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MED SURG - RESPIRATORY

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MED SURG - RESPIRATORY *Arterial Blood Gas -Respiratory failure occurs when oxygenation is inadequate (hypoxemic failure) and/or when ventilation is inadequate (hypercapnic failure) → ABG analysis ... provides objective data about the efficiency of gas exchange in the lungs *Rapid Response Team -When a client is demonstrating clinical deterioration (dyspnea, confusion, restlessness, heart rate <40 or >130/min, Systolic BP <90, RR <8 or >28/min, O2 <90% despite oxygen, urine output <50 mL in 4 hrs), the nurse’s priority is to prevent full respiratory/cardiac arrest by calling rapid response team *Chest Tube -Bubbling in the suction control chamber indicates patency and appropriate level of suction *Chronic Obstructive Pulmonary Disease -COPD pts: consume high calorie diet, seek medical attention for signs of infection (increased sputum, worsening dyspnea, fever), obtain appropriate vaccinations (flu, pneumococcal) -Etiologic factors: current or former tobacco smoking, prolonged exposure to occupational respiratory irritants, chronic exposure to air pollution, and genetic predisposition *Obstructive Sleep Apnea -OSA is characterized by partial/complete airway obstruction during sleep -OSA interventions: CPAP during sleep, lifestyle changes (weight loss, exercise, avoiding food/alcohol/sedatives at bedtime) *Inhalation Injuries -Carbon monoxide toxicity can occur when fuel burning (wood, coal) stoves or appliances are used in poorly ventilated settings → CO toxicity symptoms: headache, dizziness, nausea *Asthma [Show More]

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