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19 Cards in this Set
- Front
- Back
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Nursing Dx for Resp. dysfunction can be ? An outcome for this Dx could be ?
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Ineffective Breathing Pattern r/t excessive or thick secretions secondary to pneumonia AEB RR 32, SaO2 88%, Pt will improve breathing patterns by end of shift AEB RR18-22, SaO2>92%
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An RC for Resp. dysfunction could be ?
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RC: Atelectasis
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Interventions for Resp dysfunctions would include ?, ?
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Teaching-quit smoking, avoid pollutants; Promote optimal function- Control anxiety, Nutrition, Vaccines, Pulmonary rehab.
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Promote comfort for a pt with Resp dysfunctions by using ?, adequate ? per day, ? the air.
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positioning, fluids(2-3L), humidify
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Promote proper breathing by teaching ?, use ? spirometer(requires an order), use ? lip breathing and ? breathing
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Deep breathing(2-3 deep breaths then a cough), incentive, purse, abdominal
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Guaifanesing(robitusin) is a ? Codeine and Dextromethorphan(Robitussin DM) are cough ? Lozenges are local ?'s
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Expectorant, suppressants, anesthetic
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When using a Nsg DX use the broad Dx of ?or RC: ?
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Innefective breathing pattern or RC:atelectasis
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? drainage is used in combination with ? PT
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Postural, chest
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How would we know that a pt is not tolerating suctioning?
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Pt pulls out O2 device, ↓SaO2 levels, watch RR for hyperventilation
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Suction should be applied only on the way ? and it should last for ?-? seconds. We can only do down a persons throat ? times.
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out, 10-15, 3
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Respiratory Meds include ? which open up narrowed airways and ? which are anti-inflammatory and ? which inhibit histamines. A pt must get ?'s before ?'s so there is more ? area for it to be absorbed over.
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Bronchodilaters, steroids, antihistamines, Bronchodilaters, steroids, surface
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Bronchodilator meds for resp. include ?,?,?,?
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Albuterol, Montelukas, theophylline, tiotropium(spiriva)
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Steroid med for Resp include ?,?
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budesonide, prednisone
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Antihistamine meds for Resp include ?,?,?
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diphehhydramine(Benadryl), Loratadine(Claratin), Cetrizine(Zyrtec)
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Type of inhalers include ?,?,?
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Nebulizer, MDI-Metered Dose Inhaler, Dry powder inhaler,
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Spacer are used with Inhalers in order to ? the amt of meds that get into lungs. ?% get into lungs with a spacer compared to ?% without a spacer
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increase, 21, 9
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Supplemental O2 benefits include ↑ ? availability, reduces work of ?, decreases work of the ?
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O2, breathing, heart
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Risks of supplemental O2 include ?,?,?,?,?
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Damages pulmonary tissue, Imparis stimulus to breathe(COPDers), Constricts retinal blood vessels, combustion, ↑infection
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The therapeutic goal for supplemental O2 is Arterial pO2 of ?-? and Arterial pCO2 of ?-? Desired response includes Normal ?,?, A&O, and normal ?
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80-100mmHg, 35-45mmHg, HR, RR, color
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