Nursing Intervention to Improve Oxygenation Flashcards

1
Q

Sputum Specimen Collection
How is it performed?

A

Obtain in AM
Takes deep breaths
Cough 1-2 tsp into sterile cup

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2
Q

Sputum Specimen Collection
Why is it performed?

A

Obtain specimen in infectious lung disease

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3
Q

Sputum Specimen Collection Outcome

A

Sputum specimen obtained for lab analysis

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4
Q

Sputum Specimen Collection Nursing Implications

A

May require suctioning to obtain sample

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5
Q

CPT, How is it performed?

A

Percussion
Vibration
Postural Drainage

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6
Q

CPT, why is it performed?

A

Unable to expectorate thick secretions (cystic fibrosis)

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7
Q

CPT Outcome

A

Clearance of secretions

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8
Q

CPT Nursing Implications

A

Rib Fracture
Proper positioning

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9
Q

Incentive Spirometer
How is it performed?

A

10 times/ hour
Monitors inspiratory volume

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10
Q

Incentive Spirometer
Why is it performed?

A

Decrease risk for Atelectasis

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11
Q

Incentive Spirometer Outcome

A

Promote Deep Breathing

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12
Q

Incentive Spirometer Nursing Implications

A

Not using as prescribed.
Fatigue
Bronchospasm exacerbation

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13
Q

Pursed Lip Breathing
How is it performed?

A

Take deep breath through nostrils then slowly exhale out of mouth with lips pursed

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14
Q

Pursed Lip Breathing
Why is it performed?

A

For those with chronic lung disease

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15
Q

Pursed Lip Breathing Outcome

A

Release trapped air

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16
Q

Pursed Lip Breathing Nursing Implications

A

Patients not using technique

17
Q

Flutter Valve
How is it performed?

A

Tight seal around mouthpiece
Inhales deeply, Exhale at twice the rate of inhalation. Follow up with coughing

18
Q

Flutter Valve
Why is it performed?

A

Reducing Atelectasis

19
Q

Flutter Valve Outcome

A

Clear Mucus

20
Q

Flutter Valve Nursing Implications

A
21
Q

Coughing and Deep Breathing
How is it performed?

A

Take deep breath and slowly exhale.
Cough forcefully

22
Q

Coughing and Deep Breathing
Why is it performed?

A

Prevent Atelectasis and PNA

23
Q

Coughing and Deep Breathing Outcome

A

Clear lungs of mucus or pus.

24
Q

Coughing and Deep Breathing Nursing Implications

A

Can be painful for abdominal surgery- teach to splint with pillows

25
Q

Huff Coughing
How is it performed?

A

Inhale
Hold breath
Forceful exhalation

26
Q

Huff Coughing
Why is it performed?

A

Those who have difficulty clearing cough

27
Q

Huff Coughing Outcome

A

Clear mucus from lungs

28
Q

Huff Coughing Nursing Implications

A

Less exhausting than regular coughing

29
Q

Suctioning, Why is it performed?

A

Those who cannot clear mucus out of airway with coughing

30
Q

Suctioning Outcome

A

Improved lung sound
O2 stats

31
Q

Suctioning, Nursing Implications

A

Deep suctioning requires sterile technique- can cause infections or injuries if performed incorrectly

32
Q

Tracheostomy Suctioning, why is it performed?

A

Patient with tracheostomy

33
Q

Tracheostomy Suctioning Outcome

A

Remove secretions from airways

34
Q

Tracheostomy Suctioning Nursing Impliations

A

Require proper technique

35
Q

Closed Chest Drainage
How is it performed?

A

Dr. insets into pleural or mediastinal space of thorax to remove liquid, blood, air.
Connected to suction, collection chamber and water seal chamber.

36
Q

Closed Chest Drainage
Why is it performed?

A

Pneumothorax
Hemothorax

37
Q

Closed Chest Drainage Outcome

A

Facilitate lung expansion and restore normal intrapleural pressure

38
Q

Closed Chest Drainage Nursing Implications

A

Careful monitor site for redness, swelling, pain, subcutaneous emphysema.
Ensure drainage is below chest
No kinks in tubing.
Monitor water seal chamber
Focused respiratory assessment.