Respiratory

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Alterations in Respiratory Function

1.Define and use the key terms as listed in the assigned readings
2.Using the four adaptive modes of Roy’s Adaptation Model (RAM), recognize human adaptive responses to behavior or stimuli that affect respiratory function.
3.Identify differences, which affect the respiratory system in young, middle, and older adults.

4.Identify signs and symptoms of acute respiratory distress from impaired gas exchange.
5.Incorporate assessment of respiratory risk factors into the nursing history and physical assessment. 6.Identify components of a physical examination for a client with compromised respiratory function.

7.Identify the clinical significance and related nursing implications of laboratory and diagnostic tests and procedures used for assessment and evaluation of respiratory function. 8.Specify nursing care of patients undergoing diagnostic procedures of the respiratory system. 9.Explain the indications, principles, procedures and nursing management of adults with compromised respiratory status requiring mechanical ventilation and thoracic surgery.

10.Describe stimuli and behaviors, pathophysiology, diagnosis, medical management, complications, & nursing care for clients experiencing respiratory disorders (incl: resp infections, chronic obstructive disorders, environmental lung diseases, respiratory emergencies, pulmonary vasc. disorders, pleural disorders, & neoplastic disorders).

11.Identify properly the medications on the drug list by generic name, classification, mechanism of action, clinically significant side effects, normal dosage, and nursing implications. Be able to correctly calculate IV, IM and PO dosages.

12.Compare and contrast nursing assessment findings, care and evaluation of patients with bacterial, viral, and fungal respiratory illnesses.

13.Develop a teaching/learning plan for adults experiencing compromised respiratory function.

14.Utilize the RAM nursing process to develop a plan of care for clients experiencing compromised respiratory function.

15.Provide culturally sensitive nursing care to the patient with respiratory illness.

Review of Chapter 30 and notes from NURS 115 oxygenation unit
Abdominal respiration  breathing accomplished mainly by the abdominal muscles and diaphragm

Afterload – resistance to left ventricular ejection; the work the heart must overcome to fully eject the blood from the left ventricle

Aerobic respiration  the oxidative transformation of certain substrates into secretory products, the released energy being used in the process of assimilation

Anaerobic respiration  respiration in which energy is released from chemical reactions in which free oxygen takes no part

Atelectasis – collapse of alveoli, preventing the normal respiratory exchange of oxygen and CO2

Atriventricular node (AV) – portion of the cardiac conduction system located on the floor of the right atrium; it receives electrical impulses from the atrium and transmits them to the bundle of HIS

Biot's respiration  rapid, short breathing w/pauses of several seconds, indicating ↑ intracranial pressure

Cardiac output (CO) – volume of blood expelled by the ventricles of the heart, equal to the amount of blood ejected at each beat, multiplied by the number of beats in the period of time used for computation (usually 1 min)

Cardiopulmonary rehabilitation – actively assisting the patient with achieving and maintain an optimal level of health through controlled physical exercise, nutrition counseling, relaxation and stress management techniques, prescribed meds , O2, and compliance

Cardiopulmonary resuscitation – basic emergency procedures for life support consisting of artificial respiration and manual external cardiac massage

Chest percussion – striking of the chest wall with a cupped hand to promote mobilization & drainage of pulmonary secretions

Chest physiotherapy...
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