Question

what would be the nursing interventions for this patiant? This is your SBAR S - Mr....

what would be the nursing interventions for this patiant?

This is your SBAR

S - Mr. Sidney Brenner DOB 3/28/52 is c/o shortness of breath. Feels like an elephant is sitting on his chest.  

B - His antibiotic was given in emergency, he is on oxygen by nasal cannula @ 2 L/min, his last sats were 88%, and his last set of vitals were 101.2-90-30 BP 90/60. He reports a productive cough that started this morning. He has a 3 year history of COPD. He reports Frequent Respiratory Tract infections,

He reports Quitting smoking 1 year ago. Lives with spouse. Mother lives in Nursing Home. Gets short of breath with small amount of physical activity. His family member has accompanied him to the unit.

A

Mr. Brenner is having difficulty communicating due to his excessive level of dyspnea

He is AOX3.

VS as reported

Resp rhonchi and wheezes

His daughter is present with him at the bedside answering questions

He is really SOB

R - Perform an initial assessment on Mr. Brenner and implement appropriate nursing interventions.



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Answer #1

#. Nursing Interventions for this patient :-

-Promote optimal function: Upright position with legs notched

-Smoking cessation

-Avoid triggers of dyspnea

-Promote comfort

-Positioning: high Fowler's 45-90 degrees

-Maintain adequate fluid 1 -2 L (mobilize secretions)

-Provide humidified air

-Promote proper breathing

Deep breathing, pursed-lip breathing, abdominal or diaphragmatic breathing

Incentive spirometry (1-2 an hour)

-Provide supplemental oxygen: Always needs an order

-Administer medications

-Check vitals

Administering Drugs by Inhalation

Advantages:

-Therapeutic effects are enhanced by delivering the drugs directly to their site of action

-Systemic side effects are minimized

-Relief of acute attacks is rapid* Mucous membranes are highly vascularized so absorption occurs quickly

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