NSG 2317 Lecture 5: Lecture 5

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Example case a 65 year old male patient with a history of heart disease complains of being awakened from sleep with shortness of breath. Which of the following actions is most appropriate: obtain a detailed hx of the patients allergies and asthma, tell the patient to sleep on his right side to facilitate respirations, assess for other signs/symptoms of paroxysmal nocturnal dyspnea. Wheeze: difficulty in getting air out, expiratory sound. Use of medications: some medications can induce coughing, ace inhibitors do this (end in pril) Blue puffer is ventolin- rescue inhaler, most common. Twice as wide as you are thick: ppl with copd more 1:1, accessory muscles cause barrel chest. Position taken to breath: easiest position to breath is tripod (leaning forward on something) Kussmaul (very deep, rapid, hyperventilation, when u exercise, diabetic ketoacidosis. Cheyne- stokes: regular, starts with shallow builds up then stops, could be person with inc intercranial pressure, when people are really really unwell,

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