Daniel Wesley: Acute Breathing Difficulties Flashcards
1
Q
What is a nursing plan for a pt who is short of breath, slipped down the bed, unable to talk in full sentences, removed nasal cannula and is confused?
A
Carry out set of obs Give O2 accordingly Sit pt up in bed Encourage deep breaths ?saline nebs - consider salbutamol and ipratropium Sputum sample
2
Q
At what level of oxygen do you give it through certain masks?
A
1-4l = nasal specs 5-10l = face mask 15l = non-rebreathe bag
3
Q
What are salbutamol and ipratropium?
A
Bronchodilators
Salbutamol is short acting
Ipratropium is long acting
4
Q
What is hydrocortisone?
A
Steroid
Reduces inflammation and helps to clear secretions
5
Q
What’s included in the ABCDE assessment?
A
A = is the airway patent? B = does the other require O2, check SATs, RR, depth and regularity of breathing C = HR, BP, capillary refill, urine D = BM, GCS E = ?canula, ?wound, ?bleeding
