NURSING 2MM3 Lecture Notes - Lecture 12: Diaphragmatic Breathing, Thrombus, Pulmonary Edema
2 Sep 2018
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Incentive spirometry: assess risk for postoperative respiratory complications, assess ability to cough and breathe deeply, assess risk for postoperative thrombus formation, assess patie(cid:374)t"s a(cid:271)ility to (cid:373)o(cid:448)e i(cid:374)depe(cid:374)de(cid:374)tly (cid:449)hile i(cid:374) (cid:271)ed, explain post-operative exercises to the patient, demonstrate exercises. Positive expiratory pressure therapy: set pep device to setting ordered, assume semi/high-fowlers position and place nose clip on patients nose, place lips around the mouth piece, take full breath and exhale (2-3 times longer than inhalation). Repeated for 10-20 breaths: remove device and take slow, deep breath and hold for 3 seconds, instruct patient to exhale in quick short huffs. Controlled coughing: maintain upright position, take slow deep breaths inhaling through the nose and exhaling through the mouth, inhale deeply a third time and hold breath for 3 seconds. Cough 2-3 times without inhaling: caution with incision site (place hand/pillow to protect), cough 2-3 times every 2 hours, examine sputum.
