Question

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oxygen and inhalation therapy: performing tracheostomy care (provide indication, complication, outcome, nursing intervention, teaching)

Physiological adaptation: Asthma ( what are the priorities, s/s, prevention, cause, nursing care)

Answer 1

Tracheostomy care

Indication

Indication for the tracheostomy care include any infection, or any fall in spo2 of the patient, or any discomfort for the patient while breathing, patient expresses discomfort in the tracheostomy area like pain, itching etc or the as regular routine of the ward.

Complication

If the tracheostomy care was not done properly there wont be adequate oxygen supply and it will result in discomfort for the patient, infection can lead to further complication like fever, in some times if the care was not given properly it can change the position and will produce complication

Outcome

As the most other intervention also the out come will be patients improvement by patient feeling comfort, vitals with in normal limits, saturation such as spo2 with in normal limits etc

Nursing intervention

Tracheostomy care is one of the nursing interventions, along with that most of the patients will be bed ridden so the chances for bedsore will be more soc are should be taken and also all other priority nursing care such as taking vitals, monitoring the client etc can be done

Teaching

Patient teaching should include to ask for any discomfort, because there will be problems with communication

Asthma

The priorities in the case of asthma is breathing difficulty should be addressed and the person should be kept away from the allergen which causes the asthma

Signs and symptoms

Breathing difficulties, increased heart rate, sleep disturbance, not able to sit in one place

Abnormal breath sounds like wheezing will be there

Prevention

Preventive method is identifying the allergen and keep away from the allergen.

Cause and nursing care

There is not particular cause for the illness sometimes it can be genetical

Nursing care should include keep the patient in a calm environment free from allergen, oxygen if needed, place in semi fowlers position, keep rest etc