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What is an incentive spirometer and how should your patient use one?An incentive spirometer is a tool that helps with breathing in (inspiration) and helps expand the lungs.Why is hydration an important intervention in care of a patient with oxygenation problemsIt helps keep the mucosal membranes moist because oxygen can be very hard on them.Why is ambulation an important intervention in care of a patient with oxygenation problems?By getting up and moving, you increase blood flow, thus oxygenation.Differentiate:Nasopharyngeal suctioning- enters in through the nose
Nasotracheal suctioning- enters in through the nose and down through the tracheaOropharyngeal suctioning- enters in through the mouthOrotracheal suctioning- enters in through a tracheaostomyWhich route of suctioning is used for removing secretions from the upper pharynx? Which is used for obtaining sputum specimen? Which is used for deep respiratory tract suctioning?Removing secretions from the upper pharynx→ not sure!Sputum specimen→ If the patient cannot cough, obtain an order to collect the suctioning via endotracheal suctioningDeep respiratory tract suctioning→ not sure!What is the difference between central and peripheral cyanosis? Which is more significant? Central cyanosis- affects central core, found around the lips, mouth, eyes; MOST SIGNIFICANTPeripheral cyanosis- affects the extremities like the nail beds What is the appropriate way to suction a patient with secretions in the airway?ATI isn’t clear and I’m having a hard time finding it In the book, what do you think??Where would you assess for peripheral cyanosis? Where would you assess for central cyanosis?SEE ABOVE questions about the difference between the two.Both can be a result of hypoxiaWhat do the following terms mean:Dyspnea- difficulty breathingEupnea- normal breathingFremitus- palpable vibrations, used in CPTOrthopnea- a condition in which the patient uses multiple pillows when lying down to must sit with the arm elevated and leaning forward to breathe. Can be diagnosed in people who say they sleep in recliners.What is the difference between a hemothorax and a pneumothorax. What is the chief complaint or most significant symptom for a hemo and a pneumothorax?Hemothorax- blood and fluid in the pleural spacePneumothorax- collection of air in the pleural space (can cause a collapsed lung)Both patients complain of pain and dyspneaWhat is chest percussive therapy? Who is it used for?
Percussion, vibration, postural drainagePercussion: clapping, manually strike the chest to loosen and dislodge pulmonary secretions; common in CF; move from bottom to top using scooped hands over each lung segmentVibration: used after percussion to help expectorate the secretions now that you’ve loosned them; as patient exhales, the nurse tenses all of the hand and arm muscles and quickly vibrates the hands (using mostly the heel).Postural Drainage: using gravity to ease drainage to secretions from different