Scribd Logo
Upload

Welcome to Scribd!

  • 24 views

    Oxygenation: Mosby Items and Derived Items © 2005 by Mosby, Inc

    Uploaded by

    3amabelle arevalo
    The document discusses factors that can affect oxygenation including physiological, developmental, lifestyle, and environmental factors. It also discusses assessing oxygenation through physical exams, diagnostic tests, and nursing diagnoses as well as planning, implementing, and evaluating care related to oxygenation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Oxygenation: Mosby Items and Derived Items © 2005 by Mosby, Inc

    Uploaded by

    3amabelle arevalo
    24 views29 pages
    The document discusses factors that can affect oxygenation including physiological, developmental, lifestyle, and environmental factors. It also discusses assessing oxygenation through physical exams, diagnostic tests, and nursing diagnoses as well as planning, implementing, and evaluating care related to oxygenation.

    Original Title

    oxygenation-100407101205-phpapp02 (1)

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses factors that can affect oxygenation including physiological, developmental, lifestyle, and environmental factors. It also discusses assessing oxygenation through physical exams, diagnostic tests, and nursing diagnoses as well as planning, implementing, and evaluating care related to oxygenation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    24 views29 pages

    Oxygenation: Mosby Items and Derived Items © 2005 by Mosby, Inc

    Uploaded by

    3amabelle arevalo
    The document discusses factors that can affect oxygenation including physiological, developmental, lifestyle, and environmental factors. It also discusses assessing oxygenation through physical exams, diagnostic tests, and nursing diagnoses as well as planning, implementing, and evaluating care related to oxygenation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 29

    Chapter 39

    Oxygenation

    Mosby items and derived items © 2005 by Mosby, Inc.


    Cardiovascular Physiology
    • Structure and function
    – Myocardial pump
    – Myocardial blood flow
    – Coronary artery circulation
    – Systemic circulation
    – Blood flow regulation: cardiac output,
    preload, afterload, contractility
    – Conduction system

    Mosby items and derived items © 2005 by Mosby, Inc.


    Respiratory Physiology
    • Structure and function (cont'd)
    – Breathing: inspiration, expiration
    – Lung volumes and capacities
    – Pulmonary circulation
    – Respiratory gas exchange: oxygen,
    carbon dioxide
    – Regulation of respiration

    Mosby items and derived items © 2005 by Mosby, Inc.


    Factors Affecting Oxygenation
    • Physiological factors: cardiac
    – Conduction disturbances
    – Impaired valvular function
    – Myocardial hypoxia
    – Cardiomyopathic conditions
    – Peripheral tissue hypoxia

    Mosby items and derived items © 2005 by Mosby, Inc.


    Factors Affecting Oxygenation
    (cont'd)
    • Physiological factors: respiratory
    – Hyperventilation
    – Hypoventilation
    – Hypoxia

    Mosby items and derived items © 2005 by Mosby, Inc.


    Factors Affecting Oxygenation
    (cont'd)
    • Additional physiological factors
    – Decreased oxygen-carrying capacity
    – Decreased inspired oxygen
    concentration
    – Hypovolemia
    – Increased metabolic rate
    – Conditions affecting chest wall
    movement

    Mosby items and derived items © 2005 by Mosby, Inc.


    Factors Affecting Oxygenation
    (cont'd)
    • Additional physiological factors
    – Musculoskeletal abnormalities
    – Trauma
    – Neuromuscular diseases
    – Central nervous system alterations
    – Chronic disease

    Mosby items and derived items © 2005 by Mosby, Inc.


    Alterations in Cardiac Functioning

    • Conduction disturbances
    – Atrial and ventricular dysrhythmias
    • Altered cardiac output
    – Heart failure
    • Impaired valvular function
    • Myocardial ischemia
    – Angina, MI, acute coronary syndrome

    Mosby items and derived items © 2005 by Mosby, Inc.


    Alterations in Respiratory
    Functioning
    • Hyperventilation
    • Hypoventilation
    • Hypoxia

    Mosby items and derived items © 2005 by Mosby, Inc.


    Developmental Factors
    • Infants and toddlers
    • School-age children and adolescents
    • Young and middle adults
    • Older adults

    Mosby items and derived items © 2005 by Mosby, Inc.


    Lifestyle Factors
    • Nutrition
    • Exercise
    • Smoking
    • Substance abuse
    • Stress

    Mosby items and derived items © 2005 by Mosby, Inc.


    Environmental Factors
    • Residence location
    • Occupation

    Mosby items and derived items © 2005 by Mosby, Inc.


    Nursing History
    • Fatigue
    • Dyspnea
    • Cough
    • Wheezing
    • Pain
    • Environmental or geographical
    exposures

    Mosby items and derived items © 2005 by Mosby, Inc.


    Nursing History (cont'd)
    • Respiratory infections
    • Health risks
    • Medications

    Mosby items and derived items © 2005 by Mosby, Inc.


    Assessment of Oxygenation
    • Physical examination
    – Inspection
    – Palpation
    – Percussion
    – Auscultation

    Mosby items and derived items © 2005 by Mosby, Inc.


    Assessment of Oxygenation
    (cont'd)
    • Diagnostic tests: blood studies
    – Complete blood count
    – Cardiac enzymes
    – Cardiac troponin I
    – Serum electrolytes
    – Cholesterol

    Mosby items and derived items © 2005 by Mosby, Inc.


    Assessment of Oxygenation
    (cont'd)
    • Diagnostic tests: cardiac function
    – Electrocardiogram (ECG)
    – Holter monitor
    – Exercise stress test
    – Thallium stress test
    – Electrophysiological study (EPS)
    – Echocardiography
    – Scintigraphy
    – Cardiac catheterization

    Mosby items and derived items © 2005 by Mosby, Inc.


    Assessment of Oxygenation
    (cont'd)
    • Diagnostic tests: ventilation studies
    – Pulmonary function
    – Peak expiratory flow rate (PEFR)
    – Arterial blood gases
    – Oximetry
    – Chest x-ray
    – Bronchoscopy
    – Lung scan

    Mosby items and derived items © 2005 by Mosby, Inc.


    Assessment of Oxygenation
    (cont'd)
    • Diagnostic tests: ventilation studies
    (cont'd)
    – Thoracentesis
    – Throat cultures
    – Sputum specimens

    Mosby items and derived items © 2005 by Mosby, Inc.


    Nursing Diagnoses
    • Ineffective airway clearance
    • Ineffective breathing pattern
    • Decreased cardiac output
    • Impaired gas exchange
    • Risk for infection
    • Ineffective tissue perfusion
    • Impaired spontaneous ventilation

    Mosby items and derived items © 2005 by Mosby, Inc.


    Planning
    • Goals and outcomes
    – Client’s lungs are clear on auscultation
    – Client coughs productively
    • Setting priorities
    • Continuity of care

    Mosby items and derived items © 2005 by Mosby, Inc.


    Implementation:
    Health Promotion
    • Body weight
    • Diet
    • Exercise
    • Stress reduction
    • Occupational safety
    • Smoke-free
    • Regular physical examinations

    Mosby items and derived items © 2005 by Mosby, Inc.


    Implementation: Health
    Promotion (cont'd)
    • Vaccinations/immunizations
    – Influenza
    – Pneumonia

    Mosby items and derived items © 2005 by Mosby, Inc.


    Implementation: Acute Care
    • Dyspnea management
    • Airway maintenance
    – Mobilization of secretions
    – Suctioning
    – Artificial airways

    Mosby items and derived items © 2005 by Mosby, Inc.


    Implementation: Acute Care
    (cont'd)
    • Maintenance and promotion of lung
    expansion
    – Positioning
    – Incentive spirometry
    – Chest tubes

    Mosby items and derived items © 2005 by Mosby, Inc.


    Implementation: Acute Care
    (cont'd)
    • Maintenance and promotion of
    oxygenation: oxygen therapy
    – Safety precautions
    – Oxygen supply
    – Methods of oxygen delivery
    – Home oxygen therapy

    Mosby items and derived items © 2005 by Mosby, Inc.


    Implementation: Acute Care
    (cont'd)

    • Restoration of cardiopulmonary
    functioning—CPR

    Mosby items and derived items © 2005 by Mosby, Inc.


    Implementation: Restorative Care
    • Hydration
    • Coughing techniques
    • Respiratory muscle training
    • Breathing exercises

    Mosby items and derived items © 2005 by Mosby, Inc.


    Evaluation
    • Client care
    • Client expectations

    Mosby items and derived items © 2005 by Mosby, Inc.

    You might also like