SG3 Tumaca

Names: Ritchell Dahl Tumaca Section: B Date: September 04, 2023 Score: ___
Direction: Please complete the TABLE below.

Treatment Modalities
1. Why do we encourage clients to cough at least twice?

• The mucus is loosened and forced into the airways with the first cough. You can cough up and expel the
mucus with the second cough.
2. What’s the principle behind pursed lip breathing?

• Pursed-lip breathing prevents minor airway collapse, slows expiration, and gives the patient control over
the depth and rate of breathing. Additionally, it promotes relaxation, assisting the patient in taking
control of their dyspnea and reducing panic attacks.
3. Peak flow meter is indicated to what respiratory disorders?

• Those who suffer from persistent mild to severe asthma.
4. What are principles behind postural drainage in chest physiotherapy?

• The patient's position permits drainage from all lung lobes and airways, which can be employed to
manage secretions.
5. What is the main goal in incentive spirometry?

• By observing how much air you breathe in and out and how quickly you exhale, the main objective is to
assess how well your lungs work. An incentive spirometer's goal is to make sure that the patient gradually
increases the amount of air they inhale as they take deeper and deeper breaths.
6. How do we ensure room safety in oxygen therapy?

• Place “Oxygen in Use” sign in the doors or other visible area
• Know NOT to smoke while using oxygen.
• Keep oxygen tank 5 feet away from TV, radio, and other appliances.
• Keep oxygen tank at least 15 feet aways from other source of flames.
• Always turn your oxygen off when not in use
7. Other than assessing, what do you do before and after suctioning? Why?
• Apply suction while withdrawing and in circular motion for no longer than 10-15 second because
prolonged suctioning can damage tissue and can result to hypoxia.
• After suctioning, monitor the patient for common complications such as bradycardia and hypoxia.
8. What’s the main goal of placing closed thoracostomy tube?

• The pleural space, which is the area surrounding your lungs, can be helped to clear out by the use of a
chest tube.
Diagnostic Tests/Procedures
Test/Procedure Purpose/Description Nursing Responsibilities
Sputum Studies • To assess for gross • Take note of the sputum's color, quantity, and consistency
appearance of the sputum collected.
• Sputum C/S • As soon as possible, send the specimen to the laboratory for
• AFB Analysis to assure a precise outcome.
• Cytologic Examination • Provide the client privacy.
• Describe the specimen collection's purpose and the
getting the specimen procedure
• Follow the proper specimen collection technique.
Arterial Blood Gas • To assess ventilation and • Monitor vital signs and look for indicators of circulatory
acid-base balance Normal problems.
Values: pH: 7.35-7.45 • Do not tape the whole circumference of the arm if the
PaO2: 95%-100% puncture site is on the arm since this may impede circulation.
PaCO2: 35-45 • After 3-5 minutes of applying pressure to the puncture location
tape a gauze pad over it tightly.
HCO3: 22-26
Pulse Oximetry • To assess oxygen saturation • Assess for factors that may alter findings
in blood
Normal Values: 95%-100%
Chest X-ray • To identify abnormalities in • Take away all metallic items.
chest structure and lung • Provide appropriate clothing.
tissue • Verify that the patient is not believed to be pregnant or
pregnant.
• Tell the patient to comply while the procedure is being done.
Computed • Use when x-ray do not • Tell the patient not to eat or drink anything for a while.
Tomography (CT) show some areas well. • Tell the patient to stay motionless and not move about.
• Helps to differentiate Obtain duly signed informed consent.
•
pathologic conditions. Provide information about the procedure's duration.
•
Magnetic Resonance • Use when CT do not show • Remind the patient to keep still during the entire procedure.
Imaging (MRI) tissue alterations well Keep an eye out for any negative effects of the contrast agent,
such as flushing, in the patient.
• Examine any possible metallic implants
• In the presence of such, the test will not be conducted.
Positron Emission • Use to identify lung nodule. • Inform the patient of the operation.
Tomography (PET) • Has 25% lower radiation as Verify whether the patient ate anything within four hours
compared to CT before the surgery.
• Keep NPO for six to twelve hours before to the surgery.
• Have the client's blood sugar levels checked
• Tell the patient to empty their bladder before the surgery

because it will take two to three hours.
• Encouraged increase fluid intake post-test to eliminate the
radioactive material.
Pulmonary • Done to identify tumors, • After the test, keep an eye on the injection sites and side
Angiography pulmonary emboli, effects.
aneurysm and vascular. • To enhance ventilation-perfusion ratio, periodically turn and
changes and pulmonary reposition the patient.
circulation • Check for hypoxemia symptoms and keep track of the pulse
• A catheter is inserted in the oximetry readings.
brachial and or femoral
artery into the pulmonary
artery, dye is injected.
• ECG leads are applied to
the chest for cardiac
monitoring. Images of the
lungs are taken
Pulmonary • Done through two nuclear • There are no restrictions on what you can eat, drink, do, or
ventilation/perfusion scans (ventilation and take unless a doctor tells you to.
Scan (V/Q Scan) perfusion) • Advising the customer to drink more fluids following the
• Perfusion –done by procedures
injecting radioactive
albumin into a vein and
scanning the lungs.
• Ventilation –done by
inhaling radioactive gas.
Bronchoscopy • Direct visualization of the • Routine preoperative care
larynx, trachea, and • Provide mouth care.
bronchi with • Have resuscitation and suction equipment at bedside.
bronchoscope. Monitor V/S during procedure
•
• NPO for 2 hours or until fully awake
• Provide emesis basin for secretion and saliva (note color and
characteristics)
• Collect post bronchoscopy sputum for cytology
Lung Biopsy • Done to obtain tissue to • Routine preoperative care

differentiate tumors of the
• Provide mouth care.
lungs.
• Have resuscitation and suction equipment at bedside.
• Monitor V/S during procedure.
• NPO for 2 hours or until fully awake
• Provide emesis basin for secretion and saliva (note color
and characteristics)
• Collect post bronchoscopy sputum for cytology
Thoracentesis • Aspiration of fluid or air in Before and During:
the pleural space • Administer cough suppressant.
• Position client upright, leaning forward with arms and head
supported on an anchored overbed table.
• A sensation of pressure may be felt even if anesthesia use.
After:
• Monitor pulse, color, O2 sat and other signs.
• Apply a dressing on puncture site and position on the
unaffected site for 1 hour.

SG3 Tumaca

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

SG3 Tumaca

Uploaded by

Copyright:

Available Formats

Names: Ritchell Dahl Tumaca Section: B Date: September 04, 2023 Score: ___

Direction: Please complete the TABLE below.

1. Why do we encourage clients to cough at least twice?

2. What’s the principle behind pursed lip breathing?

3. Peak flow meter is indicated to what respiratory disorders?

4. What are principles behind postural drainage in chest physiotherapy?

5. What is the main goal in incentive spirometry?

6. How do we ensure room safety in oxygen therapy?

8. What’s the main goal of placing closed thoracostomy tube?

• In the presence of such, the test will not be conducted.

• Have the client's blood sugar levels checked

• Tell the patient to empty their bladder before the surgery

Lung Biopsy • Done to obtain tissue to • Routine preoperative care

You might also like