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Lethargic, stupor, decreased loc
bradycardia, bradypnea, hypotension
Cyanosis!
dysrhythmias
Respiratory emergencies
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Use of accessory muscles! (could indicate copd, acute asthma attack)
Stridor, airway obstruction
Hypoxemia, o2 under 95 or 85
Absent lung sounds (atelectasis)
Excessive mucous
, Flail chest- most likely due to trauma, chest contracts when you inhale
andexpands w exhale (opposiite to normal)
Ventilator dependence
Failure to ween client off ventilator, client cannot breathe on their own
Priorities for asthma
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Assess the patient- vitals, respirations
Administer oxygen
Avoid triggers
Pursed lip breathing
Acidic lungs:
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low ph, normal bicarb, high co2
Thoracentesis
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Fluid or air drainage from the pluera
Invasive procedure
Position patient in upright position
, CO2 is opposite to pH. Higher CO2 and lower pH Indicates
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acidity. Thats why COPD is respiratory acidosis.
Oxygen toxicity
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Decreased vision, muscle twitching, seizures, repiratory distress
Dry cough, substernal pain, nausea vomiting, sob
Hypoventilation, co2 build up . m/c in copd
Goals for pneumonia treatment
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Reduced crackles (less fluid)
Increase coughing with easier to expectorate productive sputum
Reduced anxiety, reduced SOB
Treatment for TB
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