Summary FEEDBACK LOG ON RESPIRATORY QUESTIONS

6:23 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 6:44 You placed a 5 mg dose of albuterol in a nebulizer. This is part of the correct treatment of asthma. It is important to use the basic rights of medication administration to ensure proper drug therapy.. 6:59 You placed a 500 mcg dose of ipratropium in a nebulizer. Ipratropium is part of the correct treatment of moderate to severe asthma. 7:10 Patient status - ECG: Sinus tachycardia. Heart rate: 115. Pulse: Present. Blood pressure: 132/77 mm Hg. Respiration: 31. Conscious state: Appropriate. SpO2: 77%. Temp: 99 F (37 C) 7:12 You administered 100 mg of methylprednisolone. Steroids are part of the correct treatment of severe asthma. 7:33 You provided patient education. This is correct. It is important to use every opportunity to provide patient education. 8:00 You looked for normal breathing. She is breathing at 32 breaths per minute. There is a lot of audible wheezing in the chest. There is increased respiratory effort. 8:10 Patient status - ECG: Sinus tachycardia. Heart rate: 123. Pulse: Present. Blood pressure: 134/79 mm Hg. Respiration: 32. Conscious state: Appropriate. SpO2: 81%. Temp: 99 F (37 C) 8:32 You checked the radial pulse. The pulse is strong, 115 per minute and regular. 9:00 You measured the blood pressure at 134/80 mm Hg. 9:10 Patient status - ECG: Sinus tachycardia. Heart rate: 128. Pulse: Present. Blood pressure: 138/82 mm Hg. Respiration: 32. Conscious state: Appropriate. SpO2: 85%. Temp: 99 F (37 C) 9:29 You phoned the provider in order to discuss the patient. 10:10 Patient status - ECG: Sinus tachycardia. Heart rate: 128. Pulse: Present. Blood pressure: 142/85 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 89%. Temp: 99 F (37 C) 10:47 A patient handoff was performed. Airway and breathing are the most important initial concerns for this patient. An important goal of initial assessment is to recognize the severity of the asthma exacerbation and administer effective treatment. This patient should be placed on a cardiac monitor with automated blood pressure measurement; IV access and continuous pulse oximetry should be established. Humidified oxygen is administered either by non-rebreather mask or by nasal cannula to keep SpO2 above 92%. Commonly used quick-relief medications to treat severe asthma exacerbations include short-acting beta-2-adrenergic agonists, anticholinergics, and corticosteroids.