https://padlet.com/yna_lauren/h295maf233eu Made with fortitude en-us 2017-08-21 02:02:40 UTC 2017-08-28 09:06:36 UTC hello@padlet.com yna_lauren https://padlet.com/yna_lauren/h295maf233eu/wish/181795923 - Why did doctor request for chest x-ray?
- What are they looking for in the x-ray?
- Abnormal results:  collapsed  lung from difficulty breathing; collection of fluid around lung; fractures; lung tumours 
-  Condition improved: medication effective
- Handover her care to respiratory ward]]> 2017-08-21 02:14:42 UTC https://padlet.com/yna_lauren/h295maf233eu/wish/181795923 yna_lauren https://padlet.com/yna_lauren/h295maf233eu/wish/181796084 - 7 rights before administering medications
- Hydrocortisone: decreases/prevents tissues from responding to inflammation (allergies, asthma). Administered via IVI
- Salbutamol (Ventolin): medication that opens medium/large airways in the lungs
- Ipratropium Bromid (Atrovent): medication that opens medium/large airways in the lungs. Treatment option for COPD and asthma symptoms
- Nebuliser: Medication administered as a vapour through a mask
- If a nebuliser isn't working, the medication can't enter the PT's airways appropriately. Other medications administered are designed to open airways.]]> 2017-08-21 02:15:55 UTC https://padlet.com/yna_lauren/h295maf233eu/wish/181796084 yna_lauren https://padlet.com/yna_lauren/h295maf233eu/wish/181796093 - Boyfriend - heavy smoker - 2 smokes in half an hour, lots of second hand smoke if she's around him a lot? would highly affect her asthma? does Zoe smoke? 
- headache, body aches and pains - flu or related to resp problem?
-aspirin = blood thinner - effect on resp illness? + lowers blood pressure
- what is her work environment like? does it trigger her breathing problems? 
- potentially pulmonary oedema: wheezing

]]> 2017-08-21 02:15:58 UTC https://padlet.com/yna_lauren/h295maf233eu/wish/181796093 yna_lauren https://padlet.com/yna_lauren/h295maf233eu/wish/181796116 using accessory muscles- used under high metabolic demands eg: exercise, respiratory dysfunction and asthma attack.
peripheral cyonosis- due to excessive concentration of deoxyhaemoglobin in the blood caused by deoxygenation.
history of asthma.
using single words-difficulty speaking and breathing.
try to determine cause of asthma attack. - trigger? can be pollen or tobacco smoke etc.]]> 2017-08-21 02:16:10 UTC https://padlet.com/yna_lauren/h295maf233eu/wish/181796116 yna_lauren https://padlet.com/yna_lauren/h295maf233eu/wish/181796125 - SpO2 87% --> need to bring her above 95%
- Hudson mask --> low flow, normal 6L/min 
- temp is high 
- HR is high 
- RR high
- BP borderline hypertensive (could be increased due to respiratory distress)
- family history of respiratory conditions 
- does she have asthma?
- what was she doing prior? exercise? 
- any medications/illicit drugs/alcohol?
- infections present? chest? upper respiratory?
- smokers status/history

]]> 2017-08-21 02:16:13 UTC https://padlet.com/yna_lauren/h295maf233eu/wish/181796125 yna_lauren https://padlet.com/yna_lauren/h295maf233eu/wish/181796133 - Zoe, Female, 25, part-time waitress
- Symptoms : Can't walk, agitated (Hypoxaemic?), dyspnoeic (difficulty breathing, query constriction ), wheezing (indicative of constriction).
- Patient refuses to lay down, allowed to sit ( Tripod position to aid in breathing)
- A respiratory assessment is required ( Includes interview, inspection, auscultation, palpation, percussion, observation, Ox and RR)
- Query fowlers position to easy  breathing instead of tripod position
- wheezing can be indicative of COPD, asthma, acute bronchitis, swelling in the airways, mucus in the airways, something stuck in the throat or a growth in the airway.
-Pursed lip breathing- exhaling through tightly pressed (pursed lips) and inhaling through the nose with the mouth closed. Make your breaths more effective by making them slower and more intentional.


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