Nursing Vomitting Patient & Supporting Breathing Flashcards
What is emesis?
- vomiting
What is haematemesis?
- vomiting that contained blood
What is stercoraceous?
- vomiting faecal matter
What can cause sickness?
- underlying illness
- toxicity
- foreign body
- allergies
- motion sickness
- vestibular disturbance
What is the vomiting action?
- an active expulsion of stomach contents
- nausea and salivation
- diaphragm fixates
- respiration temporarily ceases
- abdominal muscle forcefully contracts
- stomach contents are expelled
What is the regurgitation action?
- passive return of undigested food from the oesophagus
- passive return of material in oesophagus, undigested since it has not reached the stomach or intestines yet
- occurs after eating, can be a sign of oesophageal problems
What nursing interventions can be carried out for vomiting patients?
- possibly gut rest (refer to vs)
- where infectious disease suspected, isolation nursing
- ensure patient and kennel are not soiled
- comfortable bedding and tlc
- assess hydration levels
- monitor patient for vomiting episodes and signs of nausea
How should vomiting patients be monitored?
- use of long and short term goals
- fluid therapy
- frequency of vomiting
- medications being used
- monitoring temp, pulse, rep rate
- urination
- not soiled/cleanliness
How should foods be re-introduced?
- vs must clear patient to be fed
- gradually to prevent reoccurrence
- small amount of luke warm water/electrolyte solution every 15 mins
- small meals of light, highly digestible food
- as long as no further vomiting, gradually change to normal diet over minimum of 3 or 4 days
What are recommended digestible foods?
- chicken
- rice
- low fat foods
- hills or royal canin recovery diets
- liquid diets
How should breathing be assessed?
- normal respiratory rate
- checking oxygenation = pink mucus membranes
What is tachypnoea?
- increased respiratory rate
What is bradypnoea?
- decreased respiratory rate
What is dyspnoea?
- difficulty breathing
- or increased respiratory effort
What is apnoea?
- cessation of breathing
What is stertor?
-reverse sneezing,
What is chenyne-stokes?
- where respiration is abnormal rhythm or rate breathing
Normal breath rate for dogs?
10 to 30 breaths per minute
Normal breath rate for cats?
20 to 30 breaths per minute
Normal breath rate for rabbits?
30 to 60 breaths per minute
What are the causes of abnormal respiratory rates?
- pain
- leads, harnesses or exercise
- respiratory distress
- increased neviornemntal temperature
What can an abnormal respiratory rate lead to?
- difficulty eating or drinking
- may result in fluid loss
- increased temperature
- mobility is affected
What are nursing interventions for patients in respiratory distress?
- providing oxygen with 02 kennels, mask, prongs
- supported sitting or regular turning
- minimal handling and restriction of mouth or chest
- keep environmental temperature cool
- minimise stress
- bed baths, nebulisation or suction to remove excess nasal or oral secretions
- courage for lung secretions
How should a patients breathing be monitored?
- respiratory rate
- respiratory effort
- heart rate
- mucous membrane colour
- Sp02 level
- blood gas analysis
How should a patients breathing be evaluated?
- efficacy of oxygen supply method
- positional dyspnoea
- environmental temperature/cooling is effective in maintaining normal body temperature
- if sedation was used, how effective
- has altering kennel or patient position helped
