What intervention may prevent clinical decline and promote optimal
oxygenation?
Cardiopulmonary rehabilitation
-physical exercise, nutrition counseling, relaxation and stress-management
techniques, and prescribed medications and oxygen
Respiratory muscle training
-incentive spirometer, resistive breathing device
Breathing exercises
-Pursed lip breathing, deep breathing and coughing, diaphragmatic breathing
What is pneumothorax?
collection of air in the pleural space
-loss of negative intrapleural pressure causes the lung to collapse
What is spontaneous (primary) pneumothorax?
is a genetic condition that occurs unexpectedly in healthy individuals who
develop blisterlike formations (blebs) on the visceral pleura, usually on the
apex of the lungs.
-bleb can rupture during sleep or exercise
,Clinical findings with pneumothorax
Dyspnea
Pain (sharp and pleuritic and worsens on inspiration)
Interventions associated with pneumothorax
Chest tube (drain air or excess fluid)
Chest tube chambers
Chamber 1: collects fluid draining from patient
Chamber 2: water seal prevents air from re-entering patient's pleural space
Chamber 3: suction control of system
In which chamber of the chest tube can you expect bubbling?
Suction control chamber
-be sure to keep it filled with sterile water
A constant or intermittent bubbling in the water-seal chamber indicates .....
a leak in the drainage system, and the health care provider must be notified
immediately.
,CPAP
treats patients with obstructive sleep apnea, patients with heart failure, and
preterm infants with underdeveloped lungs. In obstructive sleep apnea,
airways collapse, causing shallow or absent breathing. Any air moving past
the obstruction results in loud snoring
How do we teach a patient to use an incentive spirometer?
Sitting up atleast 45 degrees
Used every 1-2 hours
Inhale slowly with an even flow to eleyate the balls and keep them floating
as long as possible
How do we assess oxygenation status?
Respiratory rate
Observation of nails for clubbing
Accessory muscle use
SpO2
Arterial blood gas (ABG)
Position change
LOC
Breathing patterns
Late signs of low oxygenation assessment
LOC
, Blood gas
Clubbing
Capillary refil
How can we promote adequate oxygenation?
Raise head of bed
Provide oxygen
Breathing exercise
Turning, coughing, deep breathing
Mobility
Incentive spirometer
What are some considerations for patients with a tracheostomy?
Have oxygen
Sterile water near by
Extra canula
Suction
Humidified oxygen
What are some conditions that required the use of a chest tube?
Hemothroax
Pneumothorax
Chest surgery/trauma
oxygenation?
Cardiopulmonary rehabilitation
-physical exercise, nutrition counseling, relaxation and stress-management
techniques, and prescribed medications and oxygen
Respiratory muscle training
-incentive spirometer, resistive breathing device
Breathing exercises
-Pursed lip breathing, deep breathing and coughing, diaphragmatic breathing
What is pneumothorax?
collection of air in the pleural space
-loss of negative intrapleural pressure causes the lung to collapse
What is spontaneous (primary) pneumothorax?
is a genetic condition that occurs unexpectedly in healthy individuals who
develop blisterlike formations (blebs) on the visceral pleura, usually on the
apex of the lungs.
-bleb can rupture during sleep or exercise
,Clinical findings with pneumothorax
Dyspnea
Pain (sharp and pleuritic and worsens on inspiration)
Interventions associated with pneumothorax
Chest tube (drain air or excess fluid)
Chest tube chambers
Chamber 1: collects fluid draining from patient
Chamber 2: water seal prevents air from re-entering patient's pleural space
Chamber 3: suction control of system
In which chamber of the chest tube can you expect bubbling?
Suction control chamber
-be sure to keep it filled with sterile water
A constant or intermittent bubbling in the water-seal chamber indicates .....
a leak in the drainage system, and the health care provider must be notified
immediately.
,CPAP
treats patients with obstructive sleep apnea, patients with heart failure, and
preterm infants with underdeveloped lungs. In obstructive sleep apnea,
airways collapse, causing shallow or absent breathing. Any air moving past
the obstruction results in loud snoring
How do we teach a patient to use an incentive spirometer?
Sitting up atleast 45 degrees
Used every 1-2 hours
Inhale slowly with an even flow to eleyate the balls and keep them floating
as long as possible
How do we assess oxygenation status?
Respiratory rate
Observation of nails for clubbing
Accessory muscle use
SpO2
Arterial blood gas (ABG)
Position change
LOC
Breathing patterns
Late signs of low oxygenation assessment
LOC
, Blood gas
Clubbing
Capillary refil
How can we promote adequate oxygenation?
Raise head of bed
Provide oxygen
Breathing exercise
Turning, coughing, deep breathing
Mobility
Incentive spirometer
What are some considerations for patients with a tracheostomy?
Have oxygen
Sterile water near by
Extra canula
Suction
Humidified oxygen
What are some conditions that required the use of a chest tube?
Hemothroax
Pneumothorax
Chest surgery/trauma
