c Patient will maintain clear open airways as evidenced by normal breath sounds

C patient will maintain clear open airways as

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c. Patient will maintain clear, open airways, as evidenced by normal breath sounds after TCDB and incentive spirometer use. 10. M.N.'s sister questions you, saying, “I don't understand. She came in here with a bad gallbladder. What has happened to her lungs?” How would you respond? Well every patient undergoing surgery has an increased risk for developing atelectasis or a collapsed lung due to the suppression of the alveoli while under anesthesia. Along with the anesthesia, pain medications your sister received will also depress respiratory function. The depressed respiratory functioning leads towards shallow breathing and immobility. This is why we encourage early ambulation and the use of incentive spirometer to try to decrease their chances of this occurring. 2 Respiratory 11. Despite your interventions, 4 hours later M.N. is not improved. Using SBAR, what would you report to the physician? S: Worsening case of atelectasis B: M.N is a 40F admitted with acute cholecystitis. Successful cholecystectomy completed. Auscultated decreased breath sounds and crackles in the right base posteriorly. Her right middle and lower lobes percuss slightly dull. She splints her right side when attempting to take a deep breath. She does not have a productive cough, chest pain, or any anxiety A: I think she may be experiencing worsening case of atelectasis R: I recommend we get an x-ray to confirm the atelectasis and place her on supplemental oxygen to help with her saturation level. 12. The physician orders a CXR. Radiology calls with a report, confirming that M.N. has atelectasis. Will that change anything that you have already planned for M.N.? Explain what you would do differently if M.N. had pneumonia. I would incorporate antibiotics, encourage fluids and ambulation along with the other interventions mentioned before the atelectasis.
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  • Spring '14
  • AnnMarieWhitlatch
  • Nursing, Pneumothorax, atelectasis, deep breath, Medical signs

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