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V/S: SpO2: 98% room air.
clear lung sounds on auscultation, no crackles.

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patient spo2 improved from 89% to 95% on room air, absent of crackles, breathing sound clear, absent of the strong active cough.

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Alyah Ali

Vital signs assessed, Clear lung sounds by auscultation, Normal breathing, spo2=96%

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20-1-2022 12:20HR received 10 year old child, nasopharyngeal suctioning done to the client, the secretion thickened whitish to yellowish , patient tolerated the procedure . O.O

20-1-2022 12:20HR received pt with cough , postrual drainage techniques done, patient is tolerated the procedure.
O.O

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12:30, 22-01-2022, child 8 years old compline's of productive cough and respiratory secretions with crackles, Nasotracheal suctioning done with a moderate amount, yellowish colour, without odour, - postural drainage preformed with chest percussion, patient had a productive cough of moderate yellowish sputum, patient tolerated procedure well, mouth care performed, BP: , HR:, RR, T: . R.A

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Ruqaya
- Assess Vital signs
- Normal breath sounds
- Increased Spo2
- Child comfortable and tolerance

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Pt breathing normally , no sound of nasal congestion , child get rest for 1-2 minutes for breath

moza alnaqbi

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pt breathing improved to 96% on the room air , with stable vital sign and ciliary action of sound in the upper lungs .

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1. 20/1/22 1230 10-year-old child admitted to the ward complaining of hypoxia and productive cough. Suctioning done to the patient, yellow secretion present. The child tolerated the procedure. FS

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pt have stabel vital sign ,BP: 120/75 , HR: 98
,RR 21 , normal breathing ,clear lungs sound
moza alnaqbi

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Patient confirmed Decreased SOB, and sp02 : 97% on room air. Bilateral clear upper lung sounds on auscultation.

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20/1/2022, 12:00 pm. Done for nasotracheal suctioning for child pt 10-year-old, he was complaining of respiratory secretion and productive cough, pt secretion thickened with yellowish and the pt tolerated the procedure ..
MS

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Vital signs assessed O2 improved to 95%, breathing sounds are clear and present.

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Suctioning:
Pt breathing improved, no need for O2 therapy Pt breath normally after resting for 2 mins, no crackles.
Postural drainage:
Pt maintained normal VS , no crackles & Pt breath normally with no difficulties.

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20-1-2022 , 11:00 , 9 years old received in ER , complain of productive cough since yesterday, postural draining done by doctor order , Pt tolerate the procedure.

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20/1/2022 12:13HR received 10 year old patient awake on room air GCS:15/15, Sp02:94 room air, positive SOB Increased with supine position patient explained " I feel like I am suffocating", diagnoised with pneumonia, respiratory assessment done, symmetrical non-laboured respiration, bilateral diminished lung sounds in lower lobes, and crackles heard on right upper lobe, positive productive cough, yellowish slightly viscous sputum, culture collected and send to lab. Postural drainage done, however patient didn't feel relieved with no expulsion of mucus with cough. Proceeded with suctioning, sp02: 93 Hyperoxygenation with 6 liters sp02 and tracheal suctioning done and 18 ml yellowish mucus collected, patient relieved and tolerated the procedure well. Sp02 : 97 % and clear bilateral upper lobe lung sounds. RG.SN

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12:16 , 20/01/2022 , 7 years old child complain of respiratory secretion since two days doctor order for suctioing to remove the secetion , it's done 10 ml of thiick , white suctioning , without odor , during procedure using all position and the child tolerate procedure A.D

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20/1/2022, 1200 hr, 9 yrs old child patient complaining of accumulation of secretions since early morning, crackles heard in the right upper lobe on auscultation with productive cough, SpO2: 94%, Nasotracheal suctioning done as the doctor ordered, 6ml was withdrawn, clear thick mucus, No odor.
postural drainage was done, the child was positioned seated with a large pillow placed against the chest, with draped head and arm over the pillow.
the child was cooperative during the procedures. MM

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20/1/2022 12:15 nasopharyngeal suction is done for 10 years old child complaining of respiratory secretion and productive cough since 2 days. amount of secretion was 6ml with yellowish color. vital sign are stable. child tolerated with procedure O.M

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20/1/22, 1200H, 12y.o pt. complain of excessive productive cough, and dyspnea crackles sound, Spo2 94%, HR: 78, RR: 21, T:37.1, BP:90/87 since yesterday, He has performed oral suctioning, thick mucus present, 4mL amount of secretion, greenish, no odor, the Pt. was tolerated with the procedure. KA

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Alyah Ali

20/1/22 1215 pm 9 year old child received ; complaining of productive cough since 2 days, nasopharyngeal suctioning done ,it was yellowish thick secretions with odor, patient well tolerated. AA

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20/1/22, 12:10 PM,  crackles present upon auscultation with productive cough, O2 is 92%, nasopharyngeal suctioning done, 10 ml of thick, white secretion with no odor, child tolerated the procedure and was cooperated. A.S

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22-01-2022 , 1205 , The nasopharyngeal suctioning done for 10 year old patient was complain of respiratory secretion and productive cough , suction secretion is small amount , without odor , and yellowish color .VS =BP: 110/70 mm hg , HR: 97 bpm, RR: 22 .No adverse reaction. Postural drainage techniques done to the patient , Instructed & taught with all positions of drainage. Patient was comfortable and tolerate during the procedure . A.H

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20-1-2022 / 1200 - Nasopharyngeal suctioning done to the pt, pt pulse oximetry was 94% before suctioning. a moderate amount of thick white mucus.pt tolerate the procedure. SA                                              salha   

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20-1-2022 / 1200 - Nasopharyngeal suctioning done to the pt, pt pulse oximetry was 94% before suctioning. a moderate amount of thick white mucus.pt tolerate the procedure. SA                                              salha   

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20/1/2022 01216 7 years old child admitted today with excessive secretions and low o2 92. Suctioning is done and o2 is given by nasal cannula and postural drainage for middle right segment is done, pt tolerated with procedure ..Az

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Suctioning:
10 y.o child received with productive cough & crackles, nasopharyngeal suctioning done to the Pt. Pt secretion thickened whitish to yellowish, Pt tolerate the procedure.
Postural drainage:
10 y.o child received with productive cough, Postural drainage techniques done to the Pt. Instructed & taught with all positions of drainage, Pt tolerate the procedure.

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- Reassess the child breathing and auscultate airways and lungs
- Assess the child’s vital signs
- positive interaction and comforting with the child

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20-1-2022 , 12:00 , child pt received on ER complain of lungs sound , the doctor order for suctioning to remove the secretion  the , founding was :thick and yellow secretion with foul smelling , vital sign was stable before the procedure , pt was an comfortable with the procedure .

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20-01-22 , 12:05 pm , nasotracheal suctioning performed for 10 y old patient was complain of respiratory secretion since yesterday . the amount was 5 ml of thick secretion no odor , yellowish color patient tolerated the procedure, mother educated about the procedure . NA

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Amnah Alzeyoudi

1. 20/1/2022 01205 7 year old child admitted yesterday complaining about hypoxia and secretions. Suctioning is done, white mucus present. Child tolerated with procedure.AZ

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Effectiveness of the procedure depends on

positioning that allows drainage by gravity on liquefaction, ciliary action and effective breathing.