Sounds Compare Bilaterally



Adventitious Breath Sounds Crackles—Coarse or Fine Wheezes Stridor Friction Rub Diminished Absent




Laboratory Tests

CBC ABGs D-Dimer Cultures SpO2



Diagnostic Tests Chest X-Ray CT Scan VQ Scan PFTs Angiography Bronchoscopy



Therapeutic Measures

Behavior Modification Counseling Setting Quit Date

Nicotine Replacement Drug Therapy Hypnosis



Therapeutic Measures (cont’d)

Deep Breathing and Coughing Huff Coughing Breathing Exercises



Therapeutic Measures (cont’d)

Positioning Fowler’s Semi-Fowler’s Good Lung Down




Oxygen Therapy Nasal Cannula



Oxygen Masks



Transtracheal Oxygen



NMT



MDI



Spacer



Incentive Spirometer



Chest Physiotherapy



Mucous Clearance Device



Chest Drainage

Indications Chest Tube Insertion Drainage System Nursing Care



Chest Drainage System




Tracheostomy Definition Indications Nursing Care

Suctioning Cleaning Communication Teaching



Passy-Muir Speaking Valve



Intubation




Mechanical Ventilation Invasive

Indications Nursing Care Trouble-Shooting

Alarms




Noninvasive Positive Pressure Ventilation

Indications Advantages Nursing Care

linda s. williams / paula d. hopper copyright © 2011. f.a. davis company understanding medical...

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