8976 Study Guide - Midterm Guide: Median Sternotomy, Segmental Resection, Lobectomy
2 Jul 2018
School
Department
Course
Professor
CI VIVA Process (constantly monitor patient, lay terms)
1) ISBAR and decide on interventions you are going to take based on their information…
2) Explain ISBAR to Bernie the interventions you would like to take
3) Introduce yourself (consent) to the patient as how they are feeling (PCA) (confident physio
voice), wash hands, identify attachments, wounds, oxygen, UWSD suction (if on suction ask
if they can come off it), previous level of mobility (ambulatory equipment)
4) Measure stats
5) Depending on the assessment technique you are about to perform give an explanation as to
why it will be beneficial to the patient, explain all the warnings/contraindications
6) Auscultation/Spirometry: (WARNING: SOB, dizziness, wheeziness or chest pain),
(explanation; listing to your lung and feeling for the movement of lungs to give me a better
idea of how to help you); adjust attachments, adjust bed to correct height, position patient
sitting on the side of the bed with assistance; perform auscultation,
7) Mobilisation; (explanation of how it will help; warn them that they might feel dizzy or even
nauseous when they first stand up and that this is normal and for them to just let you know
and they can sit down) prepare before mobilising: Attachments, cough teddy, sputum cup,
prepare chairs,
8) Bubble Pep
9) Postural drainage/Percs and vibes
Sternotomy – incision through sternum
Pneumoctomy entire lung
Lobectomy remove lung
Segmental resection remove section
Pleural surgery –pleuadis
Pleuectomy – strip
VAT
Indwelling catherer (IDC)
Central line
Inter costal catheter (ICC) attached to UWSD
find more resources at oneclass.com
find more resources at oneclass.com
