[…] finishing the nebulised medication, you should give oxygen therapy through a face mask or nasal prongs to reach an SpO2 of […]. Nasal prongs are ideal for stable patients who need a low flow of oxygen with a low or medium concentration. Since ARDS is a condition wherein there’s a pooling of liquid inside the lungs, the water becomes stagnant and is prone to becoming grounds for bacterial growth. Monitor respiratory rate, depth, and breath sounds at least every 4 hours. In this chapter, nursing interventions and collaborative strategies to enhance oxygenation will be reviewed with a special focus on incorporating collaborative interventions into the patient’s nursing care. This article discusses the causes, clinical features, current approach to diagnosis and management, and nursing management. Remember that the whole process of exchanging carbon dioxide for oxygen occurs in the lungs. This is measured with the PaO2/FiO2 ratio of <300 (mild), <200 (moderate), or <100 (severe). When attaching the mask, you need to wait for the reservoir bag to fill up with oxygen before attaching it to your patient’s face. Nursing Intervention. Respiratory nursing care is preventive, acute or critical, and rehabilitative. Nursing Care Plan: Patient with Respiratory Problem Task 1: Understanding nursing problems Notably, Neville has a respiratory failure characterized by an ineffective airway clearance, impaired gas exchange, higher risks of impaired ventilation, an imbalanced nutrition and risk of infection. At the end of the day, oxygen therapy is just putting a mask on the patient’s face and turn on the oxygen supply, right? Effectiveness of a new nursing intervention for primary care COPD patients. So let’s recap. Start learning today for free! by TheNursingJournal / June 1, 2020 Like many other people, you might take oxygen therapy for granted. To improve oxygenation of a mechanically ventilated patient, the clinician increases FiO2 and applies positive end-expiratory pressure (PEEP)—but administering oxygen at an FiO2 greater than 0.5 for more than 48 to 72 hours poses the risk of oxygen toxicity. 2. Ps. After all, difficulties can present in many forms, but the end-game is all the same…your patient can’t breathe as well as they should. Some common corticosteroids are Solu-Medrol and Prednisone. Input your search keywords and press Enter. Therefore, gathering information about previous illnesses will help you perform a more accurate respiratory assessment. 2. Hopefully, this nursing intervention will reverse the condition, and the patient will regain normal breathing. Nursing Interventions. When you turn on the oxygen flow to approximately 10L/min the liquid medication in the nebuliser container turns into mist. Count his respiratory rate; expect 12 to 24 breaths/minute. Effectiveness of a new nursing intervention for primary care COPD patients Saskia Weldam , Marieke Schuurmans , Pieter Zanen , Alfred Sachs , Monique Heijmans , Jan-Willem Lammers European Respiratory Journal Sep 2016, 48 (suppl 60) OA290; DOI: 10.1183/13993003.congress-2016.OA290 Demonstrate in-depth knowledge and understanding of therapeutic interventions used in the treatment and management of respiratory conditions. If you notice Hypoxemia symptoms, you should contact the medical team, and discuss starting oxygen therapy. Copyright © 2020 SimpleNursing.com. Identify and treat cause of the Acute respiratory distress syndrome; Administer oxygen as prescribed. All Rights Reserved. For this reason, antibiotics are necessary to protect the respiratory tract from developing complications and get rid of inflammation. All nurses will care for people with asthma either as their primary or secondary diagnosis, so an in-depth understanding is essential: 1. RTs assess the respiratory status of patients and work with physicians to implement necessary treatments. Pneumonia nursing interventions lecture and medication treatment which includes antibiotics. Giving a flow rate higher than 6L/min will damage your patient’s nasal passage. The fluid build up prevents the lungs from having enough air, which results to a reduction of oxygen in the blood. A Non-Rebreather mask is basically a regular face mask, with a one-way valve and a reservoir bag. However, this also presents an advantage, as mixing room air with oxygen will keep your patient’s nasal passages moist. Increased respiratory rate; Restlessness; Use of accessory muscles for breathing; Prepare appropriate emergency equipment at bedside. As a consequence, symptoms may be overlooked and interventions delayed, leading to preventable errors and complications. Respiratory nursing care is preventive, acute or critical, and rehabilitative. 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