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TRAN NGUYEN- 19NT09876Textbook:
Mondor, E. (2020). Lower respiratory problems. In Harding, M. M., Kwong, J., Roberts, D., Hagler,
D., & Reinisch, C. (Eds.), Lewis’ s medical-surgical nursing: Assessment and management of clinical
problems (11th ed., pp. 502-540). St. Louis, MO: Elsevier.
Mondor, E. (2020). Obstructive pulmonary diseases. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D.,
& Reinisch, C. (Eds.), Lewis’ s medical-surgical nursing: Assessment and management of clinical
problems (11th ed., pp. 541-575). St. Louis, MO: Elsevier.
ATI Skills Modules:
Oxygen Therapy Medication Administration 2
Nasal cannula Using a metered-dose inhaler
Simple mask
Non-rebreather mask
STUDENT NAME: Tran Nguyen
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After receiving verbal report, please utilize that information and the above listed references to respond to the
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following questions. Please be prepared to discuss your responses, as well as electronically submitting your
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responses after group discussion.
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Part 1
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Prepare the following medications for submission on medication cards. Use the ATI medication
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sheet format:
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Albuterol
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Methylprednisolone
Vancomycin
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1. Describe the pathophysiology of pneumonia and key risk factors for its development.
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Organisms trigger inflammatory response in lungs, fluid leaks into alveoli cause hypoxia, edema of airways,
bacteria pneumonia, inflammation of alveoli. Increase mucus production causes obstructs airflow and impair
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gas exchange in lungs. Bacterial infection.
Risk factor: smoker, elderly, chronic illness ( asthma, diabetes, heart disease), ventilator,
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medication( corticosteroids). Tracheal tubes, alcohol and drugs abuse, anesthesia procedures.
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2. Complete the following table:
CLINICAL MANIFESTATIONS OF COMPLICATIONS
PNEUMONIA (SIGNS/SYMPTOMS) (FROM THE DEVELOPMENT OF
INCLUDE ASSESSMENT/DIAGNOSTIC PNEUMONIA)
FINDINGS
This study source was downloaded by 100000819951441 from CourseHero.com on 05-15-2021 10:22:09 GMT -05:00
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, TRAN NGUYEN- 19NT09876
Cough, fever, chills, dyspnea, tachypnea, pleuritic Respiration failure
chest pain Heart failure
Lungs sounds: crackles, wheezing Pleural effusions
Elderly: confusion, stupor Empyema
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3. Based on the assessment and VS data given in the patient report, identify any abnormal findings and
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provide an explanation for each.
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Anxious, trying to breath, pain. Lack of oxygen, try to get more air to lungs, inflammation cause impair
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gas exchange.
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Patients has fever (101F) try to fight the bacterial. , increase BP, RR
PAIN is moderate 5/10 chest tight. rs e
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Decrease O2
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4. Identify the priority nursing interventions for this patient utilizing the patient report given and orders
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placed in the EHR. Provide rationales for how you identified these priorities and the order in which
you would implement these interventions.
Increase o2, high fowlers position. Antiinflammation, antipyretic. The vital sign change
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5. Write out the steps for administering a nebulizer treatment on this patient with COPD and
Pneumonia. Discuss how you determine whether to use oxygen or medical air as the nebulizer source
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for this patient?
Connect the hose to the air compressor.
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Fill the medicine cup with your prescription. To avoid spills, close the medicine cup tightly and
always hold the mouthpiece straight up and down.
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Attach the other end of the hose to the mouthpiece and medicine cup.
Turn on the nebulizer machine.
Place the mouthpiece in your mouth. Keep your lips firm around the mouthpiece so that all of the
medicine goes into your lungs.
This study source was downloaded by 100000819951441 from CourseHero.com on 05-15-2021 10:22:09 GMT -05:00
https://www.coursehero.com/file/93185942/Nguyen-A-Mclntyredocx/
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