Linda S. Williams / Paula D. Hopper Copyright © F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 29 Respiratory System Function, Assessment, and Therapeutic Measures

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Review of A&P

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Acid-Base Balance  Respiratory Acidosis  Hypoventilation  Respiratory Alkalosis  Hyperventilation

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Effects of Aging

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition History  Upper Respiratory Symptoms  Lower Respiratory Symptoms  Exposures/Smoking  Current Treatments  Family History

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition WHAT’S UP?  Where Is It?  How Does It Feel?  Aggravating and Alleviating Factors  Timing  Severity  Useful Other Data  Patient’s Perception

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Inspection  Symmetry  Dyspnea  Use of Accessory Muscles  Color

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Inspection (cont’d)  Respiratory Rate and Rhythm  Chest Shape

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Palpation  Sinuses  Respiratory Excursion  Crepitus

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Percussion  Resonance  Hyperresonance  Dull  Flat

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Auscultation  Normal Breath Sounds  Adventitious Sounds  Compare Bilaterally

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Adventitious Breath Sounds  Crackles—Coarse or Fine  Wheezes  Stridor  Friction Rub  Diminished  Absent

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Laboratory Tests  CBC  ABGs  D -Dimer  Cultures  Sp O 2

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Diagnostic Tests  Chest X-Ray  CT Scan  VQ Scan  PFTs  Angiography  Bronchoscopy

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Measures  Behavior Modification  Counseling  Setting Quit Date  Nicotine Replacement  Drug Therapy  Hypnosis

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Measures (cont’d)  Deep Breathing and Coughing  Huff Coughing  Breathing Exercises

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Measures (cont’d)  Positioning  Fowler’s  Semi-Fowler’s  Good Lung Down

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Oxygen Therapy  Nasal Cannula

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Oxygen Masks

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Transtracheal Oxygen

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition NMT

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition MDI

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Spacer

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Incentive Spirometer

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chest Physiotherapy

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Mucous Clearance Device

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chest Drainage  Indications  Chest Tube Insertion  Drainage System  Nursing Care

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chest Drainage System

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Tracheostomy  Definition  Indications  Nursing Care  Suctioning  Cleaning  Communication  Teaching

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Passy-Muir Speaking Valve

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Intubation

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Mechanical Ventilation  Invasive  Indications  Nursing Care  Trouble-Shooting Alarms

Understanding Medical Surgical Nursing, 4th Edition Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Noninvasive Positive Pressure Ventilation  Indications  Advantages  Nursing Care