Lower Respiratory Disorders & Acute (Pneumonia)

Question 1

What are some oxygen delivery systems?

Answer 1

• nasal canunula (24-44%)
• simple face mask (40-60%)
• nonrebreather (80-95%)
• venturi face mask (24-60%)
• high flow nasal cannula (100%)

Question 2

What are some patient education for pneumonia?

Answer 2

• take antibiotics (as px)
• pneumonia vaccine
• recognize s/s worsening respiratory status
• proper nutrition and fluid intake

Question 3

What are the evaluated outcomes after pneumonia treatment?

Answer 3

• stable VS
• O2 saturation WNL
• clear chest x-ray
• no fever or cough/sputum
• ↑ energy levels

Question 4

What are the evaluated outcomes after acute asthma treatment?

Answer 4

• ↓ ED visits
• ↓ rescue med use
• minimal symptoms

Question 5

What is the expected initial ABG for asthma?

Answer 5

metabolic acidosis
HCO3- < 21 mEq/L
pH < 7.35

Question 6

How to care for a patient with COPD?

Answer 6

• reduce risk factors
• manage stable COPD and exacerbations
• provide O2
• provide small, frequent meals

Question 7

What is the optimal positioning for COPD patients?

Answer 7

tripod position
- sit and lean forward with arms resting on the knees
- eases work of breathing

Question 8

How to educate patient on pursed-lip breathing?

Answer 8

• sit up with shoulders relaxed
• inhale though nose, count “one, two”
• exhale through pursed lip (blowing out candle), count to four
• exhale should be twice as long
• continue until SOB is controlled