Englishversionofnursingcoursewareforrespirat•Nursingmeasuresandinterventions目录Contents•Preventionandmanagementofapplications01OverviewofRespiratoryFailureDefinitionandclassificationDefinitionRespiratoryfailureisaconditioninwhichtherespiratorysystemisunabletoprovidethebodywithsufficientoxygenorelitecarbondioxideeffectClassificationTherearetwotypesofrespiratoryfailure:acuteandchronicAcuterespiratoryfailureoccursrecentlyandrequiresimmediatetreatment,whilechronicrespiratoryfailuredevelopsgraduallyandmayrequirelongtermmanagementEtiologyandpathophysiology•Etiology:Thecausesofrespiratoryfailurecanbedividedintotwocategories:primaryandextracurricularPulmonarycausesincludediseasesthataffectthelungsdirectly,suchaspneumonia,pulmonaryfibrosis,andasthmaExtramaritalcausesareconditionsthataffectotherorganizationsorsystems,suchasneuromusculardiseases,chronicheartfailure,andobesityfeversyndromeClinicalpresentationsanddiagnosis•Clinicalrecommendations:TheclinicalrecommendationsofrespiratoryfailurevarydependingonthetypeandseverityoftheconditionCommonsymptomsincludedyspnea,tachypnea,cyanosis,andalternativementalstatusOthersyndromesmayincludeorthopnea,paroxysmaldyspnea,andperipheraledema02NursingevaluationandmonitoringPatientassessmentGeneralinformation01Gatherbasicinformationaboutthepatient,includingage,gender,medicalhistory,andcurrentconditionPhysicalassessment02Examinethepatient'srespiratoryrate,oxygensaturation,andotherphysicalsignsofrespiratoryfailurePsychologicalassessment03Assessthepatient'smentalstate,includinganxiety,depression,andotherpsychologicalsymptomsthatmayaffecttheirconditionSymptommonitoringRespiratorysymptomsMonitorthepatient'srespiratorysymptoms,includingshortnessofbreath,coughing,andchesttightnessOthersymptomsMonitorforsymptomssuchasfatigue,fusion,andchangesinmentalstatusthatmayindicateworrisomerespiratoryfailureResponsetotreatmentMonitorthepatient'sresponsetotreatment,includingchangesinsymptomsandoxygensaturationlevelsNursingdiagnosisandobjectivesDiagnosisFormulateanursingdiagnosisbasedonthepatient'sassessmentandsymptomsThisdiagnosisshouldidentifythespecificneedsandproblemsrelatedtorespiratoryfailureObjectivesSetclearnumberingobjectivestoaddressthediagnosisTheseobjectivesshouldaimtoimprovethepatient'srespiratoryfunction,reducesymptoms,andenhanceoverallcomfortandwellbeing03NursingmeasuresandinterventionsOxygentherapyandmechanicalexploitationOxygentherapyAdministeroxygentomaintainoxygensaturationlevelsinthebloodAdjusttheoxygenconcentrationandflowratebasedonthepatient'sconditionandoxygensaturationlevelsMechanicalventilationUseventilatorstoassistpatientsinbreathingAdjustvendorsettingstoensureequaloxidationandexploitation,whileminimizingpotentialsideeffectssuchasvendorassociatedpneumoniaDrugtherapyandnumberingDrugtherapyAdministerappropriatedrugstotreattheunderlyingcauseofrespiratoryfailureMonitorforadversedrugreactionsandadjustdrugdosagesbasedonpatientresponseNursingcareProvideskillednursingcaretoensurepatientcomfortandsafetyThisincludesmonitoringvitalsigns,maintainingproperhygiene,andassistingwithactivitiesofdailylivingLifecareandpsychologicalsupportLifecareAssistpatientswithactivitiesofdailyliving,suchaseating,bathing,anddressingProvideeducationonself-caretechniquesandlifestylemodificationstoenhancepatientindependencePsychologicalsupportProvideemotionalsupportandcou...
