Question

Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low fat diet DS in '% normal saline with 40 mEą potassium to run at 125 mL per hour Turn, cough and deep breathe every 2 hours while awake Incentive spirometry every 2 hours while awake Dangle in AM; ambulate in PM Morphine sulfate 10 mg IM every 4 hours pm for pain Ampicillin (Omnipen) Gm 2 IVPB every 6 hours Tylenol 325mg rectal suppository every four hours for temperature above 1 Chest X-ray in AM

Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low fat diet DS in '% normal saline with 40 mEą potassium to run at 125 mL per hour Turn, cough and deep breathe every 2 hours while awake Incentive spirometry every 2 hours while awake Dangle in AM; ambulate in PM Morphine sulfate 10 mg IM every 4 hours pm for pain Ampicillin (Omnipen) Gm 2 IVPB every 6 hours Tylenol 325mg rectal suppository every four hours for temperature above 1 Chest X-ray in AM

Answer 1

10.Things which are accountable for patient inspiratory related behavior are Continuous NG tube suctioning,coughing and deep breathing exercises every two hourly , Incentive spirometry ever two hourly and ambulation of the client.These activities makes the client breathing better.

11,1).Monitoring the breathing pattern and vital signs of the client.(observe breath rate,breath sounds).

2).provide chest physiotherapy.

3).Make client to perform deep breathing exercises and coughing exercises.

4).Provide steam inhalation to the client.

5).Provide suctioning if needed by the client.

These five nursing interventions promote the breathing and prevent the lung complications after abdominal surgery.

12.1).Patient pooled sputum got mobilized.

2).It gives better airway clearance.

3).It helps to ease the breathing pattern of the client .

4).It promotes better lung expansion and lung function thus prevent the lung complications.

It makes the client recovery faster.

13.She undergone the surgery cholecystectomy.the abdominal surgery makes much pain.Because of the pain the client will not breath completely.This sequence of incomplete breathing not provide oxygen to the lungs.The parts of alveoli not get enough oxygen then it results in atelectasis , where the inhaled oxygen gets trapped inside.This cause alveolar damage .To avoid this all lung complications the interventions are taken.

14.Gall bladder is the part where the bile gets stored.so when fat food is taken these bile will digest the fat substance in the food.Bile aids in the digestion of fatty foods.Now after removal of gall bladder the bile is not stored .so the body is not having enough bile to digest the fatty foods.Even then if taking the body has no bile to digest the fat it cause bloating and diarrhea.Hence it is necessary to low-fat diet.