NURSING 2LA2 Lecture Notes - Lecture 6: Diaphragmatic Breathing, Gas Exchange, Adrenergic Agonist
Document Summary
Advocacy: the nurse advocates for the patient when the oxygen saturation is too low. Teaching: the nurse provides health teaching regarding oxygen administration and strategies for quitting smoking. Risk factors associated with smoking (discussed in pbl last term) Smoking cessation strategies (discussed in pbl last term) Stages of change model (discussed in pbl last term) Knowledge regarding oxygen therapy (readings from potter and perry) Insufficient experience using oxygen therapy further educate myself and practice. May have assumptions about the ease of quitting smoking (as i am not a smoker) better educate myself on reasons why patients find it difficult to quit smoking and on motivational/teaching strategies. Pathophysiology: history of cigarette smoking damage to alveolar gas exchange causing inflammation of the airways, bronchoconstriction and hyperresponsiveness. Presentation: shortness of breath; substernal, supraclavicular and intercostals indrawing, possible cyanosis, possible cognitive impairment. Risk factors: smoking/environmental exposure; history of copd, asthma, etc. Bronchodilators (e. g. beta 2 agonists; muscarinic antagonists) open airways.
