It is normal for most COPD patients to have an oxygen level between 88 to 92% via pulse oximetry. Assess the patients mouth for white plaques. Bronchitis is a respiratory condition characterized by the inflammation and accumulation of mucus in the lower respiratory tract, specifically the bronchioles. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. The patient may be more relaxed with the elevated head of the bed, sleeping in a recliner, or leaning forward towards an overbed desk with pillow support. It focuses on the overall care of the patient while the medical diagnosis involves the medical aspect of the patients condition. This position encourages more significant lung expansion and air exchange. Surgical intervention: Lung volume reduction surgery, lung transplant, bullectomy (removal of bullae or large air spaces) are the most common surgical procedures performed to treat COPD. Desired Outcome: Within 4 hours of nursing interventions, the patient will have a stabilized temperature within the normal range and will verbalize feeling more comfortable. To strengthen the respiratory muscles, reduce shortness of breath, and lower the risk for airway collapse. Gently warm the patients affected area, Rapid and regulated rewarming can be used. Explain to the patient the hazards of smoking in further detail, especially secondhand smoke. As an Amazon Associate I earn from qualifying purchases. A serious symptom of hypothermia is a temperature below 96F, which indicates an advanced state of shock, diminished tissue perfusion, and an inability of the body to develop a febrile response. As directed by the doctor, administer respiratory medicines and oxygen. However, it is an essential tool that promotes patient safety by utilizing evidence-based nursing research. Another component for treating hypothermia is recognizing secondary causes through the following diagnostic workup. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. She found a passion in the ER and has stayed in this department for 30 years. Nursing Diagnosis Guide | NurseJournal.org Subscribe to our newsletter to be the first to know about our daily giveaways from shoes to Patagonia gear, FIGS scrubs, cash, and more! She received her RN license in 1997. It is a tool to help gather information and determine what type of doctor to see in order to have a more productive visit with the goal of getting the correct diagnosis sooner. A whirlpool bath is utilized to encourage blood flow to the affected area, remove dead tissue, allow for normal blood flow, and help to avoid infection. The treatment for hypothermia involves treating the underlying cause. To assist in creating an accurate diagnosis and monitor effectiveness of medical treatment for hypothermia and frostbite. semi- thick demonstrate fowlers demonstrated. The patient will recognize early signs of infection to allow for prompt treatment. (see figures below) Figure 2. 2013. According to NANDA-I, the simplest ways to write these nursing diagnoses are as follows: Problem-Focused Diagnosis related to ______________________ (Related Factors) as evidenced by _________________________ (Defining Characteristics). Adequate hydration helps reduce blood viscosity. The terminology is also registered with Health Level Seven International (HL7), an international healthcare informatics standard that allows for nursing diagnoses to be identified in specific electronic messages among different clinical information systems.

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