NU 308 WK 5 - Oxygenation

NU 308 Nursing Care of Adults with Acute/Complex Health Problems – Week 5 Oxygenation: Ventilation & Perfusion Brunner and Suddarth: Chapters 21, 22 ATI Adult Medical Surgical Review Module: Chapters 17, 18, 19 ATI P ...

NU 308 Nursing Care of Adults with Acute/Complex Health Problems – Week 5 Oxygenation: Ventilation & Perfusion Brunner and Suddarth: Chapters 21, 22 ATI Adult Medical Surgical Review Module: Chapters 17, 18, 19 ATI Pharmacology Review Module: Pages 111, 119 Objectives - Describe ventilation, diffusion, perfusion, and ventilation–perfusion imbalances - Identify the diagnostic tests used to evaluate respiratory function and related nursing implications. - Describe the nursing management of patients receiving oxygen therapy, incentive spirometry, smallvolume nebulizer therapy, chest physiotherapy, and breathing retraining. - Discuss the patient education and transitions in care considerations for patients receiving oxygen therapy. - Describe medical and nursing management of patients with select upper airway disorders (rhinitis, pharyngitis, tonsillitis, peritonsillar abscess, epistaxis, obstructive sleep apnea). - Identify patients at risk for atelectasis and the nursing interventions related to its prevention and management. - Compare the various pulmonary infections with regard to causes, clinical manifestations, nursing management, complications, and prevention. (Relate TB, pleurisy, pleural effusion, and empyema to pulmonary infection.) - Use the nursing process as a framework for the care of patients with pneumonia and TB. - Describe nursing measures to prevent aspiration. - Describe the pathophysiology, clinical manifestations, medical and nursing management of chronic obstructive pulmonary disease (COPD) and asthma. - Discuss the major risk factors for developing COPD and nursing interventions to minimize or prevent these risk factors. - Use the nursing process as a framework for care of patients with COPD and asthma. - Develop an education plan for patients with COPD and asthma. - Describe COPD and asthma self-management strategies. What is work of breathing? - Describe the physical assessment of the respiratory system? - Basic Respiratory Overview - Work Of Breathing o Retractions o Accessory muscle use o Flail chest Significance of respiratory pathologies - A, B, Cs o Cannot have B without A o Cannot have oxygenated C without B - Need to assess and intervene quickly o Oxygen therapy is mainstay of initial treatment  Source at every patient bedside in the acute setting in the U.S.  Follow hospital protocol on what oxygen delivery device is at every bedside – usually bag mask for emergencies, some will also place nasal cannula at bedside  Make sure you know where supplies are and the oxygen Christmas trees o Advanced airways when no other options o Medications to reduce infection or inflammation