In a pulmonary clinic, your student assignment

In a pulmonary clinic, your student assignment is to (1) perform a focused assessment related to breathing and oxygenation, (2) perform common therapeutic interventions related to breathing and oxygenation, (3) identify desired outcomes and evaluate achievement of those outcomes, and (4) plan for follow-up and home care needs. During your clinical day, you care for the following clients: â– Mary is a 4-year-old girl with a history of asthma. Her mother, Ms. Green, has brought her in because of an “asthma attack.” Mary is sitting in her mother’s lap and breathing rapidly through an open mouth. Her cough sounds congested and wheezy. The nurse practitioner has prescribed a nebulized treatment containing albuterol (Proventil) and ipratropium bromide (Atrovent). â– Mr. Chu is a 78-year-old man complaining of cough, sore throat, fatigue, and weakness. His temperature is 38°C (100.4°F), pulse is 90 beats/min, respirations are 26 breaths/min, and blood pressure (BP) is 166/82 mm Hg. â– William is a 19-year-old male who has had a sudden onset of right-sided chest pain and shortness of breath. His chest x-ray revealed a right pneumothorax, and he is currently receiving 35% oxygen by face mask while waiting for an ambulance to transport him to the hospital for further evaluation. Each of these patients is experiencing an oxygenation problem. In this chapter, you will learn a variety of assessment techniques and interventions to support breathing, oxygenation, and gas exchange for patients such as these. SCIENCE HEALTH SCIENCE NURSING FOUNDATION 304

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