Zusammenfassung der Ressource
Frage 1
Frage
Health [blank_start]promotion[blank_end]
Promotion of pneumonia awareness in patients and in the community - especially those at [blank_start]high risk[blank_end].
Ineffective airway [blank_start]clearance[blank_end] due to pneumonia
Monitor skin [blank_start]colour[blank_end], temp & level of [blank_start]consciousness[blank_end] (LOC)
Cyanosis, cool clammy skin & decreased LOC indicates worsening [blank_start]hypoxia[blank_end]
Assess ABG results & SpO2 readings
Notify medical team of [blank_start]abnormal values[blank_end]/ change in status
Interventions:
Place in [blank_start]Fowler’s[blank_end] or the [blank_start]tripod[blank_end] position to facilitate breathing & lung [blank_start]expansion[blank_end] (assists in reducing the [blank_start]WOB[blank_end])
Administer O2 as ordered
Administer medications as ordered
Initiate or assist with chest physiotherapy: [blank_start]postural[blank_end] drainage & percussion to facilitate movement of secretions
Increase patient’s [blank_start]fluid[blank_end] intake to reduce viscosity of [blank_start]secretions[blank_end]
Provide [blank_start]endotracheal suctioning[blank_end] as necessary
Assist to cough, deep breathe and use assistive breathing devices.
Assess cough & sputum ([blank_start]amount colour, consistency and odour[blank_end])