Chapter 22 Management of Patients with Upper Respiratory Tract Disorder Notes

Chapter 22 Management of Patients with Upper Respiratory Tract Disorder Notes

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Chapter 22 Management of Patients with Upper Respiratory Tract Disorders Nursing Care of Patients with Upper Airway Disorders Minor? Severe? Good assessment skills needed Patient teaching Wash hands, blow nose, cover mouth when coughing Specific Disorders Infections Rhinitis Sinusitis: acute, chronic Pharyngitis: acute, chronic Tonsillitis, adenoiditis Peritonisillar abscess Laryngitis Afrin- rebound congestion Potential Complications Sepsis Meningitis Peritonsillar abscess Otitis media Sinusitis Nursing Process: Care of Patients with Upper Respiratory Infections – Assessment Health history Signs and symptoms: headache, cough, hoarseness, fever, stuffiness, generalized discomfort and fatigue Allergies Inspection of nose, neck, throat Palpation Interventions to maintain patent airway Nasal corticosteroids= Nasonex Nedi pot, humidity Promote comfort Rest Increase fluids
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Unformatted text preview: • Compresses • Tylenol? • Problem with nasal decongestants • Antibiotics? • Analgesics • Gargles • Ice collar Patient Education • Prevention • Hand washing • When to contact Dr. • Complete antibiotics • Annual influenza vaccine – Live vs. attenuated Epistaxis • Hemorrhage from nose • Risk factors – drying, infections, cocaine, trauma, aspirin use, blood thinners • Sites of bleeding – Most common: anterior septum • Blood loss/ airway problems • Topical vasoconstrictors – Adrenaline – Cocaine – Phenylephrine • Packing of nasal cavity or balloon catheter Nursing Care of Patients with Epistaxis • Assessment of bleeding • Monitor airway, breathing • Vital signs • Reduce anxiety • Patient teaching – Avoid nasal trauma, nose picking, nose blowing – Air humidification – Pressure on nose – may use tampon or gauze...
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  • Fall '13
  • Cannon
  • Nursing, upper airway disorders, Upper Respiratory Tract Disorders, Nasal corticosteroids= Nasonex

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