Acute Nursing Illness Assignment
Added on 2021-05-30
8 Pages1414 Words47 Views
|
|
|
Running head: ACUTE NURSING ILLNESSAcute Nursing IllnessName of the studentUniversity nameAuthors’ note
1ACUTE NURSING ILLNESSTable of ContentsEvaluation of oxygenation, ventilation and acid base balance...............................................2Encouraging fluid intake........................................................................................................3Intervention 3:........................................................................................................................3Oxygen therapy..........................................................................................................................3Conclusion..............................................................................................................................4References..............................................................................................................................5
2ACUTE NURSING ILLNESSEvaluation of oxygenation, ventilation and acid base balance The patient here was diagnosed with a condition of cholecystitis and had to undergoan immediate surgery for that. The injury from the surgery led to the shunted blood flowthrough the vasodilated tissues after surgery. Additionally, the patient had a past history ofsmoking, which resulted in coughing in the patient. Therefore, management of oxygen andventilation post surgery served as an important parameter. As mentioned by Schietroma,Colozzi, Pessia, Carlei & Amicucci (2017), patient with smoking history often require higherrates of post-operative ventilator support compared to the ones who do not smoke. This isbecause too much smoking affected the contracting power of the alveoli present in the lungs,which affected the inspiration/ expiration capacity of the patient. The smoking additionresulted in increased acidity, which further worsened the conditions of gastric oesophagealreflux disorder in the patient. The symptom of GERD is often expressed in the form ofabdominal bloating, coughing sore throat etc. In this context, the patient Mr. X had been a chain smoker and had difficulty inbreathing post the cholecystectomy. The doctor and the nursing professional attending thepatient had to ensure that the patient is hooked off the ventilator only on restoration of normalbreathing capacity. For sufficient oxygenation an endotracheal tube could be placed in themouth or nose and threaded down the airway (Miguel-Montanes et al., 2015). As suggestedby Zhou, Chen, Zhang, Li & Guo (2017), the normal breathing capacity of a person is oftenaltered post trauma. Additionally, the deposition of mucous post –surgical injury madebreathing more difficulty in the patient. Hence, the ventilation needs to be continued till thepatient is able to breathe on his own or the partial pressure of oxygen is restored.
End of preview
Want to access all the pages? Upload your documents or become a member.
Related Documents
Postoperative Managementlg...
|15
|2801
|491
NICS PBL worksheetlg...
|5
|1118
|246
NRSG355 Written Assessment Guidelg...
|6
|2257
|467