Copyright 2014 wolters kluwer health lippincott

Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Process: Planning and
Implementation
Nursing Process: Planning and
Implementation
•
Planning
–
Return to normal respiratory rate, rhythm,
and depth; adequate ventilation of body;
continued pain relief
•
Implementation
:
Promoting an optimal
response to therapy
–
Naloxone: Used in postanesthesia
recovery unit
–
Balance pain relief

Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Process: Planning and
Implementation (cont.)
Nursing Process: Planning and
Implementation (cont.)
•
Monitoring and managing patient needs
–
Impaired spontaneous ventilation
•
Naloxone: Cardiac monitoring, artificial
ventilation, suction equipment,
maintain patent airway
•
Naloxone by IV infusion: Secondary line,
IV piggyback, IV push

Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Process: Planning and
Implementation (cont.)
Nursing Process: Planning and
Implementation (cont.)
•
Nursing Alert
–
Slow IV push: Somnolence abates
•
Acute pain
–
Assess pain and begin to treat pain again,
review circumstances that led to use of
antagonist, educate family, monitor fluid
intake and output

Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Process:
Evaluation Nursing Process:
Evaluation
•
The therapeutic effect is achieved
•
The patient’s respiratory rate, rhythm, and
depth are normal
•
Pain relief is resumed