Transcript Chapter 26 Respiratory System Function, Assessment, and

Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Chapter 29
Respiratory System Function,
Assessment, and Therapeutic
Measures
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Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Review of A&P
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Acid-Base Balance
 Respiratory Acidosis
 Hypoventilation
 Respiratory Alkalosis
 Hyperventilation
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Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Effects of Aging
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Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
History
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Upper Respiratory Symptoms
Lower Respiratory Symptoms
Exposures/Smoking
Current Treatments
Family History
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WHAT’S UP?
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Where Is It?
How Does It Feel?
Aggravating and Alleviating Factors
Timing
Severity
Useful Other Data
Patient’s Perception
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Inspection
 Symmetry
 Dyspnea
 Use of Accessory
Muscles
 Color
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Inspection (cont’d)
 Respiratory Rate and
Rhythm
 Chest Shape
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Palpation
 Sinuses
 Respiratory Excursion
 Crepitus
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Percussion
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Resonance
Hyperresonance
Dull
Flat
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Auscultation
 Normal Breath
Sounds
 Adventitious Sounds
 Compare Bilaterally
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Adventitious Breath Sounds
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Crackles—Coarse or Fine
Wheezes
Stridor
Friction Rub
Diminished
Absent
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Laboratory Tests
 CBC
 ABGs
 D-Dimer
 Cultures
 SpO2
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Diagnostic Tests
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Chest X-Ray
CT Scan
VQ Scan
PFTs
Angiography
Bronchoscopy
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Therapeutic Measures
 Behavior Modification
 Counseling
 Setting Quit Date
 Nicotine Replacement
 Drug Therapy
 Hypnosis
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Therapeutic Measures (cont’d)
 Deep Breathing and Coughing
 Huff Coughing
 Breathing Exercises
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Understanding Medical Surgical Nursing, 4th Edition
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Therapeutic Measures (cont’d)
 Positioning
 Fowler’s
 Semi-Fowler’s
 Good Lung Down
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Oxygen Therapy
 Nasal Cannula
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Oxygen
Masks
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Transtracheal Oxygen
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NMT
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MDI
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Spacer
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Incentive Spirometer
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Chest Physiotherapy
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Mucous Clearance Device
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Chest Drainage
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Indications
Chest Tube Insertion
Drainage System
Nursing Care
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Chest Drainage System
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Tracheostomy
 Definition
 Indications
 Nursing Care
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Suctioning
Cleaning
Communication
Teaching
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Passy-Muir Speaking Valve
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Intubation
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Mechanical Ventilation
 Invasive
 Indications
 Nursing Care
 Trouble-Shooting
Alarms
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Noninvasive Positive Pressure Ventilation
 Indications
 Advantages
 Nursing Care
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