Pulmonology

harmful air pollutants such as possible carbon monoxide emission from your plumbing system, furnace, stoves and heaters. But what is carbon monoxide? Carbon monoxide or CO is a type of toxic gas without odor or color. It is extremely dangerous and could have health damaging repercussions when inhaled even in small amounts. It gets thru your home thru plumbing leaks and could silently poison your entire family if it goes unnoticed or if CO testing would be relied from scam service providers. CO…

L- Today in lab I learned how to properly place my stethoscope when auscultating the lungs. E- To prepare us for auscultation of the lungs, Jackie showed us the landmarks used to find the intercostal spaces. Once I found the manubrium, I followed the angle of Louis to find the second intercostal space. I noticed it is imperative the stethoscope is placed between the ribs to hear breath sounds. To begin the process, locate the second intercostal space on one side of Caroline’s chest. Following I…

assessing/monitoring breathing, airway maintenance, breathing techniques, positioning, effective coughing, oxygen therapy, suctioning, exercise conditioning, and hydration (Ignatavicius, 2016). The priority nursing assessment is breathing. Paying attention to note the speed, depth, and effort that is being used is important (Ignatavicius, 2016). It will provide a reference to how the patient is responding to the treatment. This monitoring should be done every two hours so any worsening…

I demonstrate the use and successfully prioritize health assessments by assessing my resident’s respiratory and cardiac function first due to his current diagnoses. Based off my findings, I decide if I need to report something or not. So far my resident’s vital signs and assessments have been within his normal range. His respirations run high, but I make sure to discuss with the med. nurse when I am uncomfortable with the respiration numbers. So far I have been informed, my resident respirations…

i. Chest x-rays can detect changes in the density of the lungs, more specifically the lower lobes (Christensen & Krockow, 2011, p.1641). Bronchoscopy is particularly useful in pneumonia when aspiration of a foreign objet or food is suspected. A culture and sensitivity test is used to determine the causative bacteria and to specify which antibiotic would be the best to be used. Pulse oximetry is used to monitor oxygenation status. ii. GERD is diagnosed mostly from signs sand symptoms. The gold…

In the article, “Compressive Forces and Computed Topography-derived Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome” (Cressoni et al. 2014), the researchers' hypothesis was that there was a direct correlation between lung recruitability and positive end-expiratory pressure (PEEP). This would validate the prevailing notion that higher PEEP is only for patients with higher lung recruitability. Previous studies have led to advancements in the field such as the switch from…

The aim of the project was to minimize the inappropriate use of physical restraint in the acute respiratory unit, which caters to about thirty-two to thirty-eight patients with acute respiratory issues, in the promotion of the patient safety and improving patient outcomes. In the beginning of the project, it was noted that the acute respiratory unit was one of the lowest performing units when it comes to the proper utilization of physical restraint. As was stated by HCPro.com (2015), using a…

Acute Respiratory Distress Syndrome The patient in this case study had an onset of acute respiratory distress syndrome brought on by trauma. Acute respiratory distress syndrome (ARDS) is a disease state characterized by fluid buildup in the alveoli, making it difficult to oxygenate (MedlinePlus.gov). It is a life-threatening lung condition. The new definition and severity of ARDS are defined as PaO2/ FiO2 with a PEEP of 5+ (200-200) = mild, (100-200) = moderate, (<100) = severe…

Research in Canada examining eight cohorts of children from 1993 – 2000 and found that there was a marked increase in the number of asthma cases, specifically noted by rates in children less than three years old, and a decrease in the age of those who were diagnosed (Radhakrishnan et al., 2014). One tool that is used to predict childhood asthma is the Asthma Predictive Index (API), which assists in identifying children at high risk of asthma activity later in their lives (Baena-Cagnani &…

Your patient Mirza Barlas was referred to the Region II Putting on AIRS Program upon his release from CCMC on November 17th. Enclosed is his signed release of information permitting us to send the summary of his home visit on 12/30/15. In addition, to his completed Asthma Control Test (ACT). This test is taken from the Measures of Asthma Assessment and monitoring document page 67; “Patient Self-Assessment” (EPR-2 1997). Which, Mirza completed himself at the visit. During the visit, we reviewed…