Vincent Brody.docx - Medical Case 3-Vincent Brody Document your focused respiratory assessment for Vincent Brody o Spo2 93 respirations 22 equal

Vincent Brody.docx - Medical Case 3-Vincent Brody Document...

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Medical Case 3- -Vincent Brody Document your focused respiratory assessment for Vincent Brody. o Spo2 93%, respirations 22, equal bilateral chest movement, audible wheezes bilaterally posteriorly and anteriorly. Identify and document key nursing diagnoses for Vincent Brody. o Ineffective airway clearance related to smoking and chronic obstructive pulmonary disease o Impaired gas exchange related to inflammation and narrowing of airways. o Ineffective breathing pattern related to inflammation and narrowing of the airways. o Risk for infection related to chest tube insertion. Document pain management interventions and Vincent Brody’s response to therapy. o Pt stated he had no pain. 2mg Morphine given IV push prophylactically prior to chest tube insertion. Pt responded well to procedure, no pain present. Document key assessments you would monitor for a chest tube (insertion site, dressing, suction level, drainage, fluctuation, air leak) o Monitoring for signs of infection, such as redness, swelling or drainage around the insertion site. Referring to your feedback log, document the nursing care you provided. o Entering the patient's room, I did a focused respiratory assessment. Wheezes were audible upon auscultation of the chest. Patient developed left-sided pneumothorax which caused greater breath sounds on the right. Provider was

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