ATI sys dis. pleural effusion PDF

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Summary

Download ATI sys dis. pleural effusion PDF

Description

System Disorder

ACTIVE LEARNING TEMPLATE:

gabriella gonzalez ST UDENT NAME _____________________________________ pleural effusion DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

REVIEW MODULE CHAPTER ___________

Pathophysiology Related to Client Problem abnormal accumulation of fluid in the pleural space

impaired gas exchange

Health Promotion and Disease Prevention promote oxygenation and frequently assess chest tubes

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

smoking - drinking - high BP cirrhosis - lung disease

dullness w/ percussion DEC/absent breath sounds crackles w/ auscultation asymmetric chest expansion

use pressure to DEC pain w/ cough NO smoking drink fluids

Laboratory Tests ABG's - pleural biopsy

Diagnostic Procedures thoracentesis - CXray - CT scan

PATIENT-CENTERED CARE

Nursing Care monitor breath sounds auscultate/percuss lungs - monitor VS

Complications Medications

Client Education

antibiotics furosemide NSAIDs bronchodilators

deep breathing and coughing exercises

Therapeutic Procedures

Interprofessional Care

drainage cath - placement - surgery

monitor breath sounds place pt. high fowlers encourage cough and deep breaths - prepare for thoracentesis

ACTIVE LEARNING TEMPLATES

deep breathing/coughin g DEC risk for infection

lung scarring pneumothorax empyema (pus gathers in pleural space) sepsis

THERAPEUTIC PROCEDURE

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