Nursing 4400A/B Lecture Notes - Lecture 6: Adventitiousness, Eval, Irreversible Process
2 Jan 2017
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Week 6 care for pediatric chronic health concerns: asthma. Remissions and exacerbations ranges from infrequent acute exacerbations to persistent daily symptoms. Symtpoms with regular activity to interfering with qol. Work of breathing changes, abd movement or head bobbing. Quiet chest can mean airway so poor cant even wheeze. Pulmonary function test (pft) degree of disease, not during. Peak expiratory flow rate (pefr) decreased during. Allergy testing skin test or rast can show triggers. Use to establish (cid:498)personal best(cid:499) when symptoms controlled, Pt takes a deep breath and blows as hard as possible into tube (with clip on nose) technician monitors and encourages patient during test . Machine records the results of the spirometer test. Peak flow monitoring and not sick with any respiratory symptoms. Patient takes full breath, blows out quickly and as hard as they can. Repeat 3 times, and record highest value exacerbation acute. Asthma exacerbations are the leading cause of hospitalization in children.
