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resp disease interve

respiratory disease interventions

QuestionAnswer
ards assess resp, cardio, neuro, bed rest, PRONE, turn, chest physiotherapy, postural drainage
ARF assess resp, admin O2, suctioning, turn, cough, deep breath, chest physiotherapy, postural drainage, bed rest
abestosis chest physiotherapy, controlled cough, percussion and vibration (chest), O2 by cannula or mask or mech vent if arterial O below 40 mm Hg
asphyxia assess cardiac, resp, put patient upright, suction , encourage deep breath
asthma low flow humidified O2, assess resp., High Fowlers
atelectasis cough, deep breath, pillow over incision, analgesics, IS, humidify inspired air, fluids, postural drainage, chest percussion, assess breath sounds and vent status
bronchiectasis assess resp, chest physiotherapy, postural drainage, percussion in AM and HS, this is an irreversible lung damaged disease
chronich bronchitis low flow O2, assess resp, ABG, pulse ox, assist w/ diaphragmatic and pursed lip breathing, watchcolor, amount, consistency of sputum, chest physiotherapy, postural drainage, incentive spirometry, suction
Cor pulmonale limit fluids, low sodium diet, O2 therapy, pursed lip breathng, watch ABG levels, pulse rate changes, deep labored resp and increased fatigue on exertion
emphysema assess resp, ABG's, pulse ox, assist w/ diaphragmatic and pursed lip breathing, watch color, amt and consistency of sputum, provide chest physiotherapy, postural drainage, IS, suction
legionnaires disease watch resp, chest wall expansion, depth and pattern of respirations, cough, chest pain. watch vitals, pulse ox, ABG, LOC, mm, signs of shock (low BP, thready pulse, diaphoresis, clammy skin), replace fluid and electrolytes, possible dialysis, mech vent,
lung cancer analgesics, suction, turn, cough, deep breath. watch for bleeding, infection, electrolye imbalance due to chemotherapy
pleural effusion and empyema admin O2, antibiotics, chest tube care using sterile technique for changing dressings around tube insertion site in empyema, chest tube patency by watching for bubbles in underwater seal chamber, record amount, color, consistency of tube drainage
pleurisy bed rest, antitussives, pain meds, cough, firm pressure at pain site when coughing
pneumocystis carinii pneumona assess resp, ABG's Q4H. admin O2, ambulate, deep breath, IS, antipyretics, I & O's and weight, replace fluids, antimicrobial drucs (never give pentamidine IM, on IV slowly over 60 minutes), watch for adverse rxn to antimicrobial drugs, nutritional supple
pneumonia I & O's, labs, pulse ox. Assess resp. Force 4L fluids/day and admin IV fluids
pneumothorax & hemothorax watch vitas, chest tube drainage. Assess resp., cardio. Maintain chest tube to water-seal drainage. Waterseal chamber prevents air from entering chest tube on inhale
pulmonary embolism assess resp and cardio, admin O2
respiratory acidosis watch blood pH, changes in resp., CNS, cardiovasc functions, ABG, electrolyte. Maintain hydration. If mech. vent then humidification. Tracheal suction, chest physiotherapy
respiratory alkalosis watch neuroligic, neuromuscular, cardio function. Twitching and cardiac arrhythmias may be assic. w/ alkalemia & electrolyte imbalance. Watch ABG, serum electrolytes
sarcoidosis Give nutritious, high calorie diet and ^ fluids. If hypercalcemia then low calcium diet. Get daily weights
tuberculosis maintain infection control precautions, tell patient to cover nose and mouth when sneezing. Negative pressure room
Created by: bryantd9