diminished lungs - page 2

Can someone explain to me what diminished lungs are and what is the significance of this?? Everyone I ask either doesn't know or they just say it means you don't hear the usual clear swooshing in... Read More

  1. Visit  FreshRN05} profile page
    0
    Quote from paga
    I'm a new grad RN from Ca. It's my first job as a nurse, a client becomes lethargic, restless, 02 sat shows 87%, but V/S normal. I charted diminshed lung sounds and requested CXR to be done. How do I really hear a diminished lung sounds, he's on dialysis and has a non healing wound at the back. maybe because he's in too much pain or just tired of the dialysis, or there is impending S/S of pneumonia or atelactasis whatever.
    question on order??? I'm also a new grad and will be starting my job in a local hospital near my house..I'll be going to ER overflow unit (patients waiting to be placed in proper units..ei Tele, med surg...), so I'll be seeing a lot of patients with lots of different problems. Anyhoo, when you say after you assesed your patient and the patient had the above findings you ordered CXR....is this an order that an RN can carry without a Dr's order/approval or do you wait until ordered by the Doctor? This is where I get confused, which tests an RN can order...Thanks...
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  3. Visit  paga} profile page
    0
    upon assessment and history of the patient, a nurse can recommend to the doctor labs to be done especially if the doctor is just on the phone. A nurse assessment and recommendation is the doctor's guide in treating the patient, remember the nurse spend more time with the client rather than the doctor.
  4. Visit  Angie O'Plasty, RN} profile page
    0
    Quote from paga
    I'm a new grad RN from Ca. It's my first job as a nurse, a client becomes lethargic, restless, 02 sat shows 87%, but V/S normal. I charted diminshed lung sounds and requested CXR to be done. How do I really hear a diminished lung sounds, he's on dialysis and has a non healing wound at the back. maybe because he's in too much pain or just tired of the dialysis, or there is impending S/S of pneumonia or atelactasis whatever.
    If his O2 sat is 87%, his vitals are not quite normal. I hope you started O2 @ 2L. Doesn't matter whether you hear anything or not; I've seen people with big trouble come up clear on X-rays, most notably CHF.

    And the first couple of signs for CHF in a patient are c/o dyspnea with diminished breath sounds, THEN you start to hear the crackles.


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